CC-000029-2016 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-000029-2016 Date Issued: Monday, June 20, 2016
This is to certify that work requested to be done as shown by Permit Number CC-000029-2016
has been completed.
Tax Map Number: 303.20-2-41
Location: 144 River ST
Owner: 144 River Street LLC
Applicant: 144 River Street LLC
This structure may be occupied as a: Commercial Alterations 600 s.f.
Per ZA, C/O can be issued under condition that site stabalization is to be completely order of Town Board
by 6/24/2016. TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the /f
property owner of the responsibility for compliance with Site Plan, �d
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: CC-000029-2016
Tax Map No: 303.20-241
Permission is hereby granted to: McKenna Construction
For property located at: 144 River 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: 144 River Street LLC Factory-Industrial-Alteration $25,000.00
Owner Address: PO Box 432 Total Value $25,000.00
Hudson Falls,NY 12839
Contractor or Builder's Name/Address Electrical Inspection Agency
McKenna Construction
562 West RD
Fort Ann,NY 12827
Plans&Specifications
Commercial Alterations 600 s.f.
PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,February 4,2017
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensb efore the ex[p�/plion
J�late.)
Dated at the Town of ueeash - r/ / rid ary 5,20]6
SIGNED BY: (�trjX for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use 0
Received -02�y{ -2Z)'( b
Date: �r —/S Tax Map ID 303. Zo- 2 ' 2-
_ ctnit-�Ie-fit.•..—.
Tax Map ID S - 'OZO
3 it eU �' 1
Zone Itee�rT^9Z' rrr�__l 11111
Historic Site Yes _ No S{'te 1� -
lli
Subdivision Name Lot# STtl��vi ioU
T
TOWN BD. RESOLUTION 86-2013: $850 RECREATION Fzia
I DING & CODES
L"L"IIQ S - SINGLE
FAMILY, DUPLEXES/TWO-FAMILY, MULTIPLE FAMILY, APARTMENTS, CONDOMINIMUMS,
TOWNHOUSES,AND/OR MANUFACTURED&MODULAR HOMES, BUTNOT MOBILE HOMES. THIS
IS IN ADDITION TO THE PERMIT FEE.
Applicant �7y glvvl � �L Owner
Address y 1e1J � Address _ck"ts�
Phone/E-mail Phone/E-mail
Contact Person for Building&Codes Compliance: lci W"✓ Acklllncl Phone
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration I"floor sf 2""floor sf Total sf Height
Single Family
Two-Family
Multi-Family
(#of units )
Townhouse
Business Office
Retail-Mercantile tob
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
Proposed use of building or addition CA;/
d
Source of Heat(circle one) as it Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys VO/A
Are there structures not shown on plot plan? O
Are there easements on the property? /J p
Site Information
a. Dimensions or acreage of lot 61 No 7 S F� Z o ci is
b. Is this a corner lot? /-)4)
c. Will the grade be changed as a result of construction _ Yes _ No
d. Public water or Private well
e. Sewer or Private Septic System r
hfi 4-e we
Value of all work to be performed (labor or materials) $ Z S Qao,
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.
1 have read and agree to the above: ))
PRINT NAME: aVV_ G1^A-- DATE:
SIGNATURE: DATE:
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