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CC-000416-2015 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-000416-2015 Date Issued: Thursday, August 4, 2016 This is to certify that work requested to be done as shown by Permit Number CC-000416-2015 has been completed. Tax Map Number: 309.13-2-31.11 Location: 162 Carey RD Owner: Larry Cleveland,Larry Cleveland Applicant: Northway Self Storage,LLC This structure may be occupied as a: 6,000 sq. ft. unheated self storage bldg. Bldg.4-West By Order of Town Board TOWN OF QUEENPURY Issuance of this Certificate of Occupancy DOES NOT relieve the IV_I`jJ//) 4 property owner of the responsibility for compliance with Site Plan, 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. Ira ON TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 %W— W Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: CC-000416-2015 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 Type of Construction Owner Name: Lary 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.ft.unheated self storage bldg. Bldg.4-West PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,July 20,2016 (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 of Mj �uesd.y, ul I,2015 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 !FOTO Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150309 Application Number: A20150309 Tax Map No: 523400-309-013-0002-031-011-0000 Permission is hereby granted to: LARRY J CLEVELAND 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 2015-309 Building 4 West Northway Self-Storage, 162 Carey Road Commercial Unheated Storage Bldg. 6000 s.f. $90.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, July 21,2016 (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 Tr<1 o ueen ry ay,July 21, 2015 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement FoT2PRINCIPAL STRUCTURE APPLA IO 15 2015 Office Use Only U Received Date: 7– /C–"io 4( TOWN OF QUEENSBL Tax Map ID ID BUILDING&CODE-' permit No. 'Lo S -3Gc\ Tax Map j r7 ` i 3 - _7✓t" Permit Fee 4006. o6 Zone 1_ Rec Fee Historic Site Yes ✓ No Site Plan# Subdivision Name Lot# Subdivision# 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. Applicant kII Owner 1�©(tea�+r�/%Is_ 1 � 01-1 Address 32.- N o rcilitAJA Y Address I G s-rolo ��y � a � S� yfuy ley Phone/E-mail �.18�. ,�s=7��D Phone/E-mail ig-woo -2453 Mft- uotvi5eg-ro rc C toms i t-. cowl Contact Person for Building&Codes Compliance: 3-0 1i)S1-1114- Phone Z40O 7SS 3 TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration 1"floor sf 2'floor sf Total sf Height Single Family Two-Family Multi-Family (#of units ) Townhouse Business Office Retail -Mercantile Factory-Industrial Attached Garage (1, 2, 3, 4+) Other tiPHSPrrta / (p bO a 1. .S'TV RAPT- Town A.T-Town of Queensbury Building&Codes Principal Structure Application Revised September 2014 If commercial or industrial please indicate of business Set-lr cro eta Proposed use of building or addition Source of Heat(circle one) 141 pt Gas Oil Propane Solar Other Fireplace: Complete a separate application for Fuel Burning Appliances & Chimneys Are there structures not shown on plot plan? N O Are there easements on the property? Site Information a. Dimensions or acreage of lot 2. Ae-, b. Is this a corner lot? eiJo c. Will the grade be changed as a result of construction Yes ✓ No d. Public water or Private well Pu$1.i e W j r is e. Sewer or Private Septic System Nj Value of all work to be performed (labor or materials) $ ((20,000 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: 1111°PRINT NAME: t 'v \SI (!L DATE: —I 5-11 S / / r/ SIGNATURE: l / / DATE: — S 1 S For office use only I3 U l L fl I Nl Li Operating Permit Issued: Yes No ` /� Occupancy Type '�2, I/f4 �OM Q Construction Classification Assembly Occupancy Limit Special Conditions Town of Queensbury Building&Codes Principal Structure Application Revised September 2014 0° Foundation Inspection Report Office No. (518) 761-8256 Date Ins ection requ : iv 9 �i(/S Queensbury Building&Code Enforcement Arrive: �`itp au, Depart: V-2- 742 F-2b742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: 40 G )`�z4 6 'RMIT#: I Ivo�c � � LOCATION: ( �7 C /g \L/ INSPECT ON: r TYPE OF STRUCTURE: l b b l Comments Y N N/A Footings r° 'ers 1t#ab 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 rooting Drain Stone: 12 inch width 6 inches above footing '6 areas 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