CC-000539-2017 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-000539-2017 Date Issued: Tuesday, September 5, 2017
This is to certify that work requested to be done as shown by Permit Number CC-000539-2017
has been completed.
Tax Map Number: 302.7-1-45.1
Location: 138 QUAKER RD
Owner: Gary Higley
Applicant: Sports Page Ski&Patio
This structure may be occupied as a: Interior Commercial Alterations 650 s.f.
Tenant: Sports Page Retail By Order of Town Board
TOWN OF QUEENSBUR/fY
Issuance of this Certificate of Occupancy DOES NOT relieve the (0
property owner of the responsibility for compliance with Site Plan, Y
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.
f 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-000539-2017
Tax Map No: 302.7-1-45.1
Permission is hereby granted to: Munter Enterprises,Inc.
For property located at: 138 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
Type of Construction
Owner Name: Gary Higley Business Office-Alteration $20,000.00
Owner Address: 31 Chestnut Ridge RD Total Value $20,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Munter Enterprises,Inc.
881 Murray RD
Middle Grove,NY 12850
Plans&Specifications
Interior Commercial Alterations 650 s.f.
Tenant:Sports Page Retail
$130.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,September 6,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbu before the ex 'ration date.)
Dated at the Town o Queens 4We e eptember 6,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ADDITION/ALTERATION PERMIT Permit#:
APPLICATION Permit Fee:$ °`%
Town of CZuccn.sbury
742 Bay Road,Queensbury,NY 12804 Invoice#: `�(q
P:518-761-8256 www.gueensbury.net
Project Location: j 3�-, qac�LZ 2�
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Tax Map ID#: �� - _ , Subdivision Name: l l t rr y q i
CONTACT INFORMATION: IIIA i '
• Applicant: Tr �_J
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Name(s): �� "P N!, t
Mailing Address, C S Z: �, C � ,c_; A2 /�.�
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Cell Phone: -7 L - --3 342- Land Line: \4 ) -7C -2-
Email:Email:
• Primary Owner(s):
Name(s): C=t4z,rz�(
Mailing Address, C/S/Z: ti-(
Cell Phone: tom ) (o — aS?i Ef 2 Land Line: 'S►�L>
Email:
• Contractor(s):
Business Name: ">— �rrA5��,
ContactName(s):
Mailing Address, C/S/Z: ,� �,
Cell Phone:-( 15'lb- Land Line:
Email: A P-D VVI\-A CX
• Architect(s)/Engineer(s): r
Business Name: 1
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: �)
Email:
Contact Person for Building & Code Compliance:
Cell Phone: (r' `` ) e& G--• \?G\ Land Line:
Email:
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 )
_Townhouse _Business Office Retail
Industrial/Warehouse _Garage(#of cars ) _Other(describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: S ��
2nd floor: 211 floor:
3rd floor: 3rd floor:
4th floor: 4th floor:
Total square feet: Total square feet: 5,F
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction:$ L,`5! - ai
2. If Commercial project,what is the proposed use: �?Ay,=, (Z;. A L_
3. Source of Heat(circle one): Gas OilPr pane Solar Other F {) v2.-
Fireplaces need a separate Fuel Burning Appiances&Chimney Application \-v 4-Z--ITN
4. Are there any structures not shown on the plot plan? YESO�Explain:
5. Are there any easements on the property? YES ;
6. SITE INFORMATION:
a. What is the dimensions or eage of the parcel?
b. Is this a corner lot? ES NO
c. Will the grade be change s a result of the construction? YES 6D)
d. What is the waters ? PUBLI PRIVATE WELL
e. Is the parcel SEWER 1 a PRIVATE SEPTIC system?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
DECLARATION:
1. I 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 the work 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:
SIGNATURE: ADATE: , i
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
Nov, 6. 2017110 : 12AMMDIA No. U83U N. I/N
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
'&*�that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions_
Owner: Sports Page Date:
10/23/2017
Occupant:
Same Location,
138 Quaker Road
Occupancy:Non-Residential Queensbury, Warren Co. NY
Applicant-F �
Electric Concepts �..... �.._..
PO Box 5473 _
Clifton Park, NY 12066.;," l _ -
•r' \` i �
Joseph A.Holmes ---. . ._...
No. - _1413871361042E
Equipment- ---'
3 -Receptacles; 12 - Fixtures; 1 - Emergency Lig7it;2"=- if/Emergency-Light Combo-s;•
This certlficate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property Indicated above,this certificate shall be Immediately null and void_
ciency or fitness of the equipment for any particular purpose, This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
be valld for a period of one year from the above noted date. should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc.to initiate the inspection and revalldatlon
any of the components installed as of the above noted data,this certificate shall be process. A fee will be charged for this aervlce.
D
Nov 0 2017
53� 2,�� _------
TOWN OF QUEENSBURY
BUILDING&CODES____r