2015-284 .161111 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20150284 Date Issued: Tuesday, August 11, 2015
This is to certify that work requested to be done as shown by Permit Number P20150284
has been completed.
Location: 1424 STATE ROUTE 9
Tax Map Number: 523400-288-016-0001-001-000-0000
Owner: LAKE GEORGE NORTHWAY LLC
Applicant: ASICS
This structure may be occupied as a:
Commercial Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the property (DJ 4
owner of the responsibility for compliance with Site Plan,Variance, or
P ty P
other issues and conditions as a result of approvals bythe PlanningBoard
PPDirector of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150284 Application Number: A20150284
Tax Map No: 523400-288-016-0001-001-000-0000
Permission is hereby granted to: ASICS
For property located at: 1424 STATE ROUTE 9
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: LAKE GEORGE NORTHWAY LLC Commercial Alteration $30,000.00
C/O SOBERT REALTY CORP Total Value
2700 WESTCHESTER Ave $30,000.00
SUITE 407
PURCHASE NY 10577-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2015-284 Asics, Space 3 The Outlets at Lake George East
Commecial Interior Alterations
2554 s.f.
$510.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 14,2016
(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 o eens ;/J e i ly 14, 2015
SIGNED BY r \ for the Town of Queensbury.
Director of Building&Code Enforcement
i
f
PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE 7/1/2015 -77--------- Received
IN , ( L' Tax Map ID
TAX MAP ID 288.16-1-1 Il Permit No. j 2DIr9; 2111
JUL 9 i? Permit Fee FjI'D,SO pd.
ZONING d iRec Fee 1
TOvVI Site Plan #
HISTORIC SITE Yes X No BUILDING& Subdivision #
SUBDIVISION NAME Lot#
TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS, INCLUDING SINGLE FAMILY DWELLINGS,
DUPLEXES OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR
MANUFACTURED&MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
APPLICANT TIM SCHENK W/ELDER-JONES OWNER LAKE GEORGE NORTHWAY, LLC.
ADDRESS 1120 EAST 80TH STREET, SUITE 211 ADDRESS 2700 WESTCHESTER AVENUE
BLOOMINGTON, MN 55420 PURCHASE, NY 10577
PHONE/E-MAIL 952.345.6040/sarah@elderjones.com PHONE/E-MAIL 201.485.8262/robin.genovese@lodsolutions.com
CONTRACTOR T.B.D. COST OF CONSTRUCTION(ESTIMATED): $ 30,000.00
ADDRESS: BUILDING ADDRESS: 1424 STATE ROUTE 9, SPACE 003
PHONE/E-MAIL
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: TIM SCHENK PHONE 952.345.6040
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1st floor sq. ft. 2nd floor sq. ft. Total sq. ft. Height
Single Family
Two-Family
Multi-Family
(#of units )
Townhouse
Business Office
Retail - Mercantile X 2,554 2,554 11'-0"
Factory - Industrial
Attached Garage
(#of )
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business ASICS
Proposed use of building or addition RETAIL SALES OF FOOTWEAR
Source of heat (circle one) Gas Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction Yes X No
d. Public water or Private well PUBLIC WATER
e. Sewer or Private Septic System SEWER
Value of all work to be performed (labor or materials) $ 30,000.00
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. I certify that the application, plans and supporting materials are a true and complete statement / description of
the work proposed, that all work will be performed in accordance with the NY State Building Codes, local
building laws and ordinances, and in conformance with local zoning regulations.
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy.
5. I also understand that I / we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above: PRINT NAME: TIM SCHENK DATE 7/1/15
SIGNATURE: DATE O t it 15
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
7
Town of Queensbury Building&Codes Principal Structure Application July 2014
Inspection Form
Town of Queensbury Fire Marshal O Periodic Inspection Date:&hold 1--
Time: 3
742 Bay Road,Queensbury NY 12804 _ Re-Inspection I S a 4'3 (
518 761 8206/518 761 8205 CO Inspection Permit#:
Fire Marshals Representative
J( MJ Palmer Business Name: /4 A-sics
Location: ►udr( (1i'? sPAac- - 3
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:
f?
Main Aisle Width FC 1024/1025& FC1029.11 AA�
Secondary Aisle Width FC 1025&FC1029.11 r/
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906
A II
EVAC Plan FC 404.2 I
TRUSS ID SIGNAGE FC 505.3 Mr‘i
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 MOI:
.
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(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
Emergency Disconnect FC 2203.2 21 DAYS
Insp OK NC DATE: OK NC
SYSTEMS: FC 901.6 Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC Fire Marshal In ,---+. Comp eta
Kitchen Suppression Semi Annual OK to Issue Ce a ° " Y
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506 Mc 1 20
AWien
Operating Permit, if required will be issued after Fire al
Completion of Inspection Town of N - Abu
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Inspection Form
CidTown of Queensbury Fire Marshal O Periodic Inspection Date: Time: `�
742 Bay Road,Queensbury NY 12804 o Re-Inspection '1�y,.
518 761 8206/518 761 8205 CO Inspection ' Permit#: /�"010 r
f.
Fire arshals Representative
w11
J Palmer Business Name: *4.4.g'
Location: / ail –- /2...-/e„, , Sp 3
1 K Stillman Contact: )�e� Q�d eV
Type of Inspection N/A Yes No i
EXITS: Exit Access FC 1014&FC1029 /esNOTES
Exit Enclosure FC 1020&FC1029
. Exit Discharge FC 1024&FC1029 f
„y Locks and latches FC1008& FC1029.2 .
Sign: Normal FC 1011 &FC1029
Sign: backup FC 1011.5.3&FC1029.7.5 — bi? ' 4' �f S #rdlia -
AISLES:
�l, 4$ X2-)
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 404.2 _....'" t,41116)7
TRUSS ID SIGNAGE FC 505.3 • ... '' � C,Q`ti r((1,
EMERGENCY LIGHTING: r�p�
Interior FC 1006.3&FC1029.8 ,..0°*. �j�! !"L!/1 /5 CL/ ez
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 „/�s• l
F.D.Signage- FC 510
No Smoking Signs FC 310.3 I ,
Storage FC 315.2 • ,.�'° �///0/m/n /k1 /7 ., 4 GJ��u
141
Compressed Gas FC 3003 „„/
Vehicle Impact Protection FC 312.1 ..---••
Interior Finishes FC 803-804
Smoke Detectors FC 907 — {� e,a... 9'41,-, k p, Peff e.11.1
CO detectors FC 610
Clearance to Sp -r/Ceiling FC 315.2.1 ,
/ 24"
EVAC SIGNS I ••.ms FC 404.6(R1 &R2) .ice _• � �� /� � elde
Fuel Pump Warning Signs FC2205.6 „� t✓�`[W ��TGGL- /71lJJrl'j t .
Fuel Station Emer Procedures FC2204.3.5 ,..- f/d•OP
Exterior Storage FC 315.3 ..--' REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
Emergency Disconnect FC 2203.2 / 21 DAYS
3rd Party Electrical `J
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
Generator Annual
FM Type Suppression Semi Annual DATE: OK NC
Elevator Semi Annual ,
FIRE ALARM Annual
Paint Booth Suppression Semi Annual DATE: OK NC
Sprinkler System Annual -1/M
Sprinkler FDC
Kitchen Suppression Semi Annual E-2_ _
Fuel Island Suppression Semi Annual
S ��Z � r
Hood Cleaning 3-6-Annual
Knox Box:installed/checked FC506 ���r kv.vkc64-br2_
Operating Permit, if required will be issued after ` / r��/!it # eg,9� "
Completion of Inspection 4z
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PLANT LIST
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NOTES
1. PROTECT MEMO TRRS NDEATED TO INDIAN FROM
%NNflG AND ELLNG AROUND BASE
2- 4L LAM AREAS WnG HAVE wCONE LOMAGTEO PDANG GON5MOTTOR
SHALL NAVE THEA memEA ITT RESTORED FECO To APPLTNG TOPSQU.
MSTORATON SNAIL BE DOM BT ROUND OR RFRNG TO A DOM OF 12 HGIES.
a, THC CONTRACTOR SHALL HSTALL 4- TOP5o2 N LAWN AREAS AND FIC TRAM.
ME CONTRACTOR WILL MoV AND INSTALL ALL, 5OL AMADI M
4. ARAB F®FATED A5 LAWN SHALL BE wCOCD WIM LOFT 5 THPLf% CCNPRN. MIL
OR AfFROVCD HK AT A RATE OF 51E5 FOR
]CW v .. M. E5 -To -0)
AT 40 6a PER 1,000 U
N AND MLHED'MTI STRAW M IFINTONEEOED.
5. PLANING 501 FOR BACNFUL OF NEW RANTS LAID PPPPARATON
Or RAM Me SMALL 5E A HXMWF or 1 PART TOFSp_ 1 PART GCHFOSTED
HANRE.I PART FEAT No55 AND 5-10-5 RRTL6ER AT 16 Pv 2A of.
G. M1G1 FOR Torm AND argues OHILL BC COARSE & DaIDED BAR.
IAEE OF WOOD Mee LEAVES OR OTRR IBIACCERABIE HITOi
LAND50AFE Ai`
51TE LIGHTING P
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