CC-0100-2019 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-0100-2019
Tax Map No: 302.8-1-47
Permission is hereby granted to: Diamond Contractors Inc
For property located at: 216 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: FRIENDS REALTY ASSOC.,LLC Retail-Mercantile-Alteration $721000.00
Owner Address: 421 7th AVE, 15th floor Total Value $721000.00
New York,NY 10001
Contractor or Builder's Name/Address Electrical Inspection Agency
Diamond Contractors Inc
4224 NE Port DR
Lee's Summit,MO 64064
Plans& Specifications
Commercial Interior Alterations 1600 s.f.
Tenant: CVS Pharmacy
$480.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 8, 2020
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Tuesday,April 9,2019
SIGNED BY. � ;r, .w for the Town of Queensbury.
Director of Building&Code Enforcement
• Office Use Only
ADDITION/ALTERATION PERMIT Permit#: CG'" D I Ep- 2_dt
APPLICATION Permit Fee:$ 41>®• octa
town of Clu cr,.1mry
742 Bay Road,Queensbury,NY 12804 Invoice#:
P:518-761-8256 www.queensbury.net
Project Location: 216 Quaker Rd Queensbury, NY
Tax Map ID#: 302.8-1-47 Subdivision Name: CVS Plaza
C,YS Pkoa v,1
CONTACT INFORMATION:
• Applicant:
Name(s): Bill Hellmann
Mailing Address, C/S/Z: 319 Blames Ct Dodgeville, WI 53533
Cell Phone: ( ) Land Line: ( )608-407-9081
Email:Bill@permit.com
• Primary Owner(s):
Name(S): Friends Realty Assoc. LLC
Mailing Address, C/S/Z: 421 Seventh Ave New York NY 10001
Cell Phone: ( ) Land Line: ( )401-765-1500
Email:
i u \\• Contractor(s): ll„Jj
Business Name: TBD { [MAR 0 5 2019
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: ( ) Land Line: (
Email:
• Architect(s)/Engineer(s):
Business Name: Core States Architecture and Engineering P.C.
Contact Name(s): James Welch
Mailing Address, C/S/Z: 58 Mount Bethel Rd ste 301 Warren NJ 07059
Cell Phone: ( ) Land Line: ( )267.464.8068
Email:Jwelch@core-eng.com
Contact Person for Building & Code Compliance:James Welch
Cell Phone: ( ) Land Line: ( )267.464.8068
Email:Jwelch@core-eng.com
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
I
PROJECT INFORMATION:
TYPE: XX Commercial Residential
WORK CLASS:
Single-Family `Two-Family Multi-Family(#of units
Townhouse Business Office X Retail
Industrial/Warehouse `Garage (#of cars ) _Other(describe
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: +1- 1600
2nd floor: 2"d floor:
3rd floor: 3rd floor:
Basement (habitable space): Basement(habitable space):
Total square feet: Total square feet: +/- 1600
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $72,000.00
2. If Commercial project, what is the proposed use: no change to current ( Mercantile)
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? 2.35(deeded),2.35(calc)
b. Is this a corner lot? YES NO
c. Will the grade be change as a result of the construction? YES NO
d. What is the water source? PUBLIC PRIVATE WELL
e. Is the parcel o EWERr 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: Bill Hellmann
SIGNATUREAAIiiI► DATE: 3/1/19
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018
0111011. FIRE MARSHAL'S OFFICE
.4 .1M Town of Queensbury
742 Queensbury,
Bay
Road, ueensburi, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
cVs FfL
216 Quaker Road ��
CC-0100-2019 Ay
3/6/2019
The following comments are based on review of drawings:
• Verify fire extinguisher location and inspection
• CO detection required , verify
• Verify operation of exit/Emergency lighting.
• Lock/ latches shall comply with Chapter 10 of 2015 IBC.
• Verify paths of egress
• Knox Box will be required
• Fire alarm changes shall be advised. NFPA 72 letter of compliance required
for any moving of appliances or modifications to the system
x\c\c\,e
Michael J Palmer
Fire Marshal
742 Bay Road
Queensbury NY 12804
firemarshal@queensbury.net
Fi re Marshal 's Office • Phone: 518-761-8206 • F a x: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net