CC-000454-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761.8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000454-2016 Date Issued: Wednesday, October 26,2016
This is to certify that work requested to be done as shown by Permit Number CC-000454-2016
has been completed.
Tax Map Number: 296.19-1-24
Location: 88 GLENWOOD AVE
Owner: Keith Crist
Applicant: Advanced Services Solutions
This structure may be occupied as a:Commercial Interior Alterations 900 s.f.
Edward Jones Investment By Order of Town Board
TOWN OF QUEENNSSBU�RJY
Issuance of this Certificate of Occupancy DOES NOT relieve the ` / )- (/ /J xot
property owner of the responsibility for compliance with Site Plan, «<iii(((///LLLiti??i{tl"' V %VVI
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.
s
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: CC-000454-2016
Tax Map No: 296.19-1-24
Permission is hereby granted to: Honey-Do Man LLC
For property located at: 88 GLENWOOD AVE
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
Owner Name: Keith Crist Business Office-Alteration $14,600.00
Owner Address: 34 Bonner DR Total Value $14,600.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Honey-Do Man LLC
442 CORINTH RD
Queensbury,NY 12804
Plans&Specifications
Commercial Interior Alterations 900 s.f.
Edward Jones Investment
$ 180.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, July 21,2017
(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 Town of�7j
hurs , ly 21, 2016
W
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
Dater — Permit No. G
Tax Map ID Permit Fee `
Zone Historic? Yes No Ree Fee
Subdivision Naive Lot# Site Plan#
Subdivision
Project Location
JUL 15 zu1b
TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family, multiple family,
apartments,condominiums,townhouses,and/or manufactured&modular homes,.but not mobile homes. Thisk in addition to the
permit fee(s).
PrimaU Owner(s)
Ml E rll x-t s i
Address
Phone/Email
Applicant /
Address
3 fzft 4wcrK0,v' n?7
Phone/Email 2."r - SG l�l,�}/� t p5s Gorvt
Contractor
Address
4 2 !^E
Phone/Email 9-18- ZCvo - SSSS' Si 8o
`f ria L Gc. l4-C t"Lt C
Contact Person for Building& Codes Compliance: a.0 Nari Phone Gclj'���`7l?(v
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration I" floor sf 2"d floor sf Total sf Height
Single Family
Two-Family -- --
Multi-Family
(# of units
Townhouse
Business Office
Retail -Mercantile
Factory- Industrial.
Attached Garage
(1, 2, 3, 4+)
Other
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
If commercial or industrial please indicate name of business
Proposed use of building or addition _2 DliIA e_ Ja AJ
Source of Heat(circle one) Gas (01D 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? Yes XNo
c. Will the grade be changed as a result of construction Yes _No
d. Public water or Private well (circle one) ubli Private
e. Sewer or Private Septic System (circle one) ewer Private
Value of all work to be performed (labor or materials) $ 14, (0, + oa
DECLARATION.-
1.
ECLARATION.I. 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 I 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 NYS
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 arc 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: oM 0m4,gi S,K.vtQ_ DATE: -7.- )j-- 2 0 t c"
SIGNATURE: DATE: -7
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
`town of Queensbury Building&Codes Principal Structure Application Revised January 2016