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CC-000343-2016 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-000343-2016 Date Issued: Monday, October 3,2016 This is to certify that work requested to be done as shown by Permit Number CC-000343-2016 has been completed. Tax Map Number: 302.6-1-51.2 Location: 756 GLEN ST Owner: Flaum Management Applicant: QUEENSBURY PLAZA 1, LLC This structure may be occupied as a: Commercial Interior Alterations 646 sq. ft., By Order of Town Board Queensbury Plaza; Space 3 TOWN OF QUEENSBURY New Store: Just A Buck Issuance of this Certificate of Occupancy DOES NOT relieve the 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. TOWN OF QUEENSBURY t raik. 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development - Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: CC-000343-2016 Tax Map No: 302.6-1-51.2 Permission is hereby;ranted to: Flaum Management For property located at: 756 GLEN ST 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: Flaum Management Retail-Mercantile-Alteration $20,000.00 Owner Address: 400 Andrew ST,500 Total Value $20,000.00 Rochester,NY 14604 Contractor or Builder's Name/Address Electrical Inspection Agency QUEENSBURY PLAZA 1,LLC 756 Glen ST Queensbury,NY 12804 Plans&Specifications Commercial Interior Alterations 646 sq.ft., Queensbury Plaza; Space 3 New Store: Just A Buck $ 129.20 PERMIT FEE PAID -THIS PERMIT EXPI1tES: Tuesday,June 20,2017 (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 da e.) Dated at the Town Queen ury; ,/,Mod e 20,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement i ­ •-;kJ..! Ali---v i �­ L- 1 1111J21 \ UIlltx UJ jv troll Date:. Permit No. r� 3� '"dL Tar. Map ID S _�- �, Permit Fee O-g.1A() Zone Historic? Yes No Rec Fee �5v Subdivision Name Lot# Site Plan# Subdivision# Project Location �4)A�� `,3 r:J__us-r A- &,tC IS TOWN 8D.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—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 fee(s). Primary Owner(s) Address Phone/Email Applicants b P( ZA.. © 0�,n Address 7 � C_7 ltd Phone/Email -- a Contractor Address Phone/Email Contact Person for Building& Codes Compliance: Phone TYPE OF CONSTRUCTION -./Check all that apply New Addition Alteration Is'floor sf 2"d fl or f` Total sf Height Single Family J Two-Family e Jli UNG 3 CO �S Multi-Family (# of units_} Townhouse Business Office etail-Merca3y Factory-Industrial Attached Garage (1, 2, 3, 4+) Other Town of Queensbury Building&Codes Principal Structure Application revised January 2016 " If co3nmercial 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 corner lot? Yes No c. Will the grade be changed as a result of construction Yes No d. Public water or Private well (circle one) u lic Private e. Sewer or Private Septic System(circle one) Sewer Private Value of all work to be performed (labor or materials) $ 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. 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: SIGNATURE: DATE: For office use Jon! Operating Permit Issued: Yes No Occupancy Type Construction Classification Assembly Occupancy Limit Special Conditions Torun of Queensbury Building&Codes Principal Structure Application Revised January 2016 FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 " Horne of Natural Beauty ... A Good Place to Line " PLAN REVIEW Just A Buck FILE COPY 756 Glen Street, #3 CC-000343-2016 6/8/2016 I have reviewed the submitted drawings for the above project, and offer the following comments: 1) Provide NFPA 13 letter at completion for sprinkler system modifications. 2) Provide Exit/ emergency lights plan, a function test shall be witnessed by the Fire Marshal's office prior to CO. Breaker shall be marked for future Fire Marshal test of same. 3) Fire extinguisher locations to be discussed. 4) Locks / latches shall comply with the Fire Code of NYS, a key or thumb turn on the egress side will not be permitted.. 5) Provide plan for Carbon monoxide detection in the space. 6) A Knox Box will be required. 4PIK7,- t7�-- 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 fi'renrarslral fteensburj,riet - 7171M),queensbim