CC-0048-2018 4011110#4
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-0048-2018 Date Issued: Friday, September 14, 2018
This is to certify that work requested to be done as shown by Permit Number CC-0048-2018
has been completed.
Tax Map Number: 296.20-1-2
Location: 265 QUAKER RD
Owner: T. Hoffman Realty, LLC
Applicant: Tom Hoffman Development Corp.
This structure may be occupied as a: Commercial Addition
Automated Tellers 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 Director of Building&Code nforce nt
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-0048-2018
Tax Map No: 296.20-1-2
Permission is hereby granted to: Tom Hoffman Development Corp.
For property located at: 265 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: T.Hoffman Realty,LLC Retail-Mercantile-Addition $200,000.00
Owner Address: 1757 CentralAVE Total Value $200,000.00
Albany,NY 12205
Contractor or Builder's Name/Address Electrical Inspection Agency
Tom Hoffman Development Corp.
1757 Central AVE
Albany,NY 12205
Plans&Specifications
Commercial Addition
Automated Tellers
$ 300.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,March 6,2019
(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 th xpiirration e.
Dated at the Town ueen 4TU
arch 6, 2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
f Office Use Only
ADDITION/ALTERATION PERMIT Permit#: CC- le)
_ APPLICATION Permit Fee:$ 50o.,
-16wn ofQgeensbary
742 Bay Road,Queensbury,NY 12804
Invoice#: pOV�-5
P:518-761-8256 www.gueensbury.net
Project Location: 02 vyle-cr Qcl
Tax Ma L E
p ID #: aC1(e .,a o ' � ' Subdivision Name: :E v
CONTACT INFORMATION: FEB 0 1 2018
• Applicant: TOWN OF QUEENSBURY
BUILDING&CODES
Name(s): _7arn 44ol.Cw,o•• t�e��ln t�r�•«.�' GorP
Mailing Address, C/S/Z: 1-157 Gc r� l Aug. albanu YtJY 1ao'?o.Sr
Cell Phone: 573 Land Line: ( A!x
Email: t6 CI n d re,ov s 0 ho q-Q mQ,r.
• Primary Owner(s):
N a m e(s): -re,ev\, J• o Q c tp-to o rRu�� Co a
Mailing Address, C/S/Z: Sl rc, ' A y
_-=- fell Phone: (5/ ) 7- Land Line: J-18 YS3 '3oc a ,
Email:
• Contractor
Business Name: ►AC-C4mo •* �e���orow►cn�• �.o�A
Contact Name(s): fyAar-t . G�nclrrsy.S
Mailing Address, C/S/Z: o. r. >t cl f Yl1Y 1 aadS
Cell Phone: ( S/8 ) SQ)- �) i � Land Line: ) 4/53 - 30a a
Email: Im and rew-S go
• Arch itect(s)/Engi nee r(s):
Business Name: Env;ronr v.^,4a ► 1-23asic n FaAncrsk;12 LLt'0-
Contact Name(s): C-A!xv;n V,; tta un,c.
Mailing Address, C/S/Z: 9oco Ikt I G 2o•rLe- ro Ia06S
Cell Phone: St )_-31 t - :24, .11. Land Line: (S1R ) 3-21- 7793
Email:_�;llaume. co edo t(n . co w\,
Contact Person for Building & Code Compliance: JY� c��Q vUS
Cell Phone: Land Line: � )
Email:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: 1V Commercial Residential
WORK CLASS:
_Single-Family _Two-Family _Multi-Family(#of units )
Townhouse Business Office Retail
_ Industrial/Warehouse _Garage (#of cars ) K Other (describe Cer WcsL, Te-kites
ADDITION SQUARE FOOTAGE: ft)('�olib►��� ALTERATION SQUARE FOOTAGE:
lst floor: S T ��X a(��fi' 1st floor:
2 dfloor: �� t ��{r 2ndfloor:
3rd floor: 4-✓L4C' 3 3rd floor:
4th floor: 4th floor:
Total square feet: 2 Total square feet:
A
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ oZ C)OV 0 00
2. If Commercial project, what is the proposed use: le- We s
3. Source of Heat (circle one): Gas Oil Propane Solar Other N)enc
Fireplaces need a separate Fuel Burning Appliances &Chimney Application
4. Are there any structures not shown on the plot plan? YES NO Explain: -le Lt-er Cov=,• q
5. Are there any easements on the property? YES l"="/
6. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? 4. $Ql ow-rc S
b. Is this a corner lot? YES
c. Will the grade be changed as a result of the construction? YES
d. What is the water source? UBLIC PRIVATE WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system? _Stwe.r•
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 priorto issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: 1' , or1ckre-LOs
SIGNATURE: DATE:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
INSPECTION WORKSHEET (BINS-006585-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:
Inspection Date:
Inspector:
Case Module:
Inspection Status:
Inspection Type:
CC-0048-2018
09/14/2018
John O'Brien
Permit
Passed
Commercial Final Inspection
Job Address:Parcel Number:265 QUAKER RD
Queensbury, NY 12804
296.20-1-2
Contact Type Company Name Name
Primary Owner T. Hoffman Realty, LLC ,
Granted Permission Tom Hoffman Development Corp.,
Applicant Tom Hoffman Development Corp.,
Contractor Tom Hoffman Development Corp.,
Checklist Item Passed Comments
Ext Finish /Grade Complete/6 in 10ft or Equivalent YES
Final Electrical / Flex Gas Piping Bonded YES
OK to Issue C/O YES 9/14/18 Final Inspection Approved-Ok to Issue CO!
Sep 14, 2018 Page (7)
O'Brien, John (Inspector)
FIRE MARSHAL'S OFFICE
Tozan of Queensbury
742 Bay Road, Queensbury, NY 12804
"Horne of Natural Beauty ... A Good Place to Live
PLAN REVIEW
Hoffman Car Wash
CO-00048-2018
3/5/2018
The following comments are based on review of drawings:
• FM office has no comments at this time
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
remarshal®queensbunI net • 7VMV.queensbun'.net