application TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: CC-0077-2018
Tax Map No: 302.7-1-28
Permission is hereby granted to: O'REILLY AUTO ENTERPRISES, LLC
For property located at: 682 GLEN ST
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: O'REILLY AUTO ENTERPRISES,LL Retail-Mercantile-New $112481378.00
Owner Address: 233 S Patterson Total Value $112481378.00
Springfield,MO
Contractor or Builder's Name/Address Electrical Inspection Agency
Visible Construction Corp
10376 W State Road 84, Suite 6
Davie,FL 33324
Plans&Specifications
New Commercial Building 7453 s.£
Tenant: O'Reilly Auto Parts
Cross Ref. P-SP-44-2017 and Z-AV-41-2017
$ 2,335.90 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday, May 11, 2020
(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 Queensbury; Thursday, May 10, 2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
x Office Use Only
PRINCIPLE STRUCTURE PERMIT Permit#:
...
APPLICATION Permit Fee: $ 7.23 .QtO
742 Bay Road,Queensbury, NV 12804 *Rec. Fee: $N 1�
P-. 518-761-8256 Invoice#: L
Project Location: h Ager+bbur7
Tax Map #: �; _ -7 6ledk 1 L.,r ;8 Subdivision Name:
TOWN BD.RESOLUTION 86-2013 $850 recreation fee for new dwelling units- single family,duplexes/two-family,
multiplefamily apartments,condominiums townhouses,and/or manufactured & modular homes but not mobile
homes. This is in addition to the permit fee(s).
CONTACT INFORMATION:
• Applicant:
Mailing Address, C/S/Z: 39 fiord F^,k 1-��> 1�,,.. MA�
Cell Ph.: _(CPr! ) 937 • 3&O !o Land Line: _(781 _1 yS;t • 7/2 1
Email: t r-O S, o
• Primary Owner(s):
Name(s): 01 lP-ti 1'04'e4z
Mailing Address, C/S/Z: ASS CAA Al D 6 5. 8-0 2
Cell Ph.: �(_� Land Line: _ y!7 $60 -.2 67
Email:
• Contractor(s): rn
_ � � � rW
Name(s): Ois 1�
Mailing Address, C/S/Z:
Cell Ph.: _( ) Land Line: _
Email: 0F gUEENSBURY
BUILQI
• Architect(s1/Enctineer(s):
Name(s): baur-c, f-o',S eh« 2-r.o bcs?Sr.
Mailing Address, C/S/Z: 36" P. At, k R-d
Cell Ph.: _( t(r ?�} 9 3 y 3Go 1r Land Line: _ 7p(i) 15d- ' 7/a 1
Email: L S"ro"s /•� �ho.s<-2 tro �5��r. cann
Contact Person for Building & Code Compliance: J;--aiS
Cell Ph.: _( D t 3 f Land Line: 31 ) 4fsx 7I-11
Email: e4e-51 con %
ToQ Building&Code Enforcement Principle Structure Updated December 2017
PROECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
Single-Family Two-Family Multi-Family(#of )
Townhouse Business Office Metail _ Hotel/Motel
IndustriaUWarehouse Garage(#ofcars ) Cther(describe )
STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE:
is"floor: ?ILY S 3 11T floor:
21 floor: 2nd floor:
3r1 floor: Total square feet:
4t"floor:
Total square feet: 7 y S 3
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 1 12 q 9.3 7 8
2. Proposed use of the building:
3. If Commercial or Industrial, indicate the name of the business:
4. Source of Heat (circle one): Ga Oil Propane Solar Other:
(Fireplaces need a separate Fuel Burning Appliances&Chimney Application,one per appliance)
5. Are there any structures not shown on the plot plan? YES Explain:
6. Are there any easements on the property? YES NO
7. SITE INFORMATION:
a.What is the dimensions or a age of the parcel? I q 3 .r F+ x 2 1 Z • b QT
b. Is this a corner lot? ES NO
c. Will the grade be changed as a result of the construction? YES
d.What is the water source? (±9BLID PRIVATE WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system? S E w c tL
ToQ Building&Code Enforcement Principle Structure Updated December 2017
DEX;LATIATION:
"liat no construction tiali oi-H-iiien e prior to issuance
lerrfi a,id ,ivor - will be co-ftioletedwab it i a 1,2 monti) oerio,I
2. If the work is not completed by the 1 year e,piration date the permit may be renewed
subject to fees and department approval.
3. 1 certify that the application, plans and supporting materials are a t rue 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 understand that Me are required to provide an as-built survey byalicensed land surveyor of
a 11 newly constructed facilities priorto issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME:
SIGNATURE: DATE: 3
ToQ Building&Code Enforcement Principle Structure Updated December 2017