CC-000402-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000402-2015 Date Issued: Thursday,August 4, 2016
This is to certify that work requested to be done as shown by Permit Number CC-000402-2015
has been completed.
Tax Map Number: 309.13-2-31.11
Location: 162 Carey RD
Owner: Larry Cleveland
Applicant: Northway Self Storage, LLC
This structure may be occupied as a:6,000 sq. ft. unheated self-storage building
Bldg 1 East By Order of Town Board
TOWN OF QUEENSBBURYA
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, fff VVV
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
i 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
W Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000402-2015 bP `-()t - 2rvS
Tax Map No: 309.13-2-31.11
Permission is hereby granted to: Northway Self Storage,LLC REVISED
For property located at: 162 Carey RD
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Tvce of Construction
Owner Name: Larry Cleveland Factory-Industrial-New $100,000.00
Owner Address: 18 Overlook DR Total Value $100,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
6,000 sq.It unheated self-storage building
Bldg 1 East
PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 7,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town ofeensbj Wedn y 015
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
r-
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FOSI
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150275 Application Number: A20150275
Tax Map No: 523400-309-013-0002-031-011-0000
Permission is hereby granted to: NORTHWAY SELF-STORAGE. LLC
For property located at: 162 Carey Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: LARRY J CLEVELAND Storage Building $100,000.00
18 OVERLOOK Dr
QUEENSBURY,NY 12804-0000 Total Value $100,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
BP 2015-275 Building No. 1 - East Location
New Comm. Unheated Bldg. 6,000 s.f. for Self-Storage
Northway Self-Storage, 162 Carey Road Cross Ref. SP 19-2015 approved April 21, 2015.
$600.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,July 08, 2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To of Q ensb ; lit: : , •,July 08, 2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
j-0 CA-0/D g .01-Cr EL De/. 1, I_
PRINCIPAL STRUCTURE APPLICATION (
-- Office Use Only
Received
Date: -Z(o- /5 .;JIi 2 6 2015 Tax Map ID
Tax Map ID /3 _0 _3/, _ _ Permit No. 2015— Z1-5
---
��r f')P.I�"�,I�.; Permit Fee 4 bpi
Zone 6.LT Rec Fee
Historic Site Yes V No Site Plan#
Subdivision Name _, -L e, / cis e C_ Lot# Subdivision#
Pork
TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS - SINGLE
FAMILY, DUPLEXES/TWO-FAMILY, MULTIPLE FAMILY, APARTMENTS, CONDOMINIMUMS,
TOWNHOUSES,AND/OR MANUFACTURED&MODULAR HOMES,BUT NOT MOBILE HOMES. THIS
IS IN ADDITION TO THE PERMIT FEE. 1�,Z coonO _ f? 0\ckw 5
Applicant
pi) Owner LAW/ *-A-
Address / � �"e Address , r
Phone/E-mail 3 - q i 0-t Phone/E-mail 24? 3
Contact Person for Building&Codes Compliance: ---1/4/3��-!/ Phone 2 'O-Z f s3
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration 1"floor sf 2"a floor sf Total sf Height
Single Family
Two-Family
Multi-Family
(#of units )
Townhouse
Business Office
Northway Self-Storage BP 2015-275
Retail-Mercantile 162 Carey Road Bldg. No. 1 - East
Factory- Industrial 6,000 sq. ft. unheated self-storage bldg.
Attached Garage
(1, 2, 3, 4+)
Other S -
t,Iz{VcECuPWA ED) C0Ua
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
If commercial or industrial please indicate of business
Proposed use of building or addition S�L� S•oR,,�
Source of Heat(circle one) N/fk Gas Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys
Are there structures not shown on plot plan? No
Are there easements on the property? ,p"`
Site Information
a. Dimensions or acreage of lot Z.71 4
b. Is this a corner lot? Nc
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well � ��
e. Sewer or Private Septic System
Value of all work to be performed (labor or materials) $ I O C�000
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete 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/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: LA g j;'/ l,-1 , DATE: 6, 24 Zck c"
SIGNATURE: DATE: ffl- - pg"
I i
For office use only
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
Amtzpil-Th(is,
2-1.
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection re. . •eiv-d: S 2t LCA
Queensbury Building&Code Enforcement Arrive:' ji pm, ,/ Depart: Z a• (pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initia 1111111''
NAME: 140 kti+wJa, SL$ Sit)Yatdi ° ,TMIT#: 201 S—'LAS
LOCATION: 1Z- auVe.A.k. tel.• INSPECT ON: g 121t12-01S
TYPE OF STRUCTURE: etvivtwl
�/
CJ. , , .2--- k,1- .- ?-r--.-N--‘"* c76 7 AM
Comments
i
Y N N/A
�{ gs Lou l orteir
Piers
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
ooting Drain Stone:
12 inch width
6 inches above footing
z '41 ,;. ,� fo wetareas under slab
Backfill Approval / '
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/9/2014