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CC-0015-2024 Office Use Only ADDITION/ALTERATION PERMIT Permit#: C+`—©p\FD APPLICATION Town of Queensbury Permit Fee:$ 0 •8O 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.queensbury.net Invoice#: Flood Zone? Y N Reviewed By: Project Location: I Eiden WO )(/ VL r nuo nS bi , iy 12 8 -1 Tax Map ID #: 2q t0. 1 - rETo Subdivision Name: b FECEOVE7', PROJECT INFORMATION: JAN 04 2024 tale- TYPE: ❑ Residential T®VIZ cCommerc al; Proposed Use: oQrvca-h-nrr. (en4er ❑ Single-Family ❑ Two-Family ❑ Multi-Family(#of units_) El Townhouse ❑ Business Office El Retail ❑ Industrial/Warehouse El Garage (#of cars ) ❑ Other(describe ) ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE: 1st floor: 1st floor: 31 ,to 80 sG f+- &o( St 2nd floor: 2nd floor: 3rd floor: 3rd floor: Basement(habitable space): Basement (habitable space): Total sq ft: Total sq ft: 3 (Ug0 Scope of work to be done: - UC 10\R(a E'1Y'P ,r ►n X���5-1-c.m . � �t~.o �1+U1��.�pb��4-- �(win) J - Ym 1 6GO A A ran 0(01-1— kVA (t ld Wntil.Ae n rns-i-a'J 1 . Cho 1r) - elAttb-tchun-k r Qu) , bar i boarC/5 Addition/Alteration Application Revised June 2022 ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ uC1 U I\ I.D!1 2. Source of Heat(circle one): t1 Gas ❑ Oil ❑ Propane ❑ Solar 0 Other: 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 r-1 NO • Will the grade be changed as a result of the construction? ❑ YES Mi.NO • What is the water source? A PUBLIC ❑ PRIVATE WELL • What type of wastewater system is on the parcel? ig SEWER ❑ PRIVATE SEPTIC DECLARATION: 1. I 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 If,for any reason,the building permit application is withdrawn,30%of the fee is retained by the Town of Queensbury.After 1 year from the initial application date,100%of the fee is retained. 3. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to fees and department approval. 4. I 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate of occupancy. 6. 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: SIGNATURE: - DATE: Addition/Alteration Application Revised June 2022 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicant: Name(s): kriAS-1-a I Knni-F4Ct Mailing Address, C/S/Z: -11 RCc! I Mod P10 C2 /\SO rU*)3G t rin/�< � l7_Itot, Cell Phone: ( 51 ) 2Zt�- �2tfl Land Line: ( .1A" ) '-I14 - `ZIr,S- Email: Yn3,5- / • T(J1---Mri PCSUrdnyi. (Ia n • Primary Owner(s): Name(s): EC q I e-r1ionvvO0cI LLC Mailing Address, C/S/Z: ' oct[I �'1�1(Q_,��tr��?�'�,(���M }� , 12 (.p #I-Phone: (5 I'6 ) (9 t 5 -OS 59 1 Land Line: ( 1 ) y - ?� La$' Email: z)ek N1(WY 0,30 Prime rztkQ . cam ❑ 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): W n-w. ( ny tt-naC-hcn .30rofrY)a Contractor Trade: ('f Crcrur-1'on m ana PA Mailing Address, C/S/Z: -1 1 rood Pare. , ra-I- ( nr'a , bil , ivy-, 12 1o(p Cell Phone: ( 5► ) 2210 - 5210 Land Line:" ( 51.W 14\ - - ?7_loS Email: Joni fgo aC,w rrt-to94 . urn **Wdrkers' Comp documentation must be submitted with this application** • Architect(s)/Engineer(s): Business Name: CT. \CA if AS5ct crtec Contact Name(s): rI/ara_ prKier Mailing Address, C/S/Z: 6D (Pn-h,irtA RM \10 Li-Minn , ILiI(7 Cell Phone: ( ) 312. - Land Line: ( I1' ) -1Slp - `11o2_1 Email: h . ci(CVPr tP . Cc,m Contact Person for Compliance in regards to this project: AP/ISM/A/On/f J/,' Cell Phone: (51 K ) 2Z4' -5Z10 Land Line: t 51 h ) mail: 13 n j.<-f-r� /. /5'on F,� _@ po s n ro i7DCJG , Cor • tion Application Revised June 2022 FIRE MARSHAL'S OFFICE WIPOOMI Town ofQueensbury Q ry ET742 Bay Road, Queensbury, NY 12804 41111. "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW EC 91 Glenwood LLC 91 Glenwood Ave CC-0015-2024 31,680 SF 1/11/2023 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 aisles & storage. • 6) EVAC plans needed 7) Knox Box required, 3200 Series 8) Fire Marshal will Provide Max OCC Signs 9) NFPA 13 letter of compliance - Sprinkler plans and Calculations - 5" Storz FDC Connection Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437 firemarshal@queensbury.net • wzvzv.queensbury.net 10) NFPA 72 inspection and Testing Report of installation of Fire Alarm -System Layout -NYS License for installer -External H/S at FDC, active on all alarms -Sprinkler system monitoring -Central station monitoring -A witness function test by the FM office is required -HVAC shutdown may be required 11) Need Specs for turf material to see if flame resistance. Deputy Fire Marshal Tyson Converse 742 Bay Road Queensbury NY 12804 518 761 8205 tysonc@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437 firemarshal@queensbury.net • www.queensbury.net 0 FieldTurf 6 A Tarkett Sports Company TECHNICAL PRODUCT SPECIFICATION • 10 • • 9 9 SLIT-FILM 2" PROPERTY VALUE UNITS METHOD Product Stock Code XT-50-Indoor Pile Yarn Type UV-resistant polyethylene n/a Yarn Structure Slit-Film n/a Yarn Denier 10000+ Denier D1577 Pile Height 2 inches D5823 Pile Weight 30 oz/yd2 D5848 Primary Backing Weight 8+ oz/yd2 D5848 Secondary Backing Weight(Perforated) 22 oz/yd2 D5848 Total Carpet Weight 60 oz/yd2 D5848 Stitch Gauge . 3/4 inch centers D5793 Tuft Bind 8+ lbs/force D1335 Grab Tear Length >200 lbs/force D5034 Grab Tear Width >200 lbs/force D5034 Pill Burn Test Pass D2859 Impact Attenuation(Gmax) <200 gmax F1936 Water Permeability >40 inch/hour DIN 18-035 SBR Rubber Infill 3 Lbs/ft2 Sand 2 Lbs/ft2 Total Product Weight 780 oz/yd2 Issue Date: 3/8/2019 Disclaimer:Variation of+/-5%on above listed property values is within normal manufacturing tolerances FiH �� 7:7; USA OfFlCIQL FOOTBALL �9'" TURF err,',.E 0.4T iEG ��\C1�/ Producer fieldturf_com oo . co a•e, n Mahoney o H r, Alarms® M 'F'*! 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Lill °� , -' L00ao a Parking Lot For Design Only i('�•) Ez Strobe 12°YW0.W FAS ❑E Environmental Sensor 0 aBy:Ben Chapman/JM IGas Sensor °o-.0M.),l "a JP10 p"" Mosher's Sports Arena A Access Control Door Glenwood Avenue ® NVR Location ' . - . , I Queensbury, NY ME Camera Location ECRU • C111 Beam(Smoke)Detector - -- --- - -- � -_ - - - , ® Beam Detector Reflector Mahoney Alarms e For Design Only 0 -