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CC-0149-2021 i Office Use Only ADDITION/ALTERATION PERMIT Permit#: CC'®189- 2®21 APPLICATION Permit Fee:$ �� Town of Queensbury 742 Bay Road,Queensbury,NY 12804 Invoice#: P:518-761-8256 www.gueensbury.net Flood Zone? Y 1 N ! Reviewed By:X- Project Location: 40 Media Drive, Queensbury, NY Tax Map ID #: 309.10-1-82.1 Subdivision Name: PROJECT INFORMATION: TYPE: Residential X Commercial, Proposed Use: Office space _Single-Family _Two-Family _Multi-Family (#of units ) _Townhouse X Business Office _Retail _Industrial/Warehouse _Garage (#of cars_) Other(describe ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: 1st floor: 160 SF 2nd floor: 2nd floor: 200 SF 3rd floor: 3rd floor: Basement (habitable space): Basement (habitable space): Total sq ft: Total sq ft: 360 SF Scope of work to be done: Add additional doors/frames/hardware to provide more separation of space. We will add 4 each doors on the first floor and 5 each doors on the second floor. Each door assembly will be installed in a metal stud/gwb assembly. The assembly will be taped/painted and exit signage will be added per the attached drawings. The square footage above was derived from each location being approximately 10 feet by 4 feet in size. NSguR� p1NG&GOODS Addition/Alteration Application ���` Revised January 2021 i ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 50,000.00 2. Source of Heat (circle one): Gas _Oil _Propane _Solar_Other Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application 3. Are there any structures not shown on the plot plan? YES X NO Explain: 4. Are there any easements on the property? _YES X NO SITE INFORMATION: • Is this a corner lot? _YES X NO • Will the grade be changed as a result of the construction? YES X NO • What is the water source? X PUBLIC _PRIVATE WELL • What type of wastewater system is on the parcel? X SEWER _PRIVATE SEPTIC DECLARATION: 1. 1 acknowledge that no construction shall be commenced prior to the issuance of a valid permit and will be completed within a 12 month period.Any changes to the approved plans prior to/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 If,for any reason,the building permit application is withdrawn, 30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100%of the fee is retained. 3. Ifthework is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. 1 certify that the application, plans and supporting materials are a true and a 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. 5. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 6. 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 certificate of occupancy. I have read and agree to the above: PRINT NAME- .lake WiiliamAh SIGNATURE: DATE: 3/23/21 Addition/Alteration Application Revised January 2021 i CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): BBL Carlton, LLC - Jake Williams Mailing Address, C/S/Z: 302 Washington Ave Ext Albany NY 12203 Cell Phone: ( 518 ) 225-2374 Land Line: ( 518 ) 452-8200 Email: jilliams@bblcarlton.com • Primary Owner(s): Name(s): BBL Tribune LLC Mailing Address, C/S/Z: 302 Washington Ave Ext, Albany, NY 12203 Cell Phone: �_) Land Line: ( 518 ) 452-8200 Email: ❑ Check if all work will be performed by property owner only Contractor(s): (List all additional contractors on the back of this form) Contact Name(s): BBL Carlton, LLC - Jake Williams Contractor Trade: General Construction Mailing Address, C/S/Z: 302 Washington Ave Ext, Albany, NY 12203 Cell Phone: 518 ) 225-2374 Land Line: ( 518 ) 452-8200 Email: jilliams@bblcarlton.com "Workers' Comp documentation must be submitted with this application" • Arch itect(s)/Engi nee r(s): Business Name: HCP Architects Contact Name(s): James Coleman Mailing Address, C/S/Z: 302 Washington Ave Ext, Albany, NY 12203 Cell Phone: 518 ) 339-3127 Land Line: ( 518 ) 452-8200 Email: jcoleman@hcpdesign.com Contact Person for Compliance in regards to this project: Jake Williams Cell Phone: ( 518 ) 225-2374 Land Line: ( 518 ) 452-8200 Email: jilliams@bbicariton.com Addition/Alteration Application Revised January 2021 FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Glens Falls National 40 Media Drive CC-0149-2021 4/20/2021 The following comments are based on a review of submittals: • Verify fire extinguisher location and inspection • Provide NFPA 13 compliance letter for any upgrades or modifications to sprinkler • Provide NFPA 72 compliance letter fire alarm upgrades or modifications • Provide updated Knox Box entry key • Carbon monoxide detection required • Locks /latches shall comply with 2020 IFC • Verify location and function of exit and emergency lighting equipment • Maintain a form of access to center stair tower for systems maintenance Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 firemarshal@queensbury.net Fire Marshal 's Office - Phone: 518-761-8206 - Fax: 518-745-4437 fCreniarshal@queensburt/net - WMV.queensbuni net