CC-000691-2017TOWN 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-000691-2017 Date Issued: Friday, March 8, 2019
This is to certify that work requested to be done as shown by Permit Number
has been completed.
CC-000691-2017
Tax Map Number:
Location:
Owner:
308.16-2-12
343 CORINTH RD
MAC Industries
MAC IndustriesApplicant:
This structure may be occupied as a: Commercial Alterations 60 s.f. (cap off
plumbing in bathroom & removing drywall to open doorway) Cross Ref. Site Plan
Review approval 68-2012
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
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
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000691-2017
Tax Map No: 308.16-2-12
Permission is hereby granted to: MAC Industries
For property located at: 343 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
Tvce of Construction
Owner Name: MAC Industries Business Office-Alteration $3,000.00
Owner Address: 54 North Church LN Total Value $3,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
MAC Industries
54 North Church LN
Queensbury,NY 12804
Plans&Specifications
Commercial Alterations 60 s.f.(cap off plumbing in bathroom&removing drywall to open doorway)Cross Ref.Site Plan
Review approval 68-2012
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,November 7,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town Queens4 Tu y er 7 2017
SIGNED BY: j for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Drii!
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ADDITION/ALTERATION PEF2119yIIT Permit#:
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AP'P'LICATION Permit Fee:$ ✓
Town of Queensbw,v y
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.gueensburV.net
Project Location: � ��1�-C�l �. 12,e,,'cf S� C— 6Pk (s��4►,
Tax Map I® #o ` 1 _ ( Subdivision Name: Lo= U U
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CON`TAeT INFORMATIONo 0 01]Applicanto QUEENSBURYName(s): t � \ DEVELOPMENT
Mailing Address, C/S/Z: , bs l
Cell Phone: ((b2 I) 14 %`rta Q G-7 Land Line: � )
Email: 114Qe-i \&vL ( i e-5 G-1,Y I ��
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Primary Owner(s):
Name(s): SGttylsL r "�
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
® Contractor(s): t_
Business Name: S e� ��oiPlr�u�yf�
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
® Architects En !neer s
Business Name:
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: �) Land Line:
Email:
Contact Person for Building & Code Compliance: Q-CA0(1
Cell Phone: L) '+ —( 16-7 Land Line:
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Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE- -16C* Commercial Residential
WORK CLASS-
Single-Family Two-Family Multi-Family (#of units )
Townhouse Business Office Retail
Industrial/Warehouse _Garage (# of cars ) Other (describe 0,0,j2 AW
PL�i bm
ADDITION SQUARE FOOTAGE- ALTERATION SQUARE FOOTAGE-
1st floor: 1st floor:
2nd floor: 2nd floor:
3rd floor: 311 floor:
4th floor: 4th floor:
Total square feet- Total square feet. (,:�Q E
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ADDITIONAL PROJECT INFORMATION.
1. Estimated Cost of Construction: $ 0 cC� s
2. If Commercial project, what is the proposed use: 6}, C P1 em
3. Source of Heat (circle one): Gas it Propane Solar Other
Fireplaces need a separate� Urnwlng Appliances & Chimney Application
4. Are there any structures not shown on the plot plan? YES NO xplain:
5. Are there any easements on the property? YES NO
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? 01,512
b. Is this a corner lot? YES' NO
c. Will the grade be changed as a res he construction? YES NO
d. What is the water source? _ PUBLIC ' PRIVATE WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system? C
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
. DECLARA TION:
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 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: I Kio_Wc
SIGNATURE DATE:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017