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CC-0018-2023
Office Use Only _ ADDITION ALTERATION PERMIT � Permit#: (CC -- OD kb — 2023 Town ofQ e unse bb ry APPLICATION permit Fee:$ 100 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensbury.net Invoice#: �ne)b Flood Zone? Y N Reviewed By: Carters, Log Jam Outlets, 1476 State Route 9, Suite 1, Lake George 12845---"""""'"`" Project Location: Tax Map ID#: Subdivision Name:- in IAKI 7 PROJECT INFORMATION: TOWN O QUIwENS3 3URY BUILDING&CODES TYPE: ❑ Residential W Commercial, Proposed Use: Retail ❑ Single-Family ❑ Two-Family ❑ Multi-Family (#of units_) ❑ Townhouse ❑ Business Office B Retail ❑ Industrial/Warehouse ❑ Garage (#of cars ) ❑ Other(describe ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: 1st floor: 4,100 2nd floor: 2nd floor: 3rd floor: 3rd floor: Basement (habitable space): Basement (habitable space): N/A Total sq ft: Total sq ft: 4,1100 Scope of work to be done: Replace cashwrap with 3-bay cash/ba�ckwrap in location -Remove and replace wall standards. -Patch repair and sales area walls -Paint back of house area shown on plan. -Patch/infill flooring with new at removed I island cashdesk. - Remove and replace floor fixtures: - Minor eliectrical work for new cashwrap/backwrap. - No changes required to mechanical, plumbing or fire protection Addition/Alteration Application Revised June 2022 C � ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 90,000 2. Source of Heat (circle one): ❑ Gas ❑ Oil ❑ Propane ❑ Solar ❑ Other: unknown Fireplaces/inserts need a separate Fuel Burning Appliances & Chimney Application 3. Are there any structures not shown on the plot plan? ❑ YES ® NO Explain: 4. Are there any easements on the property? ❑ YES ® NO SITE INFORMATION: • Is this a corner lot? ❑ YES ® NO • Will the grade be changed as a result of the construction? ❑ YES ® NO •4 What is the water source? © PUBLIC ❑ PRIVATE WELL • What type of wastewater system is on the parcel? ® SEWER ❑ PRIVATE SEPTIC DECL.,ARATION: 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date, 100%of the fee is retained. 3.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 atrue and a complete statement and/or description of the work proposed,that all work will be performed in accordance with the NY SI 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 a certificate of occupancy. I have read and agree to the above: PRINT NAME: Bryant Daniel SIGNATURE: DATE: 01/12/23 Addition/Alteration Application Revised June 2022 I I CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): Bryant Daniel,Cadd Tech Design, Inc. Mailing Address, C/S/Z: 225 Oakland Road,Suite 105,South Windsor,CT 06074 Cell Phone: ( Land Line: I860.783.5670x103 Email:bdaniel@cadd-tech.com • Primary Owner(s): Name(s): Zack Moore, L&M Associates Mailing Address, C/S/Z: French Mountain Commons, 1439 State Route 9 Box 16,Lake George, NY 12845 Cell Phone:�_) Land Line: )I518.683.0720 Email:zmoorel@aol.com ❑ 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(s)/Engineer(s): Business Name: Cortland Morgan Architect Contact Name(s): Tricia Russel Mailing Address, C/S/Z: 711 N. Fielder Road,Arlington,TX 76012 Cell Phone: ( Land Line: _�)I817.635.5696 Email:tricia@cmaia.net Contact Person for Compliance in regards to this project: Bryant Daniel Cell Phone:�_) Land Line: )866.783.5670 x103 Email:bdaniel@cadd-tech.com Addition/Alteration Application Revised June 2022 FIRE MARSHAL'S OFFICE Town of Queensbunj 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Carters 1476 State Rt 9 CC-0018-2022 Comm Interior Alteration 1/18/23 I have reviewed the submitted drawings for the above project; and offer the following comments: 1) Verify Storage 2) Verify No Obstruction of Fire Extinguisher's 3) Locks / Latches shall comply with 2020 NYSFC. 4) Verify operation of existing exit/ emergency lights. 5) Verify paths of egress 6) CO Detection required 7) EVAC plan 8) Protection of the Fire Alarm system during construction According to the 2020 NYSFC Chapter 33 Deputy Fire Marshal Tyson Converse 742 Bay Road Queensbury NY 12804 518 761 8205 tysonc@queensbury.net J Fire Marshal's Office - Phone: 518-761-8206 - Fax: 518-745-4437 -flremarslial@queensbitill.net - 7MMqueensbuni net