CC-0551-2018 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-0551-2018 Date Issued: Monday, September 10, 2018
This is to certify that work requested to be done as shown by Permit Number CC-0551-2018
has been completed.
Tax Map Number: 302.14-2-27
Location: 123 DIXON RD
Owner: BAYVIEW PROJECTS LLC
Applicant: Hilltop Construction
This structure may be occupied as a: Commerical Exterior Alterations
Repair 10 ft. section of wall hit by car By Order of Town Board
TOWN OF QUEENSBURY
IssuanceIssuance of this Certificate of Occupancy DOES NOT relieve the /f
4/4---
property owner of the responsibility for compliance with Site Plan, YY
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.
K 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-0551-2018
Tax Map No: 302.14-2-27
Permission is hereby granted to: Hilltop Construction
For property located at: 123 DIXON 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: BAYVIEW PROJECTS LLC Business Office-Alteration $26,000.00
Owner Address: 123 Dixon RD Total Value $26,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Hilltop Construction
51 Crowley RD
Hudson Falls,NY 12839
Plans&Specifications
Commerical Exterior Alterations
Repair 10 ft.section of wall hit by car
$ 175.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, August 30,2019
(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 the expiration date.)
Dated at the To u sbury; Th a August 30,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
ADDITION/ALTERATION PERMIT Permit#: 5 J' 6
APPLICATION Permit Fee:$I
Town ci(Zuecnsbury
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.queensbury.net / / (
Project Location: /O(3 Jy/x017 /Calif �its
Tax Map ID#: 30-2, Lt -D-Y7 Subdivision Name: 'mi
CONTACT INFORMATION: U)
I I,
• Applicant:
I
Name(s): Q ov1 S c-� o n TOWN OF �� ` ,;'O :{ ,'
Mailing Address, C S/Z: S (Z o v—�[� �L�?0. G� ci�so O 'S _ � y�„
Cell Phone: (51 Y ) SA9- S7O%' (Tarn S, Land Line: (5 /f ) 79? "033 b'
Email: et hdya, k �Ccv15t u c ' o �O . Con»
• Primary Owner(s)i c
Name(s): To ) S S e r m c-r)
Mailing Address, C/S/Z: �oL3 X CJ' lQo
Cell Pho e: ( 5/ ) //V - �� 702 Land Line: ( )
Email:itjk(C{SS e. mom`. I C o
1
• Contractor(s):
Business Name: k, \'-k-O c
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:
• Architect(s)/Engineer(s):
Business Name: \ 0 n -e--
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: ( )
Email:
Contact Person for Building &Code Compliance Ccrvi 10 c (A+- G
Cell Phone: (,-5/g Land Line: (,57 f) C 3 3 &
Email: -- DrnSr- Ir,� l� bCc�nS Or\co eoV
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
PROJECT INFORMATION:
TYPE: _ Commercial Residential
WORK CLASS:
Single-Family Two-Family _Multi-Family(#of units
Townhouse _)4usiness Office _Retail
Industrial/Warehouse _Garage (#of cars ) _Other(describe
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: /0 Se c'7 -a rl
2nd floor: 2nd floor:
3rd floor: 3rd floor:
Basement(habitable space): Basement(habitable space):
Total square feet: Total square feet:
re 1 C( - O Iti._2 ko AC-c)-
"
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 61(o) 00 0 �y^
2. If Commercial project,what is the proposed use: er1` 15'A G 1� �� F`� �� `��/ e o-c
hsurez.v1 c.e c_I a m
3. Source of Heat (circle one): Gas 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 NO
c. Will the grade be changed as a result of the construction? YES 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 March 2018
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. I 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. I acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. I 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: _ ( 114� . l 0 ✓'EC f�
SIGNATURE: dh-t-,c/ DATE: `gU
•
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
INSPECTION WORKSHEET (BINS-006488-2018)
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-0551-2018
09/10/2018
John O'Brien
Permit
Passed
Commercial Final Inspection
Job Address:Parcel Number:123 DIXON RD
Queensbury, NY 12804
302.14-2-27
Contact Type Company Name Name
Contractor Hilltop Construction ,
Applicant Hilltop Construction ,
Primary Owner BAYVIEW PROJECTS LLC ,
Granted Permission Hilltop Construction ,
Checklist Item Passed Comments
Ext Finish /Grade Complete/6 in 10ft or Equivalent YES
Doors 36 inch wLever Hand Panic Hardware, if req YES
Exits At Grade Or Platform 36 (w) x 44 (l)YES
Floor Bathroom Watertight Other Floors Okay YES
OK to Issue C/O YES 9/10/18 Final Inspection Approved-Ok to Issue CO!
Sep 10, 2018 Page (6)
O'Brien, John (Inspector)
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Wasserman Scope
Hilltop removed damaged brick and siding on August 17,2018. Hilltop found that
behind brick& siding there were block walls. Per insurance estimate it was to be
wood walls behind brick. Hilltop secured North Country Facilities to shore up &
remove damaged block. Block was removed &replaced in a four-hour period on
August 17, 2018. The new block was installed matching existing installation
J methods. Shoring was removed, and Hilltop proceeded with door install &
sheetrock repair.
ECEDVE Il
1p-' ILuL
AUG--Q 2018 I
Sincerely, TOWN OF QUEENSBURY
fl BUILDING& CODES
',� -f FILE Copy
Tom Albrecht,7r. VP of opera ' "s
TOWN OF QUEENSBURY
BUILDING DEPARTMENT
Based on our limited examination,compliance
with our comments sham not be construed as I
indicating the plans and specifications are in
full compliance with the Building Codes of
New York State.
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NOTICE . ,, - i
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`^ Jay Wasserman, DDS
123 Dixon Rd
Commercial Alterations (car damage)
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oL e� ,OVER PLANTING DETAIL 123 Dixon Rd
. _ ALL Commercial Alterations (car damage)