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CC-000649-2016 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-000649-2016 Date Issued: Thursday, August 31, 2017 This is to certify that work requested to be done as shown by Permit Number CC-000649-2016 has been completed. Tax Map Number: 302.7-1-13 Location: 102 QUAKER RD Owner: OMall Family Limited Partnership Applicant: OMall Family Limited Partnership This structure may be occupied as a:Facade Commercial Alterations 350 sq. ft. Cross Ref. SP PZ-174-2016 By Order of Town Board TOWN OF QUEENSBURY 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 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: CC-000649-2016 Tax Map No: 302.7-1-13 Permission is hereby granted to: Nick Daigle Construction For property located at: 102 QUAKER 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 Tvce of Construction Owner Name: OMall Family Limited Partnership Business Office-Alteration $36,000.00 Owner Address: 35 Orchard DR Total Value $36,000.00 Queensbury,NY 12804 Contractor or Builders Name/Address Electrical Inspection Agency Nick Daigle Construction 11 Sugar Pine RD Queensbury,NY 12804 Plans&Specifications Facade Commercial Alterations 350 sq.ft. Cross Ref. SP PZ-174-2016 $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,September 23,2017 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expirraj tion date.) Dated at the Town of ensb Fj�day, a [e er 2016 SIGNED BY: /vl for the Town of Queensbury. Director of Building&Code Enforcement PRINCIPAL STRUCTURE APPLICATION Office Use Only Received Date: q I$a 230(Co Tax Map ID Tax Map ID 3v L, 7 — — (3 Permit No. CE. Permit Fee Pq/ Zone Rec Fee Historic Site _Yes ,/No Site Plan# rjp PX 17 361!;? Subdivision Name Lot# Subdivision# Project Location /0o2 QtkQrsea. ma 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). Applicant N. 1- Cu.usl Owner Addresst l S�q���`� �� Address cu'eex.s 6-"f fka Phone/E-mail 7%io - t0 5 a I �� Q Phone/E-mail Contact Person for Building&Codes Compliance: tvit-lt�1 (,_ PhoneLStB 7t6 -(a�a( Ugh- rr . (' i5 (-eJ : e-i A0 3 -33 6- (5 c k TYPE OF CONSTRUCTION ✓Check all that apply New Addition Alteration 1s1 floor sf 2nd floor sf Total sf Height Single Family Two-Family *z- Pltuu-) C r1 S Multi (#(#of ' sem To house Business Office 302.7-1-13 CC 649-2016 Retail-Mercantile Omall, LLC (Al Boychuk) 102 Quaker Road Factory-Industrial Com'I Alt. to Facade Attached Garage (1, 2, 3, 4+) Cross Ref. Site Plan Review Other PZ 174-2016 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 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? c. Will the grade be changed as a result of construction Yes _ No d. Public water or Private well T aJ nJ e. Sewer or Private Septic System Ow Value of all work to be performed (labor or materials) $ 6 o O 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. 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 above: PRINT NAME: fQ t�i-J a DATE: °] I 120 1 Ca SIGNATURE: y DATE: '1 u 7.0/ 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 VISION Engineering CIVIL • STRUCTURAL • MUNICIPAL September 22, 2016 Town of Queensbury Building and Code Enforcement Department 742 Bay Road Queensbury, NY 12804 RE: Omall Project 102 Quaker Road VE Project 1139 This letter shall serve as verification that VISION Engineering will perform construction observations of the project including structural framing and will notify the Town via a letter of certification that structural framing and related work is in general conformance with plans and specifications. If you have any questions or require additional information, please do not hesitate to contact me. Thank you. i W. Ryan, P.E.Engineering, LLC © ® ® 206 Glen Street•Suite 56•Glens Falls, NY• 12801 •P: 518-792-9264• F: 518-792-9282 www.visionenginecringllc.com GG-000(P99-Z.n 16 VISION Engineering CIVIL • STRUCTURAL• MUNICIPAL r-NC11NEERING INSPECTION REPORT December 22, 2016 rr�a 22 ��1 Town of Queensbury D E C E v E D Building and Codes Department 742 Bay Road DEC Z 2 '._• Queensbury, NY 12804 Attn: Mr. John O'Brien, Building Inspector TOWN OF QUEENSBURY BUILDING & CODES RE: Omall Quaker Rd Project VISION Engineering, LLC performed periodic construction observations for the above project relating to structural work designed by our office. To the best of our information, knowledge, and belief, and upon information gathered or obtained during the course of construction for the project, and with the Contractor being notified of observed discrepancies or deficiencies in observed work for correction, based upon the foregoing the work, other than approved changes or substitutions, is in general conformance with plans and specifications prepared for the project. All interim reports and/or project related correspondence prior to this final report form the basis for and are to be considered, by reference, an integral part of this final report. Respectfully submitted: ENGINEERS STAMP: OF Daniel W. Ryan, P.E. N(_IVY Daniel W.Ryan P.E. }� I 2016.12.2208:30:19-05'00' 12/22/2016 - "'-114 Signature Date w �OtiAaq 'OFrggl i NOTE: Periodic observation means that a representative from our office periodically visited the construction site to observe and verify that visible portions of work at the time of the site visit were constructed in general conformance with project drawings and specifications.Although we attempt to observe all components and/or work of greatest importance, it is noteworthy to state that it is likely that some work or components may not have been observed at all during construction,depending on the timing and frequency of our site visits.This certificate or report does not constitute a warranty or guarantee of work or an acceptance of work not in accordance with project drawings, contract documents, or specifications, nor is it a release of the Contractor's obligation to complete all work in accordance with code, the projects technical requirements,and all project related and permit documentation. ® 206 Glen Street• Suite 56•Glens Falls, NY• 12801 •P: 518-792-9264•F: 518-792-9282 www.visionengineeringllc.com