2012-084 TOWN OF QUEENSBURY
742 Bay Road,Qucensbury,NY 12804-5902 (518)761-8201
VA"
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120084 Application Number: A20120084
Tax Map No: 523400-296-019-0001-029-000-0000
Permission is hereby granted to: THE NATURAL IMPROVEMENT CENTER
For property located at: 357 BAY 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 Value
Owner Address: OLD SCHOOL HOUSE L.L.C.
ATTN: JOHN & DIANE MATTHEW`. Certificate of Occupancy(COM)
2546 STATE ROUTE 9L Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-084
CO only- THE NATURAL IMPROVEMENT CENTER
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, March 08, 2013
(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 wn o uee; : . . , March 08, 2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
01111110,, TOWN OF QUEENSBURY
Ir� 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120084 Date Issued: Tuesday, June 26, 2012
This is to certify that work requested to be done as shown by Permit Number P20120084
has been completed.
Location: 357 BAY Rd
Tax Map Number: 523400-296-019-0001-029-000-0000
Owner: OLD SCHOOL HOUSE L.L.C.
Applicant: THE NATURAL IMP ROVEMENT CENTER
This structure may be occupied as a:
Certificate of Occupancy (COM) 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 Director of Building& Code nforce ent
or Zoning Board of Appeals.
Comnumity Development O ffice
Q I lAcNO g;-1E-C—LE-11--W1-9
Town of Queensbury• 742 Bay Road • Queensbury, New York •12804 ;
to Stmt. 0.
Marilyn Ryba, Executive Director•David Hatin,Director of Building&Codes TOWN OF ,
Craig Brown,Zoning Administrator•Michael J.Palmer,Fire Marshal ; BUILDINOGU& CODES i
NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT
APPLICATION
TAX MAP # Z7( , /
y BLDG. PERMIT FILE# rQ
app Ica.e
Name of Business U. UI L, V ha .41_ All sa.
Address C
of Business:35-7 4e) J�, J! 4)U,11 QAi n y � QUESTIONS? CALL 761-8256 OR
"� EMAIL codesaqueensbury.net
(((/// a VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: 6c�rG Se e(y,� INFORMATION
_.---- �` www.aueensbury.net
Business Phone Number: 5 I D 7 9 S- 74/7 X
Type of Business: A-i F-110,4-1 tr-L) / J C.aL l
Owner of Property: • f
P riY=- -� � _ '�1/ I d -Phone Number(s):,�1 20. 0-S 4,
cea
Owners
Address: /5L/1 'R\R"-f_ q L rpt, i 2 pl CAI '1 -t-1 , An.., /, s2.,--, 4
Please provide an accurate layout of your store showing all walls, exits, stockrooms. rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: 2 Date: 2 - 1 7—1 2
Of person form
Notes/Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: ? — ) 7 1 Z._
BUSINESS NAME: "Tt , Ara fra f I'Vtp I Vt4rv4 vi ' nte,,
BUSINESS ADDRESS: 3 /salt. Po),
�t
BUSINESS PHONE: 5, 2 — 7 Li f- 7 y 73
HOME
CONTACT 1: &SI& i PHONE,h/B 7'M 9 7(4
ADDRESS: -)-,41 I` Qt--Ic i i Ed
HOME/
CONTACT 2: SA a _ �� . PHONE t(7— 437--"O5
•
ADDRESS: c�59 vd-k t � J\/c1 13 `782-
This form is used to assist Emergency Service personnel who ma e called to
your business after hours. Please be sure that the persons listed on this form will
be willing and available to respond during off-hours to assist Police and/or Fire
personnel in gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE
PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY
POLICE AND/OR FIRE PERSONNEL
TOWN OF QUEENSBLIRY FIRE MARSHAL'S OFFICE
P h o ri e: 518-761-8206 • F a x: 518-745-4437
firernarshal@queensbury.net • www.queensbury.net
1
Inspection Form o
Town of Queensbury Fire Marshal O Periodic Inspection Date: Time:
742 Bay Road,Queensbury NY 12804 o Re-Inspection
518 761 8206/518 761 8205 lg.CO Inspection Permit* I a,06`4
Fir Marshals Representative yy ''
MJ Palmer Business Name:TL Iv9 tuna i .. rnPr rho t- C01 ter∎
Location: 3 fa ( 6141 0
GK Stillman Contact: bones 5 7_.1,4
Type of Inspection N/A Y� No
EXITS: Exit Access FC 1014&FC1029 NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024& FC1029 /
Locks and latches FC1008& FC1029.2 /-
Sign:Normal FC 1011 &FC1029 f
Sign:backup FC 1011.5.3&FC1029.7.5 , -
AISLES:
Main Aisle Width FC 1024/1025& FC1029.11 f
Secondary Aisle Width FC 1025&FC1029.11 / 101 + �'FIRE EXTINGUISHER: Hung FC 906 7) j 1G `v\f
Inspection of extinguisher FC 906 / çj G)
EVAC Plan FC 404.6 / ..----r-
TRUSS ID SIGNAGE FC 505.3 .� N
EMERGENCY LIGHTING:
Interior FC 1006.3& FC1029.8 /
Exterior FC 1006.3 .,
Clearance to Electrical FC 605.3 /
Electric Wiring Enclosed/Labeled FC 605.3.1 /
Combustibles in Equipment Rooms FC315.2.3 .7- 7
F.D.Signage- FC 510
No Smoking Signs FC 310.3 ,
Storage FC 315.2
Compressed Gas FC 3003 7".
Impact Protection FC 312.1
Interior Finishes FC 803-804 /
Smoke Detectors FC 907
CO detectors FC 610 f
Clearance to Sprinkler/Ceiling FC 315.2,1
18" / 24" ✓ /
i EVAC SIGNS IN Rooms FC 404.6 (R1 &R2) _
Fuel Pump Warning Signs FC2205.6 /
Fuel Station Emer Procedures FC2204.3.5 .//
Vacant Buildings FC 315.3 / REINSPECTIONDUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
Insp OK NC
DATE: OK NC
SYSTEMS: FC 901.6 Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual Fire Marstllel invec Iun Complete
Fuel Island Suppression Semi Annual OK to legue Cortincate of Occupancy
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506 IEN
JUN 2
Operating Permit, iif required will be issued after AWI
Completion of Inspection — I~Ke Marshal
•i a •. °,,A:A. •..
Code Compliance and Informational Sheet for Permit Use
Queensbury ept. of Community Development
Project for: v Oi l 1
Permit No. 2012 U�
j�
Applicant Name:t " T roV67 Zoning Administrator
Tax Map No. -� .194 -4 / TT
V
A• •hca ion - ,
Lot # House # 355'7 - t
rc"ad, street 2012
Lot Size: LC, 4a-c35 R. A
on ngg •min stator
Mobile Home Park: _ TOWN OF QUEENS!URY
Business Plaza:
Planned Unit Dev.
Subdivision: Phase/Section
Effective Year Zoning Designation
Zoning Ordinance
Prior to 1967, July 10 Subject to current setback requirements at time of development.
Section 179-20-10,B
Subsequent to Development of lots within subdivisions subsequent to July 10, 1967
July 10, 1967 shall use the setback requirements in place at the time of the
approval of the subdivision.
1967
1982, June 11
1988, September 19
rner lot rule Prior to Nov. 23, 1992 approved subdivisions * (see note on back of form)
2002, April 9
2009, May 12
R oad Name Setbacks I Existing Required Proposed _ Difference
Front 1
Front 2
Side 1
Side 2
rear 1 —/
Rear 2 T
Shoreline
Travel Corridor
Overlay Zone
Buffer
Yes No
meets depth,width, &square footage requirements
preexisting, nonconforming lot with proper setbacks
required frontage on public road
has required off-street parking
permeable area is adequate (Requirement is %)
building does not exceed maximum height (Max. ft.)
Is lot in a Flood Zone?
Floor Area Ratio worksheet required? Zone: WR-1A
Town of Queensbury
Code Compliance and Informational Sheet for Permit Use
Queensbury Dept. of Community Development
0
U)
0
4-
0
Z * Corner Lot Information for Subdivisions Approved Prior to November 23, 1992
Section 179-30.1 which requires front yard setbacks on both roads for a corner lot was not enacted
until November 23,1992. Therefore, prior to November 23, 1992 parcels within approved
subdivisions have one (1) front yard,two (2) side yards, and one (l) rear yard setback.
Review Type File No. Action Resolution Date
Zoning Board of A• •eals _ �r
Planning Board
Town Board
-_J
Check List Yes No
Recreation Fee Paid
Engineering Fee Paid
Site Plan Maps on File
Subdivision Mylar Signed and
Filed with County
Application appears to conform to the requirements of Section(s) of the local
Town Code:
Application requires additional review for the following:
Zoning Board of Appeals
Planning Board
Town Board of Health
Town Board for Mobile Home Outside of a Mobile Home Park
Other
Reviewer: Staff Da a Notes
3o l_�'
Town of Queensbury
Page 1 of 1
r
1
III
jI \ 1lI
________r__r__L, III
II
1 Ili C r mercial,bats: . iv „, �l
1 x III
II II1 J
�f�° ,,!' ----) III
ik miar p;' ' III
I II 1
Ill IIII II �II ---1 I
V.
I I \, i
7 i Soalebar length always=300feet
yilommi :vl.7rl
The Town of Queensbury does not warrant the correctness or accuracy of this data or assume any
responsibility for any explicit or implied uses.
/,�� Towel of Queenshur��
;55*1 742 Bay Road
Queensbury, NY. 12804-5902
http://gby2svr/GIS/printdis.asp 3/5/2012
RPS Information Page 1 of 4
•
Oft RPS Property Description Report
5.4...#:$1
296.19-1-29 * 357 Bay
Parcel Information for ROLL YEAR 2012:
Property School Assessed Land Assessed Total
Parcel Location Acres Class Status District Val Val
296•19- 357 Bay 1.6 Prof. bldg. A Glens Falls 156,000.00 650,800.00
1-29 City Csd
h '
` R1
Li® 11[11
�a
:_ �` to ._.
-s\ 1 i. -. __
X' ?+fig" YY'
Image Date: 6/16/2004 Image Date: 6/16/2004
... .irt. . ills I � Y •
. P , a .1wr ■
..h Na 'S r1 y� ` •fit ...
yr ' .....-.. \ _ !N,; .
`ter _
Lipimi_
Image Date: 6/16/2004 Image Date: 6/16/2004
Sales:
Net
http://gby2svr/GIS/RPS_Info.asp?RPT=SALES 3/5/2012 ,
RPS Information Page 2 of 4
•
Sale Sale Sale Sale Cond. Arms Land Value Tot. Value
Date Price Price Book Page;hype Code Len. TOS TOS Prior Owner
04-03-02 0.00 0.00 1258 73 3 B 0 130,600.00 515,000.00 Matthews,John
Owner Information:
Owner Owner Address P.O` Owner Address Line
Box 3
Old School House 2546 State Route Queensbury NY 12804
L.L.C. 9L
Site Information:
Site Nbhd Sewer Water Utilities Site Nbhd Nbhd Road Entry Zoning
# Code Desire Type Rating Type Type Code
1 402-Comm 3 3 4 1 CI
Country
Land Information:
Site# Land # Type Front Depth Acres Sq Ft
1 1 01-Primary 0 0 1.6 0
Building Information:
Site Bldg Section Boeck Model Yr Gross Bldg Stories Wall A Wall Wall C
# # # Built Floor Perim %► B°Ao %►
1 1 1 1 sty office load 0 2287 182 1 100 0 0
sup
1 1 2 sup sty office load 0 2052 194 1 100 0 0
1 2 1 1 sty office load 0 5796 360 1 0 0 100
sup
Improvements Information:
Site Struct Code im Dim S #Constr Overall Y
# 1 2 FT —Grade Cond Built
1 LP4-Pavng- 54000 4 0 1 C 3 1991
asphlt
1 LT4-Strlt-incand 0 0 9 6 C 3 1991
1 RP2-Porch- 0 0 140 1 C 3 1971
coverd
RP2-Porch-
http://gby2svr/GIS/R.PS Info.asp?RPT=SALES 3/5/2012
RPS Information Page 3 of 4
1 coverd 0 0 75 1 C 3 1971
1 RP2-Porch- 0 0 36 1 C 3 1991
coverd
1 RP2-Porch- 0 0 63 1 C 3 1991
coverd
1 RP4-Porch- 0 0 64 1 C 3 1971
enclsd
RP4-Porch-
1 0 0 35 1 C 3 1971
enclsd
Special Districts Information:
Special District Units Percent
EM001-Emergency 0 0
medical
FP007-Fire protection 0 0
LB001-Crandall library 0 0
dst
LT010-Queensbury 0 0
lighting
SE008-Quaker road sewer 16.11 0
SE025-Qby Consolidated 15.05 0
SSD
WT013-Queensbury 0 0
water
RPS Building Permit Information:
Permit Number Permit Date Permit Use Cost Estimate
P96-2039 06-24-96 Sign 0.00
P95-673 Addition 10,000.00
P95-078 03-16-95 Certificate of occupancy 0.00
P92-783 12-03-92 Certificate of occupancy 0.00
P91-498 Offices 200,000.00
P89-298 05-24-89 Addition 30,000.00
P20100033 02-12-10 C/O Commercial 0.00
P20100004 01-20-10 Sign Allstate The Crosby Agency 0.00
P20070024 01-25-07 C/O (Glens Falls Vision Care) 0.00
P20060301 05-25-06 CO (Queensbury Dental Office) 0.00
P20020052 01-25-02 Sign(Remax Peak Performers) 0.00
P20000063 03-14-00 Interior alterations 5,000.00
P1111 04-08-71 Addition 0.00
P1104 03-26-71 Sign 0.00
P1093 02-24-71 Sign 0.00
http://qby2svr/GIS/RPS_Info.asp?RPT=SALES 3/5/2012
RPS Information Page 4 of 4
The RPS codes used in this report are defined here
Need Help printing this report?
The information in the RPS database is maintained by the Town of Queensbury Assessors Office
http://gby2svr/GIS/RPS Info.asp?RPT=SALES 3/5/2012
i-t/trei:---SA-er'"`"j'rr
RE/MAX Peak Performers
EMERGENCY S EVACUATION PROCEDURES:
Nct_ _oceticn cF Fire extincuisher
1. IF you ciscover a Fire in the
ofFice, vial 911 S rive address:
_CC Eay Roec, Cueensdury.
E. %-1ert everyone of Fire, SACK OFFICE To Eck Door
leave cFFice. Close all door-
or the way cut.
3. Evacuate buildinc
throuch Front or rear door York's OFFice
or throuch windows.
4. Account For entire
office staFF.
Ladies Room
Kitchen
Mena Room •'�
ConFerence Room
Copy / Fax
Rocs
V
Front Desk Marian's OFFice
Scott's OFFice
Peccy's OFFice ® Mike's OFFice Betty's OFFice
J
Front
Entrance
1