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application Office Use Only Permit#: Cam- ' t 47,2-)t - 2—'3 I1- PRINCIPLE STRUCTURE PERMIT l�` 0��_ �S Permit Fee: $ APPLICATION finrn of t hicrnsbun *Rec Fee:$ N A- 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.queensbury.net Invoice#: I (. Project Location: Big Boom Road, Queensbury, NY Book 5450 Page 285 Tax Map ID#: Section 309.14, Blockl, Lot 89.1 Subdivision Name: n/a *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; cue but taofrriofjil homes. This Is In addition to the permit fee(s). U \.4 CONTACT INFORMATION: APR 2 5 201? • Applicant: TOWN OF QUEENSBURY BUILDING&CODES Name(s): Bette & Cring, LLC Mailing Address, C/S/Z: 22 Century Hill Dr., Suite 201 Latham, NY 12110 Cell Phone: ( 518 ) 522-1220 Land Line: ( 518 ) 213-1047 Email: dwhitebettecring.com • Primary Owner(s): Name(s): Exit 18 Development, LLC Mailing Address, C/S/Z: 12 Ashley Place, Queensbury, NY 12804 Cell Phone: ( 518 ) 793-3357 Land Line: ( 518 ) 792-1483 Email: edmoore100 a(�yahoo.com • Contractor(s): Business Name: Bette & Cring, LLC Contact Name(s): Dick White, Division Manager Mailing Address, C/S/Z: 22 Century Hill Drive, Suite 201 Latham, NY 12110 Cell Phone: ( 518 ) 522-1220 Land Line: ( 518 ) 213-1047 Email: dwhite c@bettecring.com • Architect(s)/Engineer(s): Business Name: Silvestri Architects, PC Contact Name(s): Stefanie Henry Mailing Address, C/S/Z: 1321 Millersport Highway, suite 101 Amherst, NY 14221 Cell Phone: ( ) n/a Land Line: ( 716 ) 691-0900 ext. 219 Email: stefaniehenryc silvestriarchitects.com Contact Person for Building & Code Compliance: Stefanie Henry Cell Phone: ( ) n/a Land Line: ( 716 )691-0900 ext 219 Email: Town of Queensbury Building&Code Enforcement Principle Structure Application Revised February 2017 r t PROJECT INFORMATION: TYPE: XX Commercial .id I WORK CLASS: _Single-Family Two-Family iulti Family(#of ) Townhouse Business Office Retail Motel/Motel Industrial/Warehouse ,Garage(#ofcars Other(describe ) STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE: 1'floor: 14,161 1ST floor: 2nd floor: 14,697 2nd floor: 3`d floor: 14, 697 Total square feet: n/a 4th floor: n/a Total square feet: 43,555 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 7,343,408 2. Proposed use of the building: 77 room hotel 3. If Commercial or Industrial, indicate the name of the business: Fairfield Inn & Suites 4. Source of Heat (circle one): Gas 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 NO Explain: 6. Are there any easements on the property? YES NO 7. SITE INFORMATION: a. What is the dimensions or acreage of the parcel? b. Is this a corner lot? YES OM c. Will the grade be changed as a result of the construction? ® 140 Minimal d. What is the water source? PUBLIC PRIVATE WELL e. Is the parcel on SEWER or a PRIVATE SEPTIC system? public sewer Principle Str„c::re Appt,:3-1 Revised Fetr ' DECLARATION: 1. I acknowledge that no construction shall commence prior to issuance of a valid building permit and work 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. I 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. 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: Bette & Cring, LLC Richard S. White, Div. Manager SIGNATURE: DATE: 421. Town of Queensbury Building&Code Enforcement Principle Structure Application Revised February 2017 FUEL BURNING APPLIANCE & office use only " CHIMNEY APPLICATION Permit#: CY. — 1 - 2-011- Permit Fee:$ 742 Bay Road,Queensbury, NY 12804 Invoice:#: 1 9 P: 518-761-8256 www.queensbury.net Project Location: 15 Big Boom Road Tax Map ID#: Section 309.14, Block 1, Lot 89.1 Room of Install: Lobby - "Connect & Print" Planned Install Date: August 2017 **ONE APPLICATION PER APPLIANCE` EC EE I E CONTACT INFORMATION: APR 2 5 2017 TOWN OF QUEENSBURY • Applicant: BUILDING&CODES Name(s): Bette & Cring, LLC - Dick White, Div. Mgr. Mailing Address, C/S/Z: 22 Century Hill Drive, Suite 901 I atharr NY 17110 Cell Phone: ( 518 ) 522-1220 Land Line: ( 518 ) 213-1047 Email: dwhiteAbettecring.com • Primary Owner(s): Name(s): Exit 18 Development, LLC Mailing Address, C/S/Z: 12 Ashley Place, Queensbury, NY 12804 Cell Phone: _( 518 ) 793-3357 Land Line: ( 518 ) 792-1483 Email: • Installer/Builder: Business Name: Bette & Cring, LLC Contact Name(s): Dick White, Div. Mgr. Mailing Address, C/S/Z: 22 Century Hill Dr., Suite 201 Latham, NY 12110 Cell Phone:_( 518 ) 522-1220 Land Line: ( 518 ) 213-1047 Email: dwhite©bettecring.com Contact Person for Building & Code Compliance: Stefanie Henry Cell Phone: ( ) n/a Land Line: _( 716 )691-0900 ext. 219 Email: Fuel Burning Appliance& Chimney Application Revised March 2017 FUEL BURNING APPLIANCE INFORMATION: TYPE OF DEVICE: —Stove _Fireplace Insert _Fireplace Fuel Fired Equipment (Garage Only, 18" clearance per IMC 304.3) XX Fireplace, factory built** RCOR-DV36IN **Manufacturer's name: Majestic-Pearl II Model U: SOURCE OF HEAT: _Wood —Coal _Pellet XX Gas CHIMNEY INFORMATION: —Masonry: block brick stone Flue: _tie steel —size, in inches Material*: —double-wall triple-wall insulated insulated (*Manufacturer's name: Majestic-Direct Vent Model tt: ADDITIONAL INFORMATION: 1. Two inspections are required. A rough-in inspection, prior to installation and a final inspection,after installation. 2. Manufacturer's installation manual must be available at the time of inspection. 3. Masonry fireplaces&chimneys require plans to be submitted. 4. Twenty-four(24) hour notification is required for inspections. Declaration:Construction/installation must conform to NYS Fire Prevention&Building Code and/or manufacturer requirements. The applicant or owner agrees to comply with all applicable laws,ordinances,regulations and all conditions that are part of these requirements and also will allow the inspector to enter the premises to perform the required inspections. I have read and agree to the above: PRINT NAME: Bette&Cring, LLC SIGNATURE: DATE: 4/21/17 Fuel Burning Appliance&Chimney Application Revised March 2017