CC-000707-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
- - Community Development - Building& Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: CC-000707-2016 Date Issued: Monday, January 22, 2018
This is to certify that work requested to be done as shown by Permit Number CC-000707-2016
has been completed.
Tax Map Number: 308.15-1-34
Location: 462 CORINTH RD
Owner: Thomas Barber, Rod Cornelins
Applicant: Rod Cornelins
This structure may be occupied as a: Self-Storage Unit C
4,350 sq. ft. By Order of Town Board
Cross Ref. Site Plan Review PZ-028-2016 TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, Yv
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
QjW 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000707-2016
Tax Map No: 308.15-1-34
Permission is hereby granted to: Thomas Barber,Rod Comelins
For property located at: 462 CORINTH RD
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: Thomas Barber Business Office-New $64,500.00
Owner Address: 8 Lockhart Mountain RD Total Value $64,500.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Self-Storage Unit C
4,350 sq.ft.
Cross Ref.Site Plan Review PZ-028-2016
$435.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,October 27,2017
(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 Q ensbury rsdc ,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
PRINWIPAL STRUCTURE APPLICATION Office Use Only
Date: /D//3A/( CL 7
Permit No. O '�O 1
Tax Map ID Permit Fee .00 inw« (1
3
Zone GLS Historic? _Yes XNo Rec Fee
Subdivision Name A14 Lot# AN , Site Plan#
Subdivision#
Project Location Nl,y Nca.-,at+ /1d , O�-5 .s4nt
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. This is In addition to the
permit feels).
Primary Owner(s)
S 3/7eL /lid eIZ4b1 n
Address let, 4AI Mf, el //dpi GEcn /2� /
Phone/Email Sl 03a 9- �3�
Applicant � 2
A94k /Ac d 1146Aat ," c
Address
Phone/Email
Contractor
Address 12-
Phone/Email
Phone/Email Go 5 5`) 3 L 2,1-
Contact
ZContact Person for Building& Codes Compliance:EW ld-i r\ Phone -1 36 ) 3C 3
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 1"floor sf 2nd floor sf Total sf Height
Single Family
Two-Family
Multi-Family
(# of units_)
Townhouse
Business Office
Retail-Mercantile
308.15-1 -34 CC 707-2016
Factory-Industrial Corinth Road U Store IT, LLC - Thomas Barber
Attached Garage 462 Corinth Road
Self-Storage Building "C" 4,350 sq. ff.
(1, 2, 3, 4+)
Other_ ( ✓ 30)( 1(/ g351
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
If commercial or industrial please indicate name of business �N /kj 14 TdrLL } GLG
Proposed use of building or addition I-ea-g
Source of Heat(circle one) Gas Oil Propane Solar ther
Fireplace: Complete a separate application for Fuel Burning
Appliances&Chimneys All)
Are there structures not shown on plot plan? Aq
Are there easements on the property? ^/A AAr-V L . 'C.vw.v
Site Information:
a. Dimensions or acreage of lot Pq') , C42cs
b. Is this a corner lot? _Yes .- No
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 n
Value of all work to be performed(labor or materials) $ G y Sao
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 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 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: n�� /,�ti/�'.� DATE: /o / 20 it,
SIGNATURE: `—c /`�1� DATE: 2a C
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
DECE9WE
JAN 2:72E0118
TOWN OF QUEENSBURY
BUILDING&CODES
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The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled;- .4I
jThis certificate only covers the electrical equipment and installation conditions as of date. Upon they
introduction of additional equipment or alterations,application shall be promptly made for inspection. ,
lnspcctor5 of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
' Datr...... .: ., .-�.. ...•..,........ INSPECTOR � Jrr •"k� -................................. r
Member NYHA.,
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