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AST-0547-2018 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: AST-0547-2018 Date Issued: Thursday, September 20, 2018 This is to certify that work requested to be done as shown by Permit Number AST-0547-2018 has been completed. Tax Map Number: 308.16-2-2.3 Location: 9 CAREY RD Owner: Hudson Headwaters Health Network Applicant: Hudson Headwaters Health Network This structure may be occupied as a: Storage Shed 392 s.f. Cross Ref. SP 45-2018 By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the (- 4,44° 4 IA' property owner of the responsibility for compliance with Site Plan, �Y1 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. /OW TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development - Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-0547-2018 Tax Map No: 308.16-2-2.3 Permission is hereby granted to: Hudson Headwaters Health Network For property located at: 9 CAREY 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: Hudson Headwaters Health Network Detached Garage $2,000.00 Owner Address: 9 Carey RD Total Value $2,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Storage Shed 392 s.f. Cross Ref. SP 45-2018 $ 175.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,August 29, 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 expiratio •••to , Dated at the Town f Quee u ry; 4We. ' ay,August 29,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only ACCESSORY STRUCT ca r r el i�• • IT` CS-1 - ky PERMIT APPLICATI ,� ee n r w !1-7 S. (>p Town of Queens ury I1 742 Bay Road,Queensbury,NY 12804 P AUG 2 111,416#, yC)-7 f 1 la tip P:518-761-8256 www.queensburv.net i i q TOWN OF OUEENSI?URy Project Location: { C AZ- Z c, P-1> BUILDING & CODES Tax Map ID#: 3 ob. I b 2. -2 . 3 Subdivision Name: C ARE.Y USIR_I ekt., 1::3ARk CONTACT INFORMATION: • Applicant: ` � Name(s): N'UDSa�J t'1 EINDQJKT ER.S Mailing Address, C/S/Z: cl C p . '< 12,p,t, , ajeEps%v '-'- ilSol--1 Cell Phone: (SI S ) ' i2 t2`-11 Land Line: ( SI S ) $ Z14 - TA,(01•7. Email: VMS L©tznA,4. - e i_igt1J• c,„1 • Primary Owner(s): Name(s): t111:i5oi A Eat vJesT ctz S Mailing Address, C/S/Z: 1 C SR ( ' i1.r Q in ►-.1s6o�•-; '2 c>LA Cell Phone: (5(2' ) 2(2 - I V-11 Land Line: (5 IS ) i4 - ' , (a Z 2 Email: .1-1`-1 c.. C-0Rzm),_k a0aly• c R • Contractor(s): 1 Business Name: 4U05o;3 R C ,pt.pJA- .� S Contact Name(s): Mailing Address, C/S/Z: Cell Phone: ( ) Land Line: ( ) Email: • Architect(s)/Engineer(s): Business Name: r‘c.411)..0...p Zo tSSocs1 P.:T rs Contact Name(s): , -kt.t ,--) Z01N1mS Mailing Address, C/S/Z: 339 A \kl',a V...c Nr-, (1VEC 7 p,uP- 17-rP7 L"\ Cell Phone: ( ) _ Land Line: ( C($ ) % 3 •to t S Email: Contact Person for Building& Code Compliance: Tiitil RC- Rryi,Ce- Cell Phone: (5t Qr ) B i2 - 1 V L I Land Line: ( Si S ) S 2.H - ? 0 2 Z Email: RtGNiaR-A S"o:aes P Res-P‘gk_ckliT c,T S . �c,rn Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 PROJECT INFORMATION: TYPE: Commercial Residential WORK CLASS: _Deck,Open Porch Solar Panels(w/o rafter upgrades) _Carport _Cell Tower X. Shed _Pavilion, Pole Barn,Canopy _Dock _Gazebo Detached Garage _Boathouse(with or w/o sundeck) _3-Season Porch Other(description: SQUARE FOOTAGE OF STRUCTURE: 1st floor: 2'floor: Total square feet: 3 9 2. ADDITIONAL PROJECT INFORMATION: 1. Estimated Cost of Construction:$ C.� (?�3"� - 2. If Commercial project,what is the proposed use: S-To RA 3. Are there any structures not shown on the plot plan? YES et Explain: 4. Are there any easements on the property? YES NO 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: I Gm El cHr SIGNATURE: C5 A. DATE: g*: Town of Queensbury Building&Code Enforcement Accessory Structure Application Revised April 2017 RECEIVED "- \\\\,,,ji — `�, pvG 2� pLAtvn�F c i icy 26 ::\ w{ , �,,..-7';3 p"��.'-.S STORAGE SHED FOR ' cO `,o\ :.w..-,:DIrJCINISTRATION BUILDING ,,.- 0 9 CAREY ROAD, QUEENSBURY, NY HUDSON HEADWATERS HEALTH NETWORK to t 4 — ‘ �1 28''~—— —_ ;�" ': , is. FINISH MATERIALS: SIDING - DURA TEMP WOOD SIDING WITH CLAY FINISH TO MATCH MAIN BUILDING TRIM - RED ROOF SHINGLES - WEATHERWOOD r,r..,, . z• t . TOWN OF QUEENSBURY BUILDING DEPARTMENT Based on our limited examination,compliance with our comments shall not be construed as indicating the plans and specifications are In f„ii compliance with the Building Codes of Trpg47_2018 New York State. AS 308.16-2-2.3 HHHN 9 Carey Rd 392 s.f- FILE COPY e Shed storage -- -- - I ' to C�NERAL S I TE DATA ��RE© ARr;y��F CE O 1:/ ilr�� �4='P�ED Wtty�O .rye CATCH CATCH D LS: o � BASIN BASIN � � TOP4N OF GUEEN5BURY, NEW YORK CATCH BA51 N q CAREY ROAD 01 F59 ,,��ee�y,�� .�-._-.--• ? Y TAX MAP PARCEL: 305.16-2-2.3 t{' 1 E OF - ! � ZONING: LIGHT INDUSTRIAL (GLI) CAREY ROAD PROPOSED USE: OFFICE CATCH SITE AREA: 2.16 ACRES (g4.05q SF) COPYRIGHT 2018 CATCH 5A51N ❑ RICHARD E.)ONES ASSOCIATES BASIN � Unauthorized alteration or addition to this BU I LD I N6 SETBACKS document is a violation of Artical 147,section 7300 o N05 000'42"E r f the New York State Education Law IRF FRONT #1 (CORINTH RD) - 50'-0" (ACTUAL = ,5'-11" regarding in practice of architecture -- - - -- -- -- - - _- -- -- -- -- -- - -- -- - - -- - - -- -- -- - ' �.� FRONT #2 (CAREY RD) - 50'-0" (ACTUAL = 66'-5"9 300.00' REAR - 50'-0" (ACTUAL = 50'-0") CATCH ELEC. ? SIDE - 50'-0" (ACTUAL = ,3'-1I") BASIN �BOX T I `• 14 \ BOXrNSFORMER TEL. I �\ SITE UTILIZATION Z GAIN \ / Z L / _ _ _O P O LP \L 8.54 EXISTING BUILDING AREA - 24 515 SF LP - IL� I I EXISTING CONCRETE WALK AREA = 4,531 SF (./) SNOW in SNOW STORAGE \ � EXI5TIN6 ASPHALT PAVED AREA = 55.416415F ' S AREA �F 2 AREA \ EXI5TIN6 PERMEABLE AREA = 52.66% (30916 REQUIRED) w LU / N EXISTING DIRECTIONAL I \ 1 W 516N 50' BLD6. SETBACK BU ILD I N6 HE16HT a I � \ � � EXISTING PYLON SIGN O EXISTING HEIGHT = 30' (50' ALLOWED) 1 T, �� T, PARK I N6 REOU I REMENT5 I , LP I LP REGU I RED PARKI N6 - I PER 500 SF (OFFICE) II c EXI5TIN6 PARKING = 100 SPACGE5 (53 REG'D 8 WITHIN 20% MAX. OVERAGE) 10 4 HG ACCESSIBLE SPACES PROVIDED I I FIRE ACCESS ROAD 4 HYDRANT INFO p4 ~ NEAREST FIRE HYDRANT 15 LOCATED APPROXIMATELY 160' TO THE WEST OF THE Q Z I J INTERSECTION OF CAREY ROAD AND CORINT'H ROAD. IGJ� z I - U- O FIRE ACCESS LANES AND OPEN SPACES HAVE BEEN PROVIDED ON ALL SIDES < OF THE PROPOSED STRUCTURE AS REQUIRED BY THE FIRE CODE OF NY STATE. LU O 0LU � I I } I < x (n I I ( g SURVEY I NFOR1�ATI ON V) Q } Q 0 E-4 xo2 LU in O LP EXSETBAGK E I P 1. BASE MAPPING PREPARED BY BOLSTER 3 ASSOCIATES, PROFESSIONAL O00 Z 0 I , LAND SURVEYORS FROM AN APRIL 20001 FIELD SURVEY. LU (� Q LU ADMINI5TRATION ' I a� x x BU I LD I NG GARY ROAD I 2. SURVEY SHOWN 15 SUBJECT TO ANY SUBSURFACE EASEMENTS, CL U' I �[ I J RESTRICTIONS OR CONDITIONS THAT EXIST, IF ANY. � II 6 5. LNPERSROUPV UTILITIES ARE sHOWN FROM FIELD LOCATION IF POSSIBLE. N OTHERS ARE SHOWN FROM RECORD DATA. THEIR EXACT LOCATION MAY TAX MAP #: 505. I6-2-2.3 I BE DIFFERENT FROM THAT AS 5HOWN AND OT+4ER5 MAY EXIST. I ,5'-11" I 4. THE SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF EXISTING FRONT s TITLE OR A TITLE REPORT AND IS THEREFORE SUBJECT TO ANY c!� SETBACK STATEMENT OF FACT THAT SUCH DOCUMENTS MAY DISCLOSE. I I •� M N I ! I I O -(-2 M N co I I I ' I L � N F N2 I = X hw h w Q U C I; ( i h B- c r U I h • 2 N a ` C: N Z NOTE 2 n `� 4 o EMERGENCY U Q I L I i t GENERATOR— C] LP , a� M fl o N I L 7--J PAD MTD I T LU } M N ao NOTE I r25 14' -- ---------_ { i TRANSFORMER I V d E -- rrzn I EXI5TIN6 SEPTIC FIELD J C� o r — —..— ------ ------ --� ----- -- ----- i _______�� �y __ 301 BLDG. SETBACK IC,] I j/A�� \/ f/``� I (��--- ------------------�� "tr` r-------------------� �` SITE TE FLAN / FFRO i / `L U 54-I Q_ ______________ _ 26,'-10" EXISTING SEPTIC, FIELD J I PROP05ED 51DE PROPOSED FRONT SNOW YARD SETBACK o ° o SNOW 1:r TOWN OF QUEENSBURY, NEW YORK D Q YARD SETBACKSTOR. N � rn STORAGE SITE PLAN APPLICATION # AREA I m p m AREA i APPROVAL DATE - / � u}c X 15'-0" TRAVEL CORRIDOR AY _ IRF �- - -- - - -- - - - - - - _ -_ - - - - - - w - - -- - _ N05°00'42"E - —�- 550.00' CONDITIONS OF APPROVAL Ex1sTIN6 DIRE'crIONAL 2. 11D� S SITE PLAN DATE: 06/12/2018 SCALE: I = 20-O ZONING ADMINISTRATOR'S APPROVAL SCALE: AS NOTED NORTH 516NATURE DRAWN BY: PERMIT PLOT PLAN SITE PLAN - KEYNOTES: 51 TE L55E I C) CHECKED BY: REJ I HAVE PERSONALLY MEASURED THE DISTANCE O IRF IRON ROD FOUND APPROVAL STAMP NOTE I - 25' L X 14' W WOOD FRAMED STORAGE SHED. LEVELED AND SET ON GRADE. NEW STORAGE SHED FROM THE PROPERTY LINES TO THE R POSED U TURF NOTE 2 - PROVIDE NEW 5'x5'x4" THICK CONCRETE 5lDEWALK. KEEP LEVEL WITH EXISTING EXISTING SIGN OR G (S) WALKS. St A URE � 2 I -- D � UTILITY POLE EXISTING BUILDIN6 PROPERTY LINE S P 1 EXISTING LIGHT BOLLARD EXISTING C.ONGRETE WALKS LP EXI5TIN6 L1614T POLE NEW CONCRETE WALKS 1 � 03 — �4