2011-511 TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
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Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20110511 Date Issued: Monday, November 14, 2011
This is to certify that work requested to be done as shown by Permit Number P20110511
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: SPORTS & MORE INCLUDED - SPACE 19
This structure may be occupied as a:
Certificate of Occupancy(COM) By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
//1/ /
property owner of the responsibility for compliance with Site Plan, L.,L '
Variance, or other issues and conditions as a result of approvals by the
Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
F#517
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110511 Application Number: A20110511
Tax Map No: 523400-302-005-0001-092-011-0000
Permission is hereby granted to: AVIATION MALL NEWCO LLC
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
2011-511
SPORTS &MORE INCLUDED - SPACE 19 -CO ONLY
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,October 14,2012
(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 To n of eens ; fyi44 .oetober
14,2011
SIGNED BY av AI v for the Town of Queensbury.
Director of Building&Code Enforcement
ir4 Community Development Office ; � r �`"l"
;� Town of Queensbury• 742 Bay Road• Queensbury, New York•12441
David Hatin, Director of Building&Codes
Craig Brown,Zoning Administrator• Michael J. Palmer, Fire Marshal ;T,�,�,�> Rl i � )'- t1RY•
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building permit.
TAX MAP# 05' 1-9 a" (1 BLDG. PERMIT FILE# J/-57/
pplicab
Name of Business:,l' .)r--1"S i\-40,/`e_
Address fi/a1,-> Neal QUESTIONS? CALL 761-8256 OR
of Business:
EMAIL codeseoueensburv.net
art VISIT OUR WEBSITE FOR MORE
�
Person in Charge or Manager: �= Tt� -%e INFORMATION
www.eueensbury.net
Business Phone Number: &(af 30.e9
Type of Business: (Pdr 1----- Odt,t),Itle 74 *-:"—
art 5-,
Owner of Property: 7"fr1 SIA AM-C1 Phone Number(s):
l Home Cell
Owners Address:
Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
/;.
Signature: /1/1/.1 Date: /3/7/2 /7-
Of
P 2 /(Of person submitting this form
Notes/Comments:
EMERGENCY CONTACT UPDATE
Ro)m- <tt
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: /'d//o'a///
BUSINESS NAME: Wc3f l's 4 d fk & :T y) ci u cL L
BUSINESS ADDRESS: 41) i A-..o yl fY\3 - g 0 E F rlS o Yy i f y •
BUSINESS PHONE: 44, 1?-.47616
CONTACT 1: 'fi / HOME PHONE 6‘e- ,?.ds,:'
ADDRESS: 11 - ��'� > NC/ r 5
CONTACT 2: 7/) /wE 5c4 m&-/ HOME PHONE
ADDRESS: IIr.j i : l -.
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:' I+0 I +r Time: i Ian
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 00 CO Inspection Permit#: I I I i
Fire Marshals Representative
MJ Palmer Business Name: poft4r.. `
Location: 'S t g v.,���„ 11-49
e*
)(GK Stillman Contact: l I'1�
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 Y�
Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
EVAC Plan FC 404.6afX4C)1 4"
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
interior FC 1006.3&FC1029.8
Exterior FC 1006.3
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
No Smoking Signs FC 310.3
Storage FC 315.2
Compressed Gas FC 3003
Vehicle Impact Protection FC 312.1
interior Finishes FC 804-804
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(R1 &R2)
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5
Exterior Storage FC 315.3 REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311 21 DAYS
SYSTEMS: FC 901.6 Imp 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 r ._.. -
Kitchen Suppression Semi Annual Fire fatan'"Al In ectic.rl Complete
Fuel Island Suppression Semi Annual OK`.0 Issue Certificate of Of:Cl�par.cy
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection FireI•t�rshc.::
Town of Queenshury __4
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