CC-000257-2015 TOWN OF QUEENSBURY
OL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000257-2015 bP W
Tax Map No: 297.8-1-26
Permission is hereby granted to: Cliff Nelson REVISED
For property located at: 543 QUEENSBURY AVE
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 Address: 543 QUEENSBURY AVE Business Office-Alteration $45,000.00
Queensbury,NY 12804 Total Value $45,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
543 Queensbury Ave.,LLC
543 QUEENSBURY AVE
Queensbury,NY 12804
Plans&Specifications
Comm.Alt.for Stored Tech
PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,August 4,2016
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury beforejeexration date)
Datedat the Town o ueensb //Wed e ust 5,2015
SIGNED BY: /•VJ for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
Received
Date: i;( /016 Tax Map ID
Permit No. ► ZQi'�5' 'JZI
Tax Map ID 211 . --�---- Permit Fee 3OQ
Zone I rJUL 2 0 2URec Fee
Historic Site Yes VNo - Site Plan#
Subdivision Name Lot#
r 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 CiArr gec7tJ Owner
Address 10j,0 S-rmt I4/ Address
Ass 74-e rail
Phone/E-mail 6 ita,-2,4e dzoo Phone/E-mail
ohne atlsiursiis+,ans.-hl
Contact Person for Building&Codes Compliance: PUG06144 444"-* 1411264• Phone sto-•'IQDCj
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration Pt floor sf 2'floor sf Total sf Height
Single Family
Two-Family
Multi-Family
(#of units )
Townhouse 'L
Business Office ‘72/SOO* Q Iv�,p
Retail -Mercantile v
Factory-Industrial
Attached Garage
(1, 2, 3, 4+)
Other
Town of Queensbury Building&Codes Principal Structure Application Revised September 2014
If commercial or industrial please indicate of business –t
Proposed use of building or addition or - G
Source of Heat(circle one) Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys 0/
Are there structures not shown on plot plan? T//6'• iild.G
Are there easements on the property? g ice.
Site Information
a. Dimensions or acreage of lot a.S2 riLegis
b. Is this a corner lot? N,t)
c. Will the grade be changed as a result of construction Yes pl... No
d. Public water or Private well f UBU e..--
e. Sewer or Private Septic System eu
Value of all work to be performed (labor or materials) $ ACOC,
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: or •0 • r.. JI — & /' /A61341- .rtie -1*
4 // 7 c T
SIGNATURE: i -i DATE: 0 Jpot j�
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
FIRE MARSHAL'S
OFFICE
ea, Town ofQueensbury
WOW�
742 Bay Road, Queensbury, NY 12804
" Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
StoredTech
FILE COPY 543 Queensbury Ave
2015-321
8/3/2015
I have reviewed the submitted drawings for the above project, and offer the
following comments:
1) All egress door hardware shall comply with chapter 10 of the Fire Code
of NYS. The use of a key operated or thumb turn device is not
permitted.
2) Verify operation of all Exit/Emergency lights
3) Fire extinguisher locations to be discussed.
4) Verify aisles / storage
5) Carbon Monoxide detection to be added per section 1228.4 of Title 19
4 IK-...-_ ,
Deputy Fire Marshal
Gary K. Stillman
742 Bay Road
Queensbury NY 12804
518 761 8205
garys@queensbury.net
Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net
C .
4111%
FIRE MARSHAL'S OFFICE
Town of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
FILE COPY StoredTech
543 Queensbury Ave
2015-321
8/3/2015
I have reviewed the submitted drawings for the above project, and offer the
following comments:
1) All egress door hardware shall comply with chapter 10 of the Fire Code
of NYS. The use of a key operated or thumb turn device is not
permitted.
2) Verify operation of all Exit/Emergency lights
3) Fire extinguisher locations to be discussed.
4) Verify aisles / storage
5) Carbon Monoxide detection to be added per section 1228.4 of Title 19
N CRR
it
1 ep*ty Fire arshal
Gary K. Stillman
742 Bay Road
Queensbury NY 12804
518 761 8205
garys@queensbury.net
Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net