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CC-0163-2023 Office Use Only ADDITION/ALTERATION PERMIT Permit# Cam- O 1 zl:!�> town emm APPLICATION Permit F e:$ 2,00 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.aueensbury.net Invoice Flood Zone? Y @Reviewed By: Project Location: A" '�' Tax Map ID#: 'D — — `�Z - i Subdivision N ° (r' , z l PROJECT INFORMATION: [APR 14 2923 TOWN ©r QUEENSBURY TYPE: ❑ Residential Commercial,Proposed Use: IPEO®ES ❑ 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: 2"d floor: 2"d floor: 31d floor: 31d floor: Basement(habitable space): Basement(habitable space): Total sq ft: Total sq ft: a 01.9 Scope of work to be done:J7,l✓G/eJ� dw l 6611 f i/a-&L &'64- /O"S ?y '��yl ��cu �rrG Cua�rwt or TM.A;&A- ?-Ms. W.9( rm o -D wt,-% io ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ ?L70 D 2. Source of Heat(circle one): ❑ Gas ❑ Oil ❑ Propane ❑ Solar ❑ Other: �ec4"--r, Fireplaces/inserts need a separate Fuel Burning Appliances &Chimney Application 3. Are there any structures not shown on the plot plan? ❑YES K NO Explain: 4. Are there any easements on the property? ❑ YES NO SITE INFORMATION: e Is this a corner lot? ❑YES KNO e Will the grade be changed as a result of the construction? ❑YES A NO e What is the water source? M-PUBLIC ❑ PRIVATE WELL e What type of wastewater system is on the parcel? ❑ SEWER ❑ PRIVATE SEPTIC DECLARATION: 1. 1 acknowledge that no construction shall be commenced prior to the issuanc 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. i 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date,100%of the fee is retained. 3. If the work 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 1, or my agents, will obtain a certificate of occupancy: 6. 1 also understand that lAve 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: Z� �a{- SIGNATURE: DATE: I CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • A lic nt: Name(s): eA 6t7zf t- Mailing Address, C/S/Z: 12, DACxzv6 X40— Zgo Cell Phone: (Slg j -70 -M q 5- - Land Line: 7It&Co Email: cf e- cec %.,uw.�k.AX67 eoM • Primagi Owners : Name(s): to ta)60 �G Mailing Address, C/S/Z: A, u �044WC 41 CA"IVk. r sLr 1W ?� Cell Phone: Land Line: _j - - R19 Email: :D- .%S Qri f��S�-/i�`I P!jAAA Mct. GoM I � 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)- Contractor Trade: Mailing Address,C/S/Z: Cell Phone: ( ) Land Line: Email: "Workers' Comp documentation must be submitted with this application" Architect(sVEnalneer(s): Business Name: Contact Name(s): Mailing Address,C/S/Z: Cell Phone: Land Line: ( j) Email: Contact Person for Compliance in regards to this project: i Cell Phone:�_j Land Line: Email: i i i I Mark Smith From: Steven Greene <steve@adirondackaxe.com> Sent: Friday,April 28, 2023 8:41 AM To: Mark Smith Subject: Debris Mark, Our plan is to recycle or dispose of the material in the correct fashion based on the items such as electronics will get recycled through that process. We are looking at a few vendors but have yet to select one. We will have bins that we will separate the materials into for disposal. Thanks Steve Sent from Yahoo Mail on Android _ This is an external email. D• not click links or ••- attachments unless you recognize the sender and know the content is safe. 1 FIRE MARSHAL'S OFFICE Town of Queensbunj 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN•REVIEW Adirondack Axe/Smash Room 578 Aviation Rd space 101 CC-0163-2023 4/18/2023 I have reviewed the submitted drawings for the above project; and offer the following comments: 1) Verify Fire extinguisher locations & inspection. 2) Locks /latches shall comply with 2020 NYSFC. 3) Verify operation of existing exit/ emergency lights. 4) CO Detection 5)-Verify Knox Box key. 6) Verify aisles & storage. 7) Verify of Protection of Debris hitting Fire Alarm Devices 8) Maintain 18" Clearance from ceiling for sprinkler system Deputy Fire Marshal Tyson Converse 742 Bay Road Queensbury NY 12804 518 761 8205 garys@queensbury.net Fire Marshal 's Office Phone: 518-761-8206 Fax: 518-745-4437 firencarshal fteensburiL zvzvzu.gueensbil l.net