CC-0054-2018
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-0054-2018Date Issued: Wednesday, January 2, 2019
This is to certify that work requested to be done as shown by Permit Number
CC-0054-2018
has been completed.
288.-1-58
Tax Map Number:
1471 State Rte 9
Location:
Saratoga Prime Properties LLC
Owner:
Frank Parillo
Applicant:
This structure may be occupied as a: Commercial Alterations 600 s.f.
By Order of Town Board
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
Director of Building & Code Enforcement
Planning Board or Zoning Board of Appeals.
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-0054-2018
Tax Map No: 288.-1-58
Permission is hereby granted to: Saratoga Prime Properties LLC
For property located at: 1471 State Rte 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
Owner Name: Saratoga Prime Properties LLC Retail-Mercantile-Alteration $25,000.00
Owner Address: 215 Ballard RD Total Value $25,000.00
Gansevoort,NY 12831
Contractor or Builder's Name/Address Electrical Inspection Agency
Saratoga Prime Properties LLC
215 Ballard RD
Gansevoort,NY 12831
Plans&Specifications
Commercial Alterations 600 s.f.
$ 180.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,February 13, 2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbua before the piration dat .)
Dated at the Town o Queen Wue ary 13,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ADDITION/ALTER CC� �� �('Zve3'
APPLICAT E U Q it 1c `� . u 0
Town of Ctueensbury
742 Bay Road,Queensbury,NY 12804 FEB 0 9 @Roi e
P:518-761-8256 www.gueensbury.net
1471 Route 9 TOWN OF QUEENSBURY
Project Location: UILDING&CODES
Tax Map ID #: 288- -l-58 Subdivision Name:
CONTACT INFORMATION:
• Applicant:
Name(s): Frank Parillo
Mailing Address, C/S/Z: 215 Ballard Road, Wilton NY 12831
Cell Phone: ( 518 ) 744-1616 Land Line:
Email: fparillo@16saratoga.com
• Primary Owner(s):
Name(s): Saratoga Prime Properties LLC
Mailing Address, C/S/Z: 215 Ballard Road, Wilton NY 12831
Cell Phone: 518 ) 744-1616 Land Line: �)
Email: fparillo@16saratoga.com
• Contractor(s):
Business Name: (Same as owner)
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: �)
Email:
• Architect(s)/Engineer(s):
Business Name: Hutchins Engineering
Contact Name(s): Tom Hutchins
Mailing Address, C/S/Z: 169 Haviland Road, Queensbury NY 12804
Cell Phone: Land Line: ( 518 ) 745-0307
Email: thutchins@hutchinsengineering.com
Contact Person for Building & Code Compliance: Frank Parillo
Cell Phone: 518 ) 744-1616 Land Line: �)
Email: fparillo@16saratoga.com
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 ✓ Retail
Industrial/Warehouse Garage (# of cars ) _ Other (describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: 600 SF
2nd floor: 2nd floor:
3rd floor: 3rd floor:
4th floor: 411 floor:
Total square feet: Total square feet: �0U �Zci�
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 25, 000
2. If Commercial project, what is the proposed use: Food Service (Same)
3. Source of Heat (circle one): (:i )
Gas Oil Propane Solar Other
Fireplaces need a separate Fue urning Appliances &Chimney Application
4. Are there any structures not shown on the plot plan? YES NO Explain:
5. Are there any easements on the property? YES NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the arcel? 1.99 acres
b. Is this a corner lot? YES NO
c. Will the grade be changed as a res f the construction? YES NO
d. What is the water source? PUBLIC PRIVATE WELL
e. Is the parcel on SEWER or a PRIVA
PTI
system? Sewer
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
DECLARATION:
1. 1 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 1, 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: Frank Parillo
SIGNATURE:,--a DATE:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
i
REQUIREMENTS FOR SUBMITTAL:
1. Completed Additions/Alterations permit application
TWO(2)COPIES OF THE FOLLOWING:
2. Structural drawings,which include:
a.Signed&sealed architect or engineer stamp IF the cost of construction is over$20,000
b.Floor plan
e.Foundation plan
d.Cross sections
e.Elevations
f. Window& Door schedules–printed on the drawings is acceptable
g.Calculation sheet for natural light,ventilation &emergency egress
3. Plot plan, using a survey map if possible,which includes:
a.Drawn to scale (i.e. 1 inch = 1-feet)
b.Indicate proposed changes,with setbacks
e.Include all structures on the property
d.Include location of water supply(well or water lines)
e.Include location &configuration of septic system or sewer line
4. REScheck(residential projects)or COM check(commercial projects), signed and stamped—
www.energycodes.gov
ADDITIONAL INFORMATION:
1. Any changes to the approved plans prior to or during construction will require the submittal of
amended plans, additional reviews and re-approval.
2. If, for any reason,the building permit application is withdrawn, 20%of the fee is retained by the
Town of Queensbury. After 1 year from the initial application date, 100%of the fee is retained.
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017