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CC-000681-2017
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U ,_., to X v a Y O Q x Ea cz a �- F Q ch F 14 a r' F: TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 .4 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: CC-000681-2017 Tax Map No: 296.19-1-29 Permission is hereby granted to: Great Meadow Federal Credit Union For property located at: 357 BAY 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: Old School House L.L.0 Business Office-Alteration $3,000.00 Owner Address: 2546 State Rte 91, Total Value $3,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Commercial Alterations 40 sq.ft. Suite#: 1 Tenant:Great Meadow Federal Credit Union $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 2,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expirlition date.) Dated at the Town of eensbu , Ftiday v , 017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ADDITION/ALTERATION PERMIT Permit#: CC &?1 —0 ( 7 APPLICATION Permit Fee:$ 75 a i Town of Queensbury nn 742 Bay Road,Queensbury,NY 12804 Invoice#: d 3� P:518-761-8256 www.gueensbury.net Project Location: f &Y r Tax Map ID#: L I _ Z. Subdivision Name: =ry v 15 CONTACT INFORMATION: OCT 3 1 2011 • Applicant: D14 a Lt- Name(s): TOWN OF QUEENS13URY , Mailing Address, C/S/Z: 2� 6 q L ;�,, 6��, 3041 WITM MEN' Cell Phone: ��' ) 6 6 I f L 5'1 Land Li e: ( S'/� ) 5-1( —311 Email: Skof d. r.Tst��ay hvir:�� . cvw• • Primary Owner(s): Name(s): �� 0%l 61 lkli Mailing Address, C/S/Z: Cell Phone: Land Line: �) Email: • Contractor(s): Business Name: Contact Name(s): Mailing Address, C/S/Z: Cell Phone: Land Line: � ) Email: • Architects En ineer s : Business Name: CkdAev- �:vetf �fS©(- '�.es Contact Name(s): Mailing Address, C/S/Z: x/50 Q:xa,n R� . ; S�4e. $/'t, . 3 Cell Phone:�_) Land Line: Email: (a Contact Person for Building & Code Compliance: �- ^^y LkA Cell Phone: S( 7Y ) /�J —S'�S-7 Land Line: ( S-V Email: GOV_ 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: lst floor: 1st floor: 15 T 0,14 mo �; 2nd floor: 2nd floor: 3rd floor: 3rd floor: 4th floor: 4th floor: Total square feet: Total square feet: f ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction: $ 5� �r�a� M-ear-r &eut C/'c dA-#' 2.. If Commercial project, what is the proposed use: �r� f �SS a r d�) a �� e. Spg 3. Source of Heat (circle one): a Oil Propane Solar Other Fireplaces need a separateue 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? /VP YES NO 6. SITE INFORMATION: a. What is the dimensions or acreage of the parcel? b. Is this a corner lot? ES NO c. Will the grade be changed as a result of the construction? YES d. What is the water source? Q11TOB PRIVATE WELL e. Is the parcel or!�or 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. Ifthework 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: DATE: Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017 FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 'Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW Old Schoolhouse LLC 357 bay Road CO-000681-2017 11/22/2017 Credit Union space The following comments are based on review of drawings: • Verify fire extinguisher location and inspection (main door) • CO detection required • Verify operation of exit / Emergency lighting. (main door) • Lock / latches shall comply with Chapter 10 of 2015 IBC. • Verify paths of egress • Verify storage Michael J Palmer Fire Marshal 742 Bay Road Queensbury NY 12804 firemarshal@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 ■ Fax: 518-745-4437 firemarshal@gueensbunj.net zowzo.queensbunJ.net