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CC-000229-2016 c ^� U � W W 0 C) o U 1 � 4. N >,O kri tn CN u k rTl F� 4 O U b a o c z W as ©, c � Ncd O 0 0 o 0, f—+--1 � ..� �' C7 � ani '� •� N � � � ��•' � W ice•'' � � b C O Q? N �. e TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5944 (518)761-11201 Con1n1unity Development- Building& Codes (S 18) 761-8256 BUILDING PERMIT Permit Number: CC-000229-2.016 Tax Map No: 296,19-1-1. Permission is hereby granted to: Adirondack Enrichment PLL.C; For property located at: 60 GL.E'NWOODAVE In the Town ofQueensbury,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 Qucensbury Zoning Ordinance T, e ofConstruction Owner Naarne: RGJC,LLC' Business Office-Alteration $14„444.00 Owner Address: 64 Glenwood AVE Total Value $14,004,04 QUecnsbury,NY 1.2504 Contractor or Builder's Name/Address I:lectriaal Inspection Agency Andy Sweet 7 Hudson.DR South Glens I'Als,NY 12803 Plans&Specifications Commercial Alterations Green Barn at 60 Glenwood Avenue Adirondack I:Mrichment $75.00 PERMITl'El;PAIR-THIS PERMITEXPIR ES: Friday,May 5,2017 (Ifa longer period is required,an application for,in extension must be made to the code Enforcement Officer of"the"]'own of Queensbury betbre the expiration date.) Dated at the Town uecns ry; "Fh r: y_„2016 SIGNET)BY: for the Town ol'Queensbury. Director of"Building&Code Enforcenacnt PRIN CIPAL STRUCTURE APPLICATION Office Use Only Late; Permit No. 6 Tax Map H) Permit Fee . q�p Zone Historic? —Yes No Ree Fee Subdivision Name Lot 4 Site Plan # Subdivision 4 Project Location mm� (C)c TOWN BD.RESOLUTION 86-2011 $850 recreation fee for new dwelling u, its—single family,duplexes/two-family,multiple family, apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This is in addition to the permit feels). Primary Owner(s) Address I'll's Phone/Email 3 � 7 k4: <Z�"Irl Applicant Address Phone/Email ,;low Contractor Address 7 Phone/Email Contact Person for Building&Codes Compliance: An"Jq Phone cAec 154 I. TYPE OF CONSTRUCTION *"Check all that apply New Addition Alteration I" floor sf 2nd floor sf Total sf Height Single Family Two-Family Multi-Family of units tE Townhouse �1 Ina. Q zu I a [IN Business Office rrHAIM I I Retail-Mercantile h i IWI Gu 8-C,'O D E S- Factory-Industrial Attached Garage (1, 2, 3, 4+) Other Town of Queensbury Building&Codes Principal Structure Application revised January 2016 If commercial or industrial please indicate name of business Proposed use of building or addition Source of Heat(circle one) as Oil Propane Solar Other Fireplace.- Complete a separate application for Fuel Burning Appliances & Chimneys Are there structures not shown on plot plan? Are there easements on the property? Site Information: a. Dimensions or acreage of lot b. Is this a comer lot? V",Yes No c. Will the grade be changed as a result of construction Yes No d. Public water or Private well(circle one) ublic Private e. Sewer or Private Septic System (circle one) ewer Private Value of all work to be performed (labor or materials) 6)C C, - J',57- C DECLARATION. 1. 1 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 I year expiration date the permit may be renewed, subject to fees and department approval. 3. 1 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 conforinance with local zoning regulations 4. 1 acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. S. 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: DATE: SIGN A,ru'RE: 4`1141'14�6e Zv-WI/ DATE; 1_1 71 IV 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 January 2016