CC-000088-2017 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-000088-2017 Date Issued: Friday,November 3, 2017
This is to certify that work requested to be done as shown by Permit Number CC-000088-2017
has been completed.
Tax Map Number: 302.9-1-37
Location: 1 HAROLD HARRIS RD
Owner: Richard Sears
Applicant: Hector Bermudez
This structure may be occupied as a: Alteration due to fire damage
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-000088-2017
Tax Map No: 302.9-1-37
Permission is hereby granted to: Richard Sears
For property located at: 1 HAROLD HARRIS 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
Tvne of Construction
Owner Name: Richard Sears Factory-Industrial-Alteration $250,000.00
Owner Address: 1 Harold Harris RD Total Value $250,000.00
12804,NY
Contractor or Builder's Name/Address Electrical Inspection Agency
Paul Davis Systems of the Capital District
831 Rt.67,Bldg.37A
Ballston Spa,NY 12020
Plans&Specifications
Alteration due to fire damage
$960.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 11,2018
(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 dateOtr
)
Dated at the Town of ueensb ues17
SIGNED BY: the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ADDITION/AL " L, 11 #:
APPLI P r Fee: $
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742 Bay Road,Queensbury,NY 12804 MAR d 92011 I i e#: J
P:518-761-8256 www.gueensbury.net TOWN OF OUEENSBURY
COM UNITY DEVELOPMENT
Project Location: i l c",:-
Tax Map ID #: �� - ��-� 5 J� Subdivision Name:
CONTACT INFORMATION:
• Applicant
Name(s):
Mailing Address, C/S/Z: a, �5 J i2e, LJ 12c 2 6
Cell Phone: 5t SS' ) '15(. r. Z-3 63 IALand Line: ')t
Email:_ Abe a," ,Jez tC, -�v c�� 4e- &o Z%�Z
• Primary Owner(s):
Name(s): /e /< / S� K
Mailing Address, C/S/Z: ,- / •g /c/ s
Cell Phone: ! I ) 7 y`2 - Z Z Land Line: �)
Email:
• Contractors • //// ` ,/
Business Name:
Contact Name(s):
Mailing Address, C/S/Z: -3., T e>
Cell Phone: Land Line:
Email: eoa a e'
• Architects En ineer s :
Business Name: C�Xc�L4�cL 1'3
Contact Name(s): 11
Mailing Address, C/S/Z: - l 1 2 0 2 .7
Cell Phone: C`t ) 3'" C' Land Line: 'S i ys ) 2 "50 3 15
Email: Vtie 'Z-IA
Contact Person for Building & Code Compliance: �\Cv l'2 z
Cell Phone: ---->t SS ) 9`S L Land Line:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
Single-Family _Two-Family _ Multi-Family (#of units )
'J'ownhouse Business Office Retail
Industrial/Warehouse _Garage (# of cars ) _Other (describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor:
2nd floor: 2nd floor:
311 floor: 3rd floor:
4th floor: 4th floor:
Total square feet: Total square feet: '-' 4'U
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ Z 'y(-D oc,U
2. If Commercial project, what is the proposed use: U
3. Source of Heat (circle one): G-a—s , Oil Propane Solar Other
Fireplaces need a separate Fuel Burning Appliances & Chimney Application
4. Are there any structures not shown on the plot plan? YES NO Explain:
5. Are there any easements on the property? YES NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel?
b. Is this a corner lot? YES Q NO,
c. Will the grade be changed as a result of the construction? YES i NO
d. What is the water source? PUBLIC PRIVATE WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
DECLARATION:
1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If thework is not completed 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 and/or
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. 1 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:
r--
SIGNATURE: DATE: I�
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
Certificate of Electrical Compliance
New York Atlantic-Inland Inc.
997 McLean Road Ext.
Cortland, NY 13 045
Certificate No.:620255
Building Permit No:CC-088-2017
Issue Date: 10/29/2017 Building Permit Date:
Inspected By: David Belfance Occupancy: S-1
OWNER SITE ELECTRICIAN
Richard Sears 7 Harold Harris Rd. Double LL Electrical Inc.
7 Harold Harris Rd. Queensbury, NY 12804 46 Twin Channels Rd.
Queensbury, NY 12804 Town of Queensbury Queensbury, NY 122804
SCOPE
Installed switches, lights and outlets all in conduit
INSPECTION INFORMATION
Luminaires: 37 Luminaires, 1 Emergency Light, 3 Exit Sign w/Emergency Light
Outlets: 10 Switches, 10 Receptacles
CC 2zR
IEC EOWE
TOWN OF QUEENSBURY
BUILDING&CODES
This certifies that the process noted above was complete as specified at the time of inspection and any conditions not within the
scope of the inspection are excluded. Because there exists a multitude of proprietary specifications,the adherence to the relevant
Building Code of New York State is applicable to the electrical requirements on the above noted date and valid for one year
forward. In connection with areas at the time of inspection and does not constitute areas that are enclosed,concealed or
inaccessible. Should the electrical system be altered in any way,including,but not limited to,the introduction of new electrical
equipment,this certificate shall be null and void. This certificate only applies to the occupancy use as stated. Changes in use,or
occupancy as indicated above,negates this certificate in its entirety.
FIRE MARSHAL'S OFFICE
Tozrn of Queensbury
742 Bay Road, Queensbury, NY 12804
" Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Richard Sears
1 Harold Harris Road
CC-000088-2017
4/11/2017
The following comments are based on review of the submitted plan:
1) Truss ID placards will be required at all ingress and egress points in the
entire building
Fire Marshal
Michael J Palmer
Fire Marshal
518 761 8206
firemarshal@queensbury.net
Fire Marshal 's Office - Phone: 518-761-8206 - Fax: 518-745-4437
iremarshal@queensbury.net - zvzazv.queensbury.net