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2011-578 gift TOWN OFQ UEENSBURY 742 BayRoad,Queensbury,NY 280 -5902 (518)761-8201 Q ury, 1 4 Community Development -Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20110578 Date Issued: Wednesday, November 30, 2011 This is to certify that work requested to be done as shown by Permit Number P20110578 has been completed. Location: 578 AVIATION Rd HI #1 Tax Map Number: 523400-302-005-0001-092-011-0000 Owner: AVIATION MALL NEWCO LLC Applicant: REMEMBER WHEN STUDIOS This structure may be occupied as a: Certificate of Occupancy(COM) By Order of Town Board TOWN OF QUEENSBURY 67./pcti Issuance of this Certificate of Occupancy DOES NOT relieve the property (----24),p owner of the responsibility for compliance with Site Plan,Variance, or other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. eA TOWN OF QUEENSBURY cow 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110578 Application Number: A20110578 Tax Map No: 523400-302-005-0001-092-011-0000 Permission is hereby granted to: REMEMBER WHEN STUDIOS For property located at: 578 AVIATION Rd HI#1 in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: AVIATION MALL NEWCO LLC 4 CLINTON Sq Certificate of Occupancy(COM) SYRACUSE,NY 13202-0000 Total value Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications BP 2011-578 Remember When Studios C/O only Space 102A $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 21,2012 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tgwn of eens dry 1 / o t '. , ovember 21,2011 v ; ' .i.4-7,1/ SIGNED BY V for the Town of Queensbury. Director of Building&Code Enforcement , . oth. Community Development Office % N O V :r� I X011 , Town of Queensbury• 742 Bay Road • Queensbury, New York • 8 , , , TOWN OF •IEJN BURY David Hatin, Director of Building& Codes :UILDI 4ic •: ,_ Craig Brown,Zoning Administrator• Michael J. Palmer, Fire Marshal . �' , ESTABLISHMENT OF A NEW BUSINESS 53;1- a CERTIFICATE OF OCCUPANCY PERMIT APPLICATION *Note: This application is for occupancy only, with no work requiring a building permit. TAX MAP # BLDG. PERMIT FILE# <r-S�r b3 �1 r c.s If applicable Name of Business: � '("�i'*�'`�'"�' l 0,1 Address n r I k 4,),)of Business: CI"- Mit/"J QUESTIONS? CALL 761-8256 OR EMAIL codesaqueensbury.net y II\ r t ) 1 } VISIT OUR WEBSITE FOR MORE Person in Charge or Manager: W l C\UAL 1 (laLk-1,1C) �,1 ') INFORMATION www.queensbury.net Business Phone Number: 3 I `' ) L) - ( S-`L Type of Business: r.,9 11 --„Nr- 2 l � L CH -----)(k-LA C . -(p ' ,rVi A-03 \ill\ruVor\+,12-)_ Cia\A r---rary'tes i I Owner of Property: LA Lx6 ! Phone Number(s):_ T- 3- ''�'< '� Home I Cell Owners Address: i---) K ' ' 0,.....ki--13\71, c h _1112_4_4 172ert_Al 1Ci c1 Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a separate sheet of paper. --\)) , ,, (N ' ,, ) ‘ ,, I__ ,N \ Signature: () '� Date: I 1 ) Of person submitting this form Notes / Comments: Remember When Studios BP 2011-578 Michele Powers 578 Aviation Road -Aviation Mall C/O only - Space 102A E ©_ 1 O y fl EMERGENCY CONTACT UPDATE r TO: WARREN COUNTY SHERIFF'S DEPT. FAX pir _QUEENSBURYES I�& COQ PLEASE PRINT DATE: -)r1 I NAME: I I� ri -�Y" Ulm`I``-x-11, ttkcji- BUSINESSC j r BUSINESS ADDRESS: 0/D Ai 1 C rkCC BUSINESS PHONE: i 3 3 c1 63C /\ t-- CONTACT 1: ��- %� ` HOME PHONE (-1 ("(,,g( ADDRESS: U C-7 C NSV_��DZ � k t 'J CONTACT 2: V\ C3 (i J HOME PHONE 3 ) _ 3 ) ADDRESS: \-c-(.: This form is used to assist Emergency Service personnel who may be called to your business after hours. Please be sure that the persons listed on this form will be willing and available to respond during off-hours to assist Police and/or Fire personnel in gaining entry to your building. PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE PERSONNEL. Inspection Form ' Town of Queensbury Fire Marshal O Periodic Inspection Date:l)I ')i Time: `i 742 Bay Road,Queensbury NY 12804 o Re-Inspection / 518 761 8206/518 761 8205 ad CO Inspection Permit#: /1 S 7T' +r Marshals Representative MJ Palmer Business Name: ()Id& 'film. (r,'f a Location: .51% 41 rviTC.. -0-.D1 GK Stillman Contact: Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 _ FIRE EXTINGUISHER: Hung FC 906 Inspection of extinguisher FC 906 �. EVAC Plan FC 404.6 Nv..9.7 p TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 r \1�� . Exterior FC 1006.3 l Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 ----7/ No Smoking Signs FC 310.3 Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 Interior Finishes FC 803-804 Smoke Detectors FC 907 CO detectors FC 610 Clearance to Sprinkler/Ceiling FC 315.2.1 18" / 24" EVAC SIGNS IN Rooms FC 404.6(Rl &R2) Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATEL I Vacant Buildings FC 311 21 DAYS SYSTEMS: FC 901.6 insp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE: OK NC HVAC Shutdown Sprinkler System Annual _.....�..- Sprinkler FDC I Fire Mar'.3l Ir15pecttt r+'Co m'F!elf= Kitchen Suppression Semi Annual : ,3K°O issue Cortifte of Orcupolcy Fuel Island Suppression Semi Annual Hood Cleaning 3-6 -Annual Knox Box:installed/checked FC506 ! ,. `/ 30 11 Operating Permit, if required will be issued after -- Fire r;v•shrJ Completion of Inspection of boxer)?+„ury (31de kkr ri,,,05 Inspection Form Town of Queensbury Fire Marshal O Periodic Inspection Date:it(13 !)i Time:Z:`-.)—°?41 742 Bay Road,Queensbury NY 12804 Re-Inspection f,-.S 7� 518 761 8206/518 761 8205CO ins ection / #: /Mi arshals Representatives/_ �Palmer Business Name: -fiaS Location: ,6---7 1 �itv 4. K Stillman Contact: ///41 //z,4 , i-(/5 Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 / Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: f Main Aisle Width FC 1024/1025&FC1029.11 ! Secondary Aisle Width FC 1025&FC1029.11 , - FIRE EXTINGUISHER: Hung FC 906 �� / / -• ' ii. A. • ' 1j/� Inspection of extinguisher FC 906 _ / EVAC Plan FC 404.6 TRUSS ID SIGNAGE FC 505.3 ----"- EMERGENCY /EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 _/ Exterior FC 1006.3 , l Clearance to Electrical FC 605.3 �,, / F /A.) Electric Wiring Enclosed/Labeled FC 605.3.1 /� �/_ Combustibles in Equipment Rooms FC315.2.3 — ep� F.D.Signage- FC 510 / /, L..'" .`■r No Smoking Signs FC 310.3 .--- Storage -/Storage FC 315.2 Compressed Gas FC 3003 Vehicle Impact Protection FC 312.1 .-- Interior Finishes FC 803-804 Smoke Detectors FC 907 _/ CO detectors FC 610 r/ Clearance to Sprinkler/Ceiling FC 315.2.1 18" / 24" EVAC SIGNS IN Rooms FC 404.6(R1 &R2) ...--"*... g-- k-ii- -6-ofp Fuel Pump Warning Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 Vacant Buildings FC 311 /� REINSPECTION DUE APPROXIMATEL: 21 DAYS SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE: OK NC HVAC Shutdown Sprinkler System Annual /Oh/ Sprinkler FDC Kitchen Suppression Semi Annual Fuel Island Suppression Semi Annual Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection I Remember When Studios BP 2011-578 Michele Powers �1 1 `) `.J.b 578 Aviation Road -Aviation Mall — —_ �^ CIO only - Space 102A J (..----;-1)7. �' \ I \ ' ------___ ,) /3-1 IA 2--) 1 ii 1 CD .1 1 )1 V-- \-'--) 8 NI oa �I Z 71 ffifi, 0 111 I 0 Z '� rna J P J - ��-T-- i: _c (--...2) L fig ; ,,( 70 _5:, __________________ , -: (..z., ,-,,, ___________________________ __ ,, ______1 . ) s7i*,- 1 1 owrdv.o:aWrNr. 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