CC-000289-2015TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201QMWCommunityDevelopment-Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000289-2015 Date Issued: Monday, April 18, 2016
This is to certify that work requested to be done as shown by Permit Number CC-000289-2015
has been completed.
Tax Map Number: 302.5-1-94
Location:538 AVIATION RD
Owner: Carl Alberino
Applicant: Lake George Baking Company, LLC
This structure may be occupied as a: Comm. Alt. 1500 s.f.
Lake George Baking Company By order of Town Board
TOWN OF QUEEENSBURY
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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
f
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000289-2015
Tax Map No: 302.5-1-94
Permission is hereby granted to: Lake George Baking Company,LLC
For property located at: 538 AVIATION 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
Tyne of Construction
Owner Address:Retail-Mercantile-Alteration 10,000.00
Total Value 10,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Comm.Alt.1500 s.f.
Lake George Baking Company
75.00 PERMIT FEE PAID-TMS PERMIT EXPIRES:Wednesday,November 9,2016
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?MM , n J Tu y, er 10,2015
SIGNED BY: Q-yjfor the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPI I
rZ
ce Use Only
eived
Date:FNOV 6 2015 Map ID
Tax Map ID 0 ,5 —1Pe itNoC(__ 24 t5
UEENSBUR Pe it Fee
Zone BUILDING & CODES
Fee
Historic Site Yes X No Site Plan#
Subdivision NameA Lot#
Subdivision#
Project Location 531 A#tl Iaj
TOWN BD. 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).
Applicants007,W1 Owner
Addresskigy&-f ; Address
Phone/E-mail PhoneB-mail
Contact Person for Building&Codes Compliance: P I Phone 5/A X7
TYPE OF CONSTRUCTION
Check all that apply New Addition Alteration 11 floor sf
2nd floor sf Total sf Height
Single Family
Two-Family
Multi-Family
of units
Townhouse
Business Office
Retail-Mercantile X
Factory -Industrial
Attached Garage
1, 2, 3, 4+)
Other
If commercial or industrial please indicate of business
Town of Queensbury Building&Codes Principal Structure Application Revised September 2015
Proposed use of building or addition
Source of Heat(circle one)Gas Oil Propane Solar ( lj
Fireplace: Complete a separate application for Fuel Burning IJ`A-
Appliances & Chimneys
Are there structures not shown on plot plan? O
Are there.easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a comer lot?
c. Will the grade be changed as a result of construction Yes No
d. Public water or Private well L
e. Sewer or Private Septic System le
Value of all work to be performed(labor or materials)
DECLARATION.-
1.
ECLARATION.
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,abbove:
PRINT NAME: C A 1 L R 4—t E 1\ I GATE:
SIGNATURE: 1. AALQSi4AtA4.VDATE:
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 2015
FIRE MARSHAL'S OFFICE
TOWn of Queensbury
742 Bay Road, Queensbury, NY 12804
Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Lake George Baking Company
538 Aviation Road
2015
10/30/15
M occupancy ,
All egress hardware to comply w/ Chapter 10 of NYSFC (no key or
thumb turn devices)
Fire extinguisher locations to be determined
Verify function of exit and EL fixtures
Verify aisles and storage
Coordinate location of Knox Box
Verify Truss ID signage
Add Carbon Monoxide detection to the space. (Note: plug in w/
battery backup or standalone w/10 year battery is acceptable)
If a fire alarm system is planned, submittals are required prior to
any work being performed.
FILE
CppY
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fire Marshal's Office • Phone: 518-761-8206 • Fax: 518-745-4437
firemarsltal@giteensbunl.net • weMqueensburij.net
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1.PRIOR TO THE`
OCCUPANCY • UN ;UMf3USTIRLE - R, 00 o
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START .OF DEMOLITION WORK THE CONTRACTOR IS U p o
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