2013-574 ed,..
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: P20130574-40523 Date Issued: Tuesday, April 2, 2019
This is to certify that work requested to be done as shown by Permit Number P20130574-40523
has been completed.
Tax Map Number: 288.12-1-4
Location: 1519 STATE ROUTE 9
Owner: North High Realty Holdings Inc.
Applicant: Andrew Liucci
This structure may be occupied as a: Commercial Alterations: 1st floor 810 s.f,
floor 270 s.f. By Order of Town Board
To be used for storage only TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (--'` ,,f �..
property owner of the responsibility for compliance with Site Plan, ` /-
aieo
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 12804-5902 (518)761-8201
FOTO
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130574 Application Number: A20130574
Tax Map No: 523400-288-012-0001-004-000-0000
Permission is hereby granted to: ANDREW LIUCCI
For property located at: 1519 STATE ROUTE 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 Value
Owner Address: NORTH HIGH REALTY HOLDINGS Commercial Alteration $40,000.00
24 WILDWOOD PI Total Value
QUEENSBURY, NY 12804-0000 $40,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2013-574
Comm. Alt. 1st flr 810 sq ft; 2nd fr1270 sq ft
Catering business
$216.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, March 12,2015
(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 To n of ens ; / W`d : : •, March 12,2014
SIGNED BY for the Town of Queensbury.
�.'
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received:
Tax Map ID:
PRINCIPAL STRUCTURE APPLICATION Permit No.: 1)L--`' I013
L m .5 ' Y
A permit must be obtained before beginning construction Permit Fee: $ cJ'°r)
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $ / —
units, including single-family dwellings, duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date /0 _/ -/ 3 Applicant AA4k'FtA, GZk car
Tax Map ID /- L/ Address "2N tniiLD w c'a/f iP4,4c
Zoning C = tslueeYvsLalei/ ti>' 1-0y
Phone/E-mail ZyKccL 404-avioNei2.Co"i
Property Owner A/o,Cr MZGH R6,44Ty / C.J�N&-5 LX Contractor/Agent ;'-9l11✓)/4iw
Address 2K L 2 `,0 L 0 0 4 f'Z. c.r Address S.9`n E i J /qda L✓C
Q iee,os 8'u:e/ ,',LI taeoLi
Phone/E-mail Phone/E-mail
Contact Person for Building &Code Compliance: /7ND w /1qc .1 Day Phone: ?' -79S"-/9??
t
Building Street Address: /5'/�I S' E etc 9 Z/406-ED4.6- AiY/.ZS-41S G� l 3 (.,0/-0 "Y
Subdivision Name: Lot#: Historic Site: Yes )C No
Estimated cost of construction: $ %d/ 0 0 0
Type of Construction:
WeQA\>Q BE At
Check all that apply Please indicate measurements as required below:
= =
o g
1st Floor 2nd Floor Other Total Height
z ¢ a
Single Family
Two-Family
Multi-Family(#of
units_)
Townhouse
irjusiness Office
Retail-Mercantile
Factory-Industrial
Attached Garages(# )
Other ;5 /O 7 .7 jic
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
If commercial or industrial indicate name of business
Proposed use of building or addition C /f,re teZ-"i/6--
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" Yes j( No
Are there structures not shown on plot plan? A
Are their easements on the property?
/V v
Site Information
a. Dimensions or acreage of lot / S/ O'C va e"
b. Is this a corner lot? N p
c. Will the grade be changed as a result of construction: Yes X No
d. Public water or Private well v4 Te we -
e. Sewer or Private Septic System 4,2sv,4--r-e- S ys>c-%�
Value of all work to be performed(labor and materials) $ /J C/ 000
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. 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 NY State Building Codes, local building laws and ordinances, and
in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a
certificate of occupancy. 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: d/cc%w Lz Kccs
Signature: Date: /O
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 Packet 518-761-8256
If commercial or industrial indicate name of business
Proposed use of building or addition
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes X No
Are there structures not shown on plot plan?
/1/
Are their easements on the property?
fV
Site Information
a Dimensions or acreage of lot
b. Is this a corner lot? Ai
c. Will the grade be changed as a result of construction: _..Yes X No
d. Public water or Private well
e. Sewer or Private Septic System ;at v ;L
Value of all work to be performed(labor and materials) $
;1 GI c? O0
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. 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 NY State Building Codes, local building laws and ordinances, and
in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a
certificate of occupancy. I also understand that Uwe 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: c c.Z
Signature: Date: I C' '/b'- f
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 Packet 518-761-8256
INSPECTION WORKSHEET (BINS-001692-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:P20130574-40523 Case Module:Permit
Inspection Date:Mon Apr 1, 2019 Inspection Status:Passed
Inspector:John O'Brien Inspection Type:Commercial Final Inspection
Job Address:Parcel Number:1519 STATE ROUTE 9
QUEENSBURY, NY 12804
288.12-1-4
Contact Type Company Name Name
Granted Permission Liucci, Andrew
Applicant Liucci, Andrew
Contractor Liucci, Andrew
Primary Owner North High Realty Holdings Inc.
Checklist Item Passed Comments
Final Electrical / Flex Gas Piping Bonded YES No changes to electrical.
Okay To Issue CC YES 3/21/19 Final Inspection Not Approved - Tenant's Cold
Storage Only!
Remaining Items:
- Change exterior doors handles to lever hardware.
- Fill void on inside of exterior door.
- Hang 5# ABC Fire Extinguisher at front door as discussed.
4/1/19 Final Inspection Approved - Ok to issue CC!
- Spaced to be used as storage only!
Apr 01, 2019 Page (1)
O'Brien, John (Inspector)
INSPECTION WORKSHEET (BINS-001527-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:P20130574-40523 Case Module:Permit
Inspection Date:Thu Mar 21, 2019 Inspection Status:Failed
Inspector:John O'Brien Inspection Type:Commercial Final Inspection
Job Address:Parcel Number:1519 STATE ROUTE 9
QUEENSBURY, NY 12804
288.12-1-4
Contact Type Company Name Name
Applicant Liucci, Andrew
Primary Owner North High Realty Holdings Inc.
Granted Permission Liucci, Andrew
Contractor Liucci, Andrew
Checklist Item Passed Comments
Int/Ext Guardrails 42 inch Platform Decks NO
Int/Ext Balusters 4 inch Spacing Platform Decks NO
Doors 36 inch wLever Hand Panic Hardware, if
req
NO
Final Electrical / Flex Gas Piping Bonded YES No changes to electrical.
Okay To Issue CC NO 3/21/19 Final Inspection Not Approved - Tenant's Cold
Storage Only!
Remaining Items:
- Change exterior doors handles to lever hardware.
- Fill void on inside of exterior door.
- Hang 5# ABC Fire Extinguisher at front door as discussed.
Mar 21, 2019 Page (1)
O'Brien, John (Inspector)
INSPECTION WORKSHEET (FM-001528-2019)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:P20130574-40523 Case Module:Permit
Inspection Date:Fri Mar 22, 2019 Inspection Status:Passed
Inspector:Mike Palmer Inspection Type:OCC-Inspections
Job Address:Parcel Number:1519 STATE ROUTE 9
QUEENSBURY, NY 12804
288.12-1-4
Contact Type Company Name Name
Contractor Liucci, Andrew
Primary Owner North High Realty Holdings Inc.
Applicant Liucci, Andrew
Granted Permission Liucci, Andrew
Checklist Item Passed Comments
Fire Marshal YES Cold storage for house tenants, no commercial use and no
source of CO
Exit Access YES
Exit Enclosure YES
Exit Discharge YES
Locks and Latches YES
Main Aisle Width YES
Secondary Aisle Width YES
Mar 22, 2019 Page (1)
INSPECTION WORKSHEET (FM-001528-2019)
Checklist Item Passed Comments
Fire Extinguisher Hung YES
Inspection of Extinguisher YES
Clearance to Electrical YES
Electrical Wiring Enclosed/Labeled YES
Storage YES
Interior Finishes YES
Clearance to Sprinkler/Ceiling YES
Occupancy Cycle YES S
Mar 22, 2019 Page (2)
Andy Palmer, Mike (Inspector)
INSPECTION WORKSHEET (BINS-008196-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
P20130574-40523Permit
Case Number:Case Module:
Wed Nov 21, 2018Partial Pass
Inspection Date:Inspection Status:
John O'BrienBuilding Foundation
Inspector:Inspection Type:
1519 STATE ROUTE 9288.12-1-4
Job Address:Parcel Number:
QUEENSBURY, NY 12804
Contact TypeCompany NameName
ContractorLiucci, Andrew
ApplicantLiucci, Andrew
Primary OwnerNorth High Realty Holdings Inc.
Granted PermissionLiucci, Andrew
Checklist ItemPassedComments
Building Inspector NotesNO11/21/18 Footings Approved
FootingsYES11/21/18 Footings Approved
PiersNO
Monolithic SlabNO
Reinforcement in PlaceYES11/21/18 Footings Approved
Foundation / WallpourNO
Reinforcement in PlaceNO
Nov 21, 2018Page (1)
INSPECTION WORKSHEET (BINS-008196-2018)
Checklist ItemPassedComments
Footing Dowels or Keyway in placeYES11/21/18 Footings Approved
Foundation DampproofingNO
Foundation WaterproofingNO
Footing Drain Daylight or SumpNO
Footing Drain Stone - 12 inch widthNO
Footing Drain Stone - 6 inches above footingNO
Footing Drain stone - 6 mil polyNO
Backfill ApprovalNO
Plumbing Under SlabNO
PVC / Cast / CopperNO
Foundation Insulation Interior / ExteriorNO
Rough Grade 6 inch drop within 10 ft.NO
Poly Under SlabNO
O'Brien, John (Inspector)
Nov 21, 2018Page (2)