CC-000709-2016 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: CC-000709-2016 Date Issued: Monday, January 22, 2018
This is to certify that work requested to be done as shown by Permit Number CC-000709-2016
has been completed.
Tax Map Number: 308.15-1-34
Location: 462 CORINTH RD
Owner: Thomas Barber, Rod Cornelins
Applicant: Rod Cornelins
This structure may be occupied as a: Storage Building Unit D
Cross Ref, Site Plan Review PZ 28-2015 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
Planning Board or Zoning Board of Appeals. Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
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Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000709-2016
Tax Map No: 308.15-1-34
Permission is hereby granted to: Thomas Barber,Rod Comelins
For property located at: 462 CORINTH 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
Type of Construction
Owner Name: Thomas Barber Business Office-New $55,000.00
Owner Address: 8 Lockhart Mountain RD Total Value $55,000.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Storage Building Unit D
Foundation Only
Cross Ref.Site Plan Review PZ 28-2015
$365.90 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,October 27,2017
(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 date.)
Dated at the Town of ueensbu / / /fhukaer-27,2016
S[GNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
.PRINCIPAL STRUCTURE APPLICATION Office Use Only
Date: (a/!3/ 2_/G
Permit No. V -.16/
Tax Map ID $ , is 1'3N Permit Fee
Zone CLQ Historic? _Yes JC No Rec Fee
Subdivision Name AIR Lot# NA Site Pian#
Subdivision#
Project Location yLZ &41-A 460 , a-'s ;64
TOWN BO.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 horM.�Thif i Jinlffion to the
permit fee(s). L UU��bb
Primary Owner(s)
Address � Loci: /W LAkt c 17
Phone/Email /8) 367-- 34,3 8
Applicant 22
Address N9 /?PT
Phone/Email S!8 4?- 34 3 k M E fJou✓�L�gaow o. low
Contractor
Address
Phone/Email
Contact Person for Building&Codes Compliance: &' Phone /O 3,nT-3C-3 8
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration V floor sf 211 floor sf Total sf Height
Single Family
Two-Family
Multi-Family
(#of units
Townhouse
Business Office
308.15-1 -34 CC 709-2016
Retail-Mercantile Corinth Road u Store IT, LLC - Thomas Barber
462 Corinth Road
Factory-Industrial Self-Storage Building "D" 3,625 sq. ft.
Attached Garage
(1. 2, 3, 4+)
Other_
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
If commercial or industrial please indicate name of business ;,/ „� [� �£ LL G
Proposed use of building or addition
Source of Heat(circle one) Gas Oil Propane Solar th
Fireplace: Complete a separate application for Fuel Burning
Appliances & Chimneys N�
Are there structures not shown on plot plan? A14
Are there easements on the property? A ewc k v6.A./
Site Information:
a. Dimensions or acreage of lot /,S7 /1441S
b. Is this a comer lot? _Yes No
c. Will the grade be changed as a result of construction _Yes _No
d. Public water or Private well(circle one) ublic Private
e. Sewer or Private Septic System(circle one) ewer v
Value of all work to be performed(labor or materials) $ otifft SSk
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: pp
PRINT NAME: />./t S' ///�M✓/�u DATE: /G J/' 2c%4
SIGNATURE: `==''G/ir " //` 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 January 2016
D E C E 9 W E
JAN 2 ? 20118 11
TOWN OF QUEENSBURY
BUILDING&CODES
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COMMONWEAL.".ELECTRICAL INSPECTION SERVICE,INC. i
4t'` Z• M8111 OMCe 176 Doo Itun Road.Manheim,PA l 1545
MUNICIPAL CERTIFICATE - ELECTRWAL APPROVAL
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The conditions t'ollowing governed the issuance of this certificate,and any certificate previously issued is I' r
'�r •:• cancelled:-
; .: ! This cerEilicate only tovers the electrical equipment and installation conditions as of date. Upon the
introduction ofadditiunal equipment or alterations,application shall be promptly made for inspection. i
Inspectors of this Company shall have the privilege of making inspections at any time, and it its
' rules arc violatod,the Company shall have the right to revoke this certificate.
pare....,. .: .-1,.?`:....•....,..... INSPECTOR
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Membcr N.EP A.,I.A.U.
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