CC-000741-2017 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-000741-2017 Date Issued: Monday, April 2, 2018
This is to certify that work requested to be done as shown by Permit Number CC-000741-2017
has been completed.
Tax Map Number: 288.12-1-22
Location: 1444 State Rte 9
Owner: Moose on the Loose Deli, Moose on the Loose Deli, Adirondack Factory Outlet
Applicant: Moose on the Loose Deli
This structure may be occupied as a: Commercial Interior Alterations 100 s.£
(public window/couter) By Order of Town Board
former County Tourism space TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the
Planning Board or Zoning Board of Appeals. Director of Building&Code Enforcement
, _. TOWN OF QUEENSE URY
742 Bay Road,Queensbury,NY 12804-5904 518)761-8201
Community Development-Building&Cod s (518)761-8256
BUILDING PERMIT
Permit Number: CC-000741-2017
Tax Map No: 288.12-1-22
Permission is hereby granted to: Moose on the Loose Deli
For property located at: 1444 State Rte 9
In the Town of Queensbury,to construct or place at the above location in accordance with apf lication together
with plot plans and other information hereto filed and approved and in compliance with the N S Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Erin Hunnewell Business Office-Alteration $10,000.00
Owner Address: 11 MIDNIGHT DR SOUTH Total Value $10,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Commercial Interior Alterations 100 s.f.
(public window/touter)
former County Tourism space
s
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,December 6,2018
(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 t5W4Wk7
ber 6,2017
SIGNED BY: for the Town of Queen bury.
Director of Building&Code Enforcement
Office Use Only
ADDITION/ALTERATION PERMIT Permit#: CC.-^'�Q ` •
APPLICATION Permit Fee: $
Town ofO_uccnsbuq
742 Bay Road,Queensbury,NY 12804 Invoice#: 11��
P:518-761-8256 www.gueensbury.neett
Project Location: 5�z. �`� ")ve—," c l '-
Tax Map ID #: Subdivision Name ' E `�' `�
CONTACT INFORMATION: fi
NOV 02 017
•
Applicant: TOWN OF QUEENSBURY
Name(s): L - C= BUILDING&CODES
Mailing Address, C/S/Z: �L"
Cell Phone: Land Line:
Email:
•
Primary Owners :
Wi
Name(s):
Mailing Address, C/S/Z: / r Z`
Cell Phone: Sl ) G49 Land Line:
Email:
• Contractor(sh
Business Name: U�
Contact Name(s):
Mailing Address, C/S/Z: aA
Cell Phone: ( ( G ) ?,off -72;,a Land Line:
Email:
• Architect(s)/Engineer(s):
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: � )
Email:
i
Contact Person for Building & Code Compliance:
Cell Phone: ) b Land Line: _( Si<<, ) 469 J32-3
Email: iSrz
Town of Queensbury Building&Code Enforcement Addition/Alteration A lication Revised February 2017
DECLARATION:
1. I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or
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. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 1 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: (�/�i VAC_- (C/
SIGNATURE: -- r DATE: J 661
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: ' "_Commercial Residential
WORK CLASS:
Single-Family _Two-Family Multi-Family(#of units )
Townhouse _ Business Office ail
Industrial/Warehouse _Garage (#of cars ) _Other(describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: od /
2nd floor: 2n1 floor:
3rd floor: 3rd floor:
4tb floor: 4t"floor:
Total square feet: Total square feet: Lo 5
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ G c)
2. If Commercial project, what is the proposed use: JL' � &-1
3. Source of Heat (circle one): Gas Oil Propane Solar Other
Fireplaces need a separate ulel Burning Appliances&Chimney Application
4. Are there any structures not shown on the plot plan? YES CNQ)Explain:
5. Are there any easements on the property? YES GO)
6. SITE INFORMATION:
a. What is the dimensions or acreage of the cel? (�-
b. Is this a corner lot? YES NO
c. Will the grade be changed as a re the construction? YES NO
d. What is the water source? UL B1 PRIVATE WELL
e. Is the parcel on SEWER or a PRI SEPTIC system?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
L
288.12-1-22 CC-000741-2017
Moose on the Loose Deli
1444 State Route 9
Comm. Interior Alterations 100 s.f.
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FIRE MARSHAL'S OFFICE
Toum of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
E
PLAN REVIEW
Moose on the Loose Deli
1444 State Route 9
CC-000741-2017
12/4/2017
I have reviewed the submitted drawings for the above project, and offer the
following comments:
1) Verify Fire extinguisher locations.
2) Locks / latches shall comply with 2015 IFC.
3) Verify CO detection.
4) Exit / Emergency light in mall common area. Verify emergency light in
rear office bar area.
5) Fire alarm system part of mall system.
Deputy Fire Marshal
Gary K. Stillman
742 Bay Road
Queensbury NY 12804
518 761 8205
garys@queensbury.net
Fi r e M a r s h a 1 's Off i c e • P h o n e: 518-761-8206 F a x: 518-745-4437
iremarshal@queensbunj.net • ivivmqueet sbu .net