BOTH-000009-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: BOTH-000009-2016 Date Issued: Tuesday, February 14, 2017
This is to certify that work requested to be done as shown by Permit Number BOTH-000009-2016
has been completed.
Tax Map Number: 278.-1-77
Location: 0 State Route 149,off
Owner: BEAR POND RANCH,LLC
Applicant: BEAR POND RANCH,LLC
This structure may be occupied as a: Zipline,upper platform and upper tower,
585 s.f. By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance 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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000009-2016 20
Tax Map No: 278.t-77
R' W �� E®
Permission is hereby granted to: BEAR POND RANCH,LLC
For property located at: 0 State Route 149,off
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: BEAR POND RANCH,LLC Other Accessory Structure(s) $160,000.00
Owner Address: 10 Seaman PL Total Value $160,000.00
Deer Park,NY 11729
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Zipline,upper platform and upper tower,585 s.f.
PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,December 4,2015
(If a longer Perin requr an ap r do or an ante made to the code Enforcement Officer
of the Town of Q ensb b tion at
Dated at the Town of Queensbury; esda , er 9,2014
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbun,NY 128045902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140592 Application Number: a20140592
Tax Map No: 523400-278-000-0001-077-000-0000
Permission is hereby granted to: BEAR POND RANCH.LLC
For property located at: STATE ROUTE 149, OFF
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: BEAR POND RANCH, LLC Miscellaneous Structure $160,000.00
10 SEAMAN PI Total Value $160,000.00
DEER PARK,NY 11729-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2014-592
Misc. Structure-Zip Flyer 585 sq.fl.(upper platfonn/upper tower)
[SEE SP 77-11 regarding 3,450 linear foot zip line]
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 09,2015
(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 QI`Que sbutyy� TZ)u eeember 09,2014
SIGNED BY G'"'�" for the Town of Queensbury.
Director of Building&Co8e Enfo ement
PRINCIPAL STRUCTURE APPLICATION Office Use Oniv
DATE Received
277.02-1-42 & -59; 277.02-2-22 Tax Map ID N 1 3 1111 .1 h Ss' 4- 7
TAX MAP ID 278.-3-1; 278.-1-13, -74, -75, -76, -77 Permit No. /
U 4—
Permit Fee
ZONING LAND CONSERVATION 10 ACRE (LC-10A) Rec Fee
Site Plan#
HISTORIC SITE Yes X No Subdivision#
SUBDIVISION NAME Lot#
TOWN BD. RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS, INCLUDING SINGLE FAMILY DWELLINGS,
DUPLEXES OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR
MANUFACTURED&MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
FRENCH MOUNTAIN BEAR POND LLC,
APPLICANT BEAR POND RANCH LLC OWNER (SAME AS APPLICANT)
ADDRESS 10 SEAMAN PLACE ADDRESS
DEER PARR NY 11729
PHONE/E-MAIL (631) 342-0002/RGMACCHIO@AOL.COM PHONE/E-MAIL
CONTRACTOR (TO BE DETERMINED) COST OF CONSTRUCTION(ESTIMATED): $ 160,000.00
ADDRESS: BUILDING ADDRESS: NYS ROUTE 9 & BLOODY POND RD
PHONE/E-MAIL
TOM HUTCHINS (516) 745-0307
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: (HUTCHINS ENGINEERING) PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1�floor sq.ft. 2ntl floor sq.ft. Total sq.ft. Height
Single Family
Two-Family
Multi-Family
(#of units
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(#of )
Other ZIP-FLYER X 565 SF 29.5'
(UPPER PLATFORM) (UPPER TOWER)
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If commercial or industrial indicate name of business WILD WEST RANCH
Proposed use of building or addition OUTDOOR RECREATION
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys N/A
Are there structures not shown on plot plan? NO
Are there easements on the property? NO
Site Information
a. Dimensions or acreage of lot SEE SHEET S4 OF PLANS
b. Is this a comer lot? NO
c. Will the grade be changed as a result of construction _Yes x No
d. Public water or Private well PRIVATE DOH WATER SUPPLY
_ LAKE GEORGE
e. Sewer or Private Septic System PRIVATE SEPTIC(LAKE GEORGE)
Value of all work to be performed (labor or materials) $ 160,006.00
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. 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 NY State 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: RALPH MACCHIO, bM BER DATE 11/13/2014
SIGNATURE: f' ATE
FOR OFFICE USE ONLY
Operating Permit Issued: _Yes _No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014
Imo N
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: ul I7Qt�>
Queensbury Building&Code Enforcement Arrive: PJ46 am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
^
NAME: - -C� PERMIT#:
LOCATION: S+C)AC uwf� 14 INSPECT ON: �2l 2ys,
TYPE OF STRUCTURE: LZ+ L-I 4�
Comments
Y N N/A
J(e
Footings 1 1�2'Jl7
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for /
providing protection from freezing V
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 Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet 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
t-3
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: gi\'"20vS
Queensbury Building&Code Enforcement Arrive: Of//—am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: W
NAME: PCCIxt PERMIT#: �� ✓—tZ
LOCATION: INSPECT ON: 4j2,aj-7.QAs
TYPE OF STRUCTURE:
Comments
Y N N/A � �(1— ,22i,
Footings
Piers Q. 1/J�CCa dY tVR� CCI
Monolithic Slab `
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.J
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place � r j,
FoundationDampproofmg 4 LGA G� Pew n��
Foundation Waterproofing /!/�/�
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet 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
Foundation Inspection Report
Office No.(518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depa*.-2am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: -!FfA Y, 1 N TYn _ PERMIT#: I 'X12—
LOCATION:
-LOCATION: Q ayg INSPECT ON: Q2`ZQA5
TYPE OF STRUCTURE: Iry
Comments
to
Y N N/A c � Z
Footings
Piers . W d\r 1 VC, CkU SSC
Monolithic Slab
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 r--�
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump -�Q�—
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet 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