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HomeMy WebLinkAbout20190069 Artisanal Brew Works Appeal Supplement 3-22-19 ARTISANAL BREW WORKS APPEAL SUPPLEMENT 1 SNYDER, KI LEY, TOOHEY, CORBETT & COX, LLP HARRY D.SNYDER ATTORNEYS AT LAW LOREN N.BROWN* MICHAEL J.TOOHEY PLEASE REPLY TO: 1994-2016 KATHLEEN A. CORBETT P.O. BOX 4367 *RETIRED JUSTICE JAMES G.SNYDER SARATOGA SPRINGS, N.Y. 12866 NEW YORK STATE JAMES S.COX STREET ADDRESS:160 WEST AVENUE SUPREME COURT TELEPHONE(518)584-1500 Shade T.Walerstein FACSIMILE(518)584-1503 Paralegal March 26, 2018 VIA EMAIL AT tbushtcl?saratoga-spring5.org Ms. Trish Bush FOIL Officer City of Saratoga Springs City Hall 474 Broadway Saratoga Springs, New York 12866 Re: Freedom of Information Request 41 Geyser Road,Saratoga Springs,New York 12866 Tax Parcel No. 178.-1-33 Dear Ms. Bush: I acknowledge receipt of your communication dated March 22, 2018 indicating that there have been no Zoning Board of Appeals and Planning Board submissions with regard to the above specified property. Based on my experience, I disagree with your findings. The property in question, located on the north side of Geyser Road is 3.58 acres of Iand and it contains a converted residential structure and a modern manufacturing structure. The combination of two(2) uses of the Property, in and of itself, would dictate that there must have been some Planning Board action so as to permit the two (2) buildings to exist and I believe that having two (2) principal uses on the Property would also have required Zoning Board approval. Also, the rear manufacturing building was built in approximately 2000 and I believe by its nature it would have required Planning Board approval. The original tenant in the building was American Bicycle or some name similar to that. I would appreciate it if you would again review the land use files as I find it hard to believe that there are no land use board actions pertaining to this real estate. Very Truly yours, cs.\\, \\1/4). ) Michael_J. Toohey MJT/tIp cc: Marie Louise Whitney&John Hendrickson ARTISANAL BREW WORKS APPEAL SUPPLEMENT 2 Zimbra trish.bush@saratoga-springs.org Freedom of Information request Marie Louise Whitney From : Michael Toohey <mtoohey@sktccLaw.com> Tue, Mar 20, 2018 12:05 PM Subject : Freedom of Information request Marie Louise Whitney e1 attachment To :Trish Bush <trish.bush@saratoga-springs.org> Trish: Here is a signed copy of the Freedom of Information Request I sent to Vince with a copy to Jen Merriman. Any help you can be in processing this request will be appreciated. Mike Snyder, Kiley,Toohey,Corbett&Cox, LLP 160 West Avenue, P.O. Box 4367 Saratoga Springs, New York 12866 mtoohey_@sktcclaw.com Phone(518) 584-1500 Fax(518) 584-1503 Ltr to V DeLeonardis with encl 2.12.18.pdf 1 MB ARTISANAL BREW WORKS APPEAL SUPPLEMENT 3 vits:v()GA City of Saratoga Springs VINCENT J. DELEONARDIS CITY ATTORNEY'S OFFICE CITY ATTORNEY CITY HALL ANTHONY J.IZZO � 474 Broadway—Room 7 ASSISTANT CITY ATTORNEY FAN:";+ Saratoga Springs,New York 12866 Ye A ' TRI BUSH • arc SH US Telephone 518-587-3550, ext.2414 EXECUTIVE ASSISTANT R A E Fax 518-587-1688 VIA EMAIL ONLY April 13,2018 Michael J. Toohey Snyder, Kiley, Toohey, Corbett&Cox,LLP mtoohey@sktcclaw.com 160 West Ave. Saratoga Springs,New York 12866 RE: FOIL request—41 Geyser Road Tax#178.-1-33 Dear Mr. Toohey, The above FOIL request has been processed and is complete. The fee for your request is $31.75. Please bring cash, a check, or money order payable to Commissioner of Finance with you when you come in to pick up the materials. If you prefer, you may mail the check to my attention at the above address and once received, we will mail the documents to you. Thank you, Trish Bush FOIL Officer ARTISANAL BREW WORKS APPEAL SUPPLEMENT 4 VINCENT J. DELEONARDIS vitsj 0 GA is, CityoSf Saratoga CITYATTORNEY CITY ATTORNEY'S OFFICE r a _ �� CITY HALL ANTHONY J.IZZO -� " ASSISTANT CITY ATTORNEY y 474 Broadway—Room 7 i Saratoga Springs,New York 12866 TRISH BUSH - 518-587-3550, ext.2414 EXECUTIVE ASSISTANT ORATE° Fax 518-587-1688 April 13, 2018 Michael J. Toohey Snyder, Kiley, Toohey, Corbett& Cox, LLP 160 West Ave. Saratoga Springs,New York 12866 RE: FOIL request—41 Geyser Road Tax#178.-1-33 Dear Mr. Toohey, In accordance with the provisions of New York State Public Officers Law §87, enclosed please find documents that are responsive to your FOIL request. This completes our fulfillment of your request in accordance with the statutory requirements of the Public Officers Law. Should you feel that you have been unlawfully denied access to records, you may appeal such denial in writing within thirty (30) calendar days. You may direct your appeal to this office. If you require additional information or wish to discuss this matter further, do not hesitate to contact me. Very truly yours, Trish Bush, FOIL Officer Enc. ARTISANAL BREW WORKS APPEAL SUPPLEMENT 5 BUILDING PERMIT SUBMISSION CHECKLIST ALTERATIONS COMMERCIAL BUILDING p PROJECT SITE ADDRESS Li I .e)145)i.--P." f?-4 ZONING DISTRICT CHECKLIST PREPARED BY: VAR-1- igOe C411e-tir PREPARER'S PHONE No.:_11111111.111_ ALL ITEMS BELOW MUST BE CHECKED EITHER "YES", "NO", "N/A",or"PBA" (pending board approval - only where applicable). A separate checklist, must accompany each application for a building permit. All items checked "YES" shall accompany the application form at the time of submission to the building department. Until the application is deemed complete it may be rejected by the building department and returned to the applicant. Acceptance of a permit submission as complete does not imply or guarantee that a permit will be issued. --- ,_ 1" -- ------. YES NO N/A. PBA , .• ,,_, 1. Building permit form completed and with required signatures from the property . . owner andapplicant. ------_:---. __ -.=.--.-_-_--' 2. Permit fee to be determined at plan review 3. Energy code compliance report, bearing the seal and signature of the N.Y.S. .. licensed professional engineer or registered architect. Specify compliance path: .__ _ 4. Ener. code inssection checklist. , ,. _ 5. Septic system permit application form completed and with signatures from the property owner and the contractor. 6. Site plan approval from Planning Board. ic--- 1 .&-- , , 7. Special permit approval from Planning Board. , <-:---- 8. Architectural review approval from: Plannine Board Desis n Review Commission ) 9. Historic review approval from Design Review Commission. _10. Zoning Board of Appeals approval. -- ,-- ---,----,---_ 11. One complete set of building plans, each sheet bearing the seal and signature of 1 , the N.Y.S. licensed professional engineer or registered architect. The set shall . . .., r include. but not be limited to the following drawings: (a) structural plans; (b) floor plans-all levels; (c) cross-sections; (d) details; (e) elevations; (f) schedules; (g) HVAC; (h) electrical; (i) plumbing; (j) codes specifications; (k)fire protection systems; (I) complete coda summary 12. In accordance with section 1704 of the Building Code of New York State, a . _.. . _._ . . . statement of special inspections shall be prepared by the registered design . . . . , g , . professional, to include: a complete list of materials and work requiring special , . inspections; the inspections to be performed; and a list of the individuals, approved agencies.or firms intended to be retained for conducting such inspections. — 13. Other: L___,I ec*..(..d01-i ?f--Crici,-) t--?;41 91"Eit, LA.)cl.),-k:__ FOR STAFF USE ONLY: , .. ' • , SUBMISSION ACCEPTED FOR REVIEW , DATE // ' /5- TIME REVIEWED BY(SIGNATURE) .,v-7 ----##*-54°#'Z' . , . . , _ . • , . ' • ••. .„ . - • REVISED 6-13-12 . , aTURNISAINITAF_CgMAnittalclUARINRWL SUPPLEMENT 6 . ,:,-.'s A b '% CITY OF SARATOGA SPRINGS BUILDING DEPARTMENT File# 9 DLI City Hall-474 Broadway Saratoga Springs,NY 12866 Application# .;Di C38(.0 4fecviPciR„Tvo 0.'" Telephone (518)587-3550 Ext. 2511 Fax (518)580-9480 For Office Use Only job Site 9 406A/SER— F-1 Permit No. ,r)-6 l i I 3a_o Date Applied ( i — 15- I tp Zoning Informatiov‘, Issue/deny date Jai/xl a 4 Zoning District 1 IN X-1 Sect-Bik-Lot I -7 8, - 1- 33 Permit Type—check line that applies: Lot Width Lot Area No.of Bedrooms 1st Floor Area Residential-New Addition No.of Stories 2nd Floor Area Alteration Bldg.Height Basement Area Commercial—New Yard Dimensions for Principal Building Addition Front Rear Left Right Alteration r'•-#.- Change of Occupancy Accessory Building—Distance To Application Fee I C. Principal Building Left lot line Fee Balance $515"1 75 Rear lot line Right lot line Fee it i i 6 t 2 5 Owner -R en je Lb a/11/1 .0 ,,, (-- Applicant (‘'11) ,/,, ,,,, (-67,4,,,,, 1,,,,„ /-- _Address / 4' / e ?ey_SOPI 77,47(1 Address 24/ 6.g/504-°r SS / 1-1gPOY (-169 5cAJV iWj Phone Phone Fax Fax Email Email , CID# 7 D 1 1 ,, N red/ ( -0-;i4) Contractor 0 .------- Design Professional ii"—iief ieleA ttvipteei .4 Address Z It; ° XcAten'Pe. 1--Address .4?641 If/ })1' l' e,c,..eeel-5 tr-- i . 19 C)11/ Phone Phone Fax Fax Email Email CID# CID # 4—22°53 Pa i ))5-- ( 1 1;qi{ ADDRWRITSANATL BRW /PEAL SUPPLEMENT 7 Is the job site in a floodplain? Is this job site in a historic district? e, Construction Costs If so,DRC approval date Is this job site in a architectural district? Ab Basic Improvement $ If so,date of approval Electrical $ Does application require approval ZBA approval? 1A) Heating $ If so,date of approval Other $ //a C-70 Does application require the city planning board approval? '7- -Total Cost If so,date of approval .> (Ex: site plan,subdivision,special permit) *Please note that all applications granted approval by the Design Review Commission and/or the Zoning Board of Appeals shall expire within eighteen months unless a building permit is issued and actual construction has begun(section 240-7.12) Application is hereby made to the Building Department for the issuance of a building permit for construction as herein described,pursuant to provisions of the Zoning Ordinance of the City of Saratoga Springs and in accordance with the N.Y.State Uniform Fire Prevention and Building Code which is applicable to new construction of buildings, and to conversions,additions and alterations to buildings.The owner and the applicant agree to comply with all applicable laws,ordinances and regulations and with all regulations and procedures as explained in this application,and will allow all inspectors to enter the premises for all required and necessary inspections. The following regulations shall apply: • A. This application shall be completed and signed by the property owner and the applicant,and submitted to the Building Department. B. This application must be accompanied by: 1. Plot plan showing lot dimensions,existing and proposed buildings or structures on the lot and their distances to one another as well as to the lot lines,and all other pertinent details of the property.A copy of a legal survey is required for all new construction and may be required at the discretion of the building inspector for all projects as deemed necessary. 2. One complete set of plans and specifications for the proposed construction,each plan bearing the signature and seal of a New York State Registered architect or licensed professional engineer,(exception:projects where no structural work is necessary and expenditures are minor,in accordance with the State Education Law).For all new construction completed checklists shall be submitted(see attached). 3. Liability insurance coverage: (a) For general contractors acting in the capacity of a general contractor.a Certificate of Insurance on an ACCORD form with Commercial General Liability Insurance of One Million Dollars($1,000,000)per occurrence aggregate naming the City of Saratoga Springs as an Additional Insured and Certificate Holder; (b) For homeowners with no contractorparticipation in the project:proof of homeowners insurance evidencing General Liability in the amount of Three Hundred Thousand Dollars($300,000;and (c) AllApplicants must provide proof of NYS Statutory Workers Compensation,Employer's Liability and Disability Insurance or a waiver of same as determined by the NYS Workers Compensation Board. C. Application fee as required by the City Code and as calculated by the building department,shall be paid by check or money order (payable to"Commissioner of Finance") D. Work covered by this application shall not commence prior to permit issuance. E. Occupancy of any building or premises to which this application applies shall not occur prior to the issuance of a required Certificate of Occupancy. F. Any deviation from approved plans must be authorized by the approval of revised plans subject to the same procedure established for the examination of the original plans by the building department,including any required fees. G. Building Department shall be notified(minimum notice—24 hours in advance)according to this required schedule of inspections. (Note;before subsequent inspection requests will be scheduled,all prior inspections shall have passed). See attached card for required inspections included with building permit when issued. H. The building permit is effective for two years from the date of issuance unless a different period of time is specified. The Individual filing this application, to the fullest extent provided by law, shall indemnifr and save harmless the City of Saratoga Springs, its Agents and Employees(hereinafter referred to as "City'),from and against all claims,damages,losses and expense(including,but not limited to,attorneys'fees),arising out of or resulting from the performance of the work covered by this building permit application,sustained by any person or persons,provided that any such claim,damage, loss or expense is attributable to bodily injur.y, sickness, disease, or death, or to injury to or destruction of property caused by the tortious act or negligent act or omission ofApplicant,its contractor or its employees or anyon' or wh; the :n actor is legally liable or Subcontractors. i /I C' SIGNATURE OF PROPERTY OWNER DAiE SIGNATURE OF CONTRACTOR alP° DATL( ARTISANAL BRWW0 7-' S APPEAL SUPPLEMENT 8 ADDRESS/LOCATION L,7-ey-cer SPECIFICATIONS & MATERIALS CHART GENERAL SIZE MATERIAL SPECIFICATIONS OTHER -FOOTINGS psi DRAIN going to: -SLAB psi -FOUNDATION WALL psi WATERPROOFING VENT -COLUMNS/PIERS v L/1 71;,,,t7 psi -GIRDERS/BEAMS 5p4,94?"7 -EXTERIOR WALL STUD o.c. -INTERIOR WALL STUD o.c. -FLOOR JOIST, 1st FLOOR o.c. -FLOOR JOIST, 211c1 FLOOR o.c. -CEILING JOIST o.c. -ROOF RAFTER o.c. -COLLAR TIES o.c. -RIDGE BEAM -FLOOR SHEATHING -WALL SHEATHING -ROOF SHEATHING UNDERLAYMENT INSULATION SIZE MATERIAL VAPOR BARRIER R-FACTOR -FOUNDATION -OUTSIDE -FOUNDATION - INSIDE -UNDER SLAB -EXTERIOR WALLS -CEILING/ROOF FINISH WORK SIZE MATERIAL UNDERLAY OTHER EXTERIOR WALLS INTERIOR WALLS FLOOR CEILING ROOF MISCELLANEOUS SIZE MATERIAL SPECIFICATIONS OTHER „, - ADDRAKTFPSANAL BVW 4/ PEAL SUPPLEMENT 9 i., - 4 a J 4y4 HEATING SYSTEM PLUMBING-#UNITS&VENT SIZE TYPE FUEL SINKS 4AVORATORIES VENT-MATERIAL SIZE TOILETS TUB/SHOWER / SEWER-TYPE-CITY \ P ' r1TE DESCRIBE(DRAW 0 ITE PLAN) WATER SUPPLY-CIT'Y PRIVATE CHIMNEY AND/OR FIREPLACE:I� RIr1L FLUE SIZE GARAGE TYPE:r1TTAQD DETACHED UNDER NO.CARS GARAGE/DWELLING SEPARATION:DOOR TYPE .:.FIRE Rc3TING MATERIALS: HR.FIRE Rc1TI PORCH:FOOTING FOUNDATION PLEASE PROVIDE A BREIF DESCRIPTION OF WHAT THE SCOPE OF WORK IS TO BE DONE: Sti-r-14 e,t444ra (” 3 4 l tira hr.: - a FN t-J/,• /71,, S/�f.z� Zy3 720 eckde p "eedectlY 3 re ✓ ).1.„.. (,„,,,,, .,: ,ea.,42,/i5 0/ .//,he 04._d 7;te r- 5 Xi ii--,6( ,e.,,,,,,,-Kee_r Rio/ ?:"Z A.S 64/Le- Z/. 6( (-c eei5,4ed ,5 pip vcc4,ra( ean-P7 iLi.e�r', v ter ARTISANAL BREW WORKS APPEAL SUPPLEMENT 10 ADDRESS/LOCATION **LOCATE MAIN BLDG,ACCESSORY BLDGS,AND ANY i1DDITIONS,GIVING ALL PERTINENT YARD DIMENSIONS REAR LOT LINE ft. t I • REAR YARD ft. LEFT YARD RIGHT YARD *ACCESSORY � ft. BUILDING A ft. LEFT I RIGHT LOT �G .to 61'GA LOT LINE (be/ L� LINE DISTANCE SEPARATION ft. (ov- ft. T.FFT YARD * MAIN RIGHT YARD tft. BUILDING � ft ► I FRONT YARD ft. 4 FRONT LOT 5LINE ft. o. 1 9/28/2017 Zimbra ARTISANAL BREW WORKS APPEAL SUPPLEMENT 11 Zimbra john.barney@saratogasprings1org Re: Artisanal Brew Works From :John Barney <john.barney©saratoga-springs.org> Wed, Sep 27, 2017 04:39 PM Subject : Re: Artisanal Brew Works To : Carrie Spencer <Carrie.spencer@saratoga-springs.org> Carrie, The Building Dept has no issues at this time regarding the Eating and Drinking License for Artisanal Brew Works (41 Geyser Rd). Sincerely, John Barney Zoning and Building Technician From: "Carrie Spencer" <carrie.spencer©saratoga-serings.org> To: "Brad Birge" <bbirge@saratoga-springs.org>, "Danielle Willard" <da n iel le.wil lard @saratoga-springs.org>, "Donna Buckley" <don na.buckley@sa ratoga- springs.org>, "John Barney" <john.barney@saratoga-springs.org>, "Kathleen Farone" <kath leen.farone@saratoga-springs.org>, "Marilyn Rivers" <ma rilyn.rivers of saratoga- springs.org>, "Raelynn Smith" <raelynn.smith@saratoga-springs.org>, "Skip Scirocco" ski p.sci rocco@saratoga-spri n gs.org> Sent: Wednesday, August 30, 2017 11:06:46 AM Subject: Artisanal Brew Works Attached is the eating & drinking and cabaret applications for Artisanal Brew Works, please advise of approval or denial. Thank you, Carrie Carrie Spencer Senior Clerk,Accounts Department Saratoga Springs City Hall 474 Broadway Saratoga Springs,NY 12866-2292 Office:518-587-3550 ext. 2546 Fax: 518-587-6512 Carrie.Spencer0Saratoga-Springs.arc Confidentiality/Privilege Notice: This e-mail communication and any files transmitted with it contain privileged and confidential information from the City of Saratoga Springs and are intended solely for the use of the individual(s) or entity to which it has been addressed. If you are not the intended recipient, you are hereby notified that any disclosure, copying, https://m.Saratoga-springs.org/h/printmessage?id=9538&tz=America/New York 1/2 9/28/2017 Zimbra distribution, or takingAVW.- MnIWWsKisWegiFtighl-oRdrs)F&WANitTstlitly prohibited. If you have received this e-mail in error, please delete it and notify the sender by return e-mail. Thank you for your cooperation. • https://m.saratoga-springs.org/h/printmessage?id=9538&tr=America/New_York 2/2 ARTISANAL BREW WORKS APPEAL SUPPLEMENT. 13 ___ CITY OF SARATOGA SPRINGS Q• or I, i•-: .-0'''r'. - CHAPTER 136 LICENSES New Appticatiou • Renewal Application 1 ( ircle one I 1 Original date of app' tion 31. Current Expiration g/31 i 11 . Eating and Drinkin Cabaret Loden (ii of rooms )Sidewalk Cafe17 1. Name of Business atft :up_olar,o_ , .r- _ 2. Business Physical Address kif .Ev dle r got . % "Sara b,, et Ilro, 3. Business Mailing Address 111 0 v't ( Rd . ? ta/' 4. Business Web Address a r Ir.544,.,0 r eid toc,r t4. , .ez,rv) 5. Business Phone K±04/''.' c2..Y7Fax Number Emergency Cell Phone 6. Applicant's Name Co ii,'", a 7. Applicantm 's Hoe Address 1 4 8. Applicant's Home Phone.56i,,(4,,,Ce... 613 4e Rat 1 Applicant's Date of Birth ,A - IC' 9. Business Owner: 61)41 4Cat„ki V) Euaail: 80. Emergency Contaet_Klitrf &Clara* Email: P.014. tOrtIK tetra:/gftone 11. Current Occupation ' it Pr iiir a,.. •- - et' A— . 12. Applicable Business Experience I . i7i, &it s,..,6 S . 13. Owner ofProperty ,,P . t I a. Property Owner's Phone H. Property Owner's Ad.ress _ irj s4:>,,,--- pd. . 15. Describe,in detail,services provided and the uses of your premises: 73r.e um 1 V eid 1122P rele),*r% 16. Type of fire protection equipment: ..:ilrit-11-7"I-737 ,ik terrtalgresriillid tiVO.••:.i-ii7 `il.II 14-'iFTIVTitifitiiitli • Sprinkler System? Yes[]No rj Ryes,date last inspected and/or serviced: By Who: Fire Extinguishers? YesrADElow many extinguishers? If yes,date last inspected and/or serf cad: df— I so. Coil By Who: Commercial Exhaust Hood? YesO No If yes,date last inspected and/or serviced: By Who: Fire Alarm System? Yes':Noa If yes,date last inspected and/or serviced: By Who: Other? _ 17. Expiration date of New York State Department of Health Certificate or New York State Department of Agricukure and Markets Food , . Processing permit.e --30 'il(Please include copy) 18. Is kitchen equipped with a functional grease trap or grease interceptor? Yes otki,d,_. -rk,,,..e i 5 ci.fte IN If yes,frequency of inspection/service?Weeirly0Bi-weeklyElMonthilp Other By Who: MitrittaTirri...KRENErri4dateigii.i ..•1:(11 irej Efil ii,. ,o isaii:11 19. Does your business use a dumpster?YesIZINcEl(Ifyes,contaa the Department of Public Safev to obtain the required Dumpsier Penni0. 20. Does your business have an alarm system? es EINoValyes,you will be required to complete the one time Alarm User Permit). ,i 2 L Do you serve alcoholic beverages?Yes Non If yes,how many bars do you have(include main and satellite)? If yes,you are required to submit with this application all of your current New York State 'quor Licenses. 22. Ifrenewing,have you made any floor plan changes since your last renewal?Yes 171 No If.iy ,s. please include an updated floor plan.a new applications must supply floor plans. (Floor plan can be as simple as a sketch on an 8x1.0 piece of paper to show the layout of your establishment.) I . City of Saratoga Springs Chapter 136 License Application 6-1.2017 . 2 _ _ • Li........ ..... ii. ., ..m. - • g p ARTISANAL BREW WORKS APPEAL SUPPLEMENT 14 -.II..l.... , 23. Do you employ security guards or hire security guards for your business?Yes fl No,vA , (7f yes,you are required to subinitproaf with this application th atyour establishment is registered and licensed with the State of New York Department of State Division of Licensing authorizing you to employ security guards. You must also provide with this application a detailed sketch(attach an additional sheet of paper)of the identIying shirt your business will be using as the security guard uniform,which has to include your business name, as well as five inch lettering, all capital letters,SECURITY across the chest of the front of the shirt, and across the shoulder blades on the back of the shirt. This will he submitted by the City Clerk's Office to the _Department of Public Safely for approval. Your security guards are required to wear Public Safety approved identification while employed at your establishment. Within the first five(5)days of employment of each security guard,you will be required to provide the COI proof of each security guard's New York State registration) 24. Describe,in detail,the fixed locations of your security guards: The City of Sarratona Swings requires: 1. A Certificate of Insurance for Proof of commercial general liability insurance, including personal injury liability insurance, in the , amount of One Million Dollars ($1,000,000)per occurrence and Two Million Dollars ($2,000,000) aggregate,naming the City of Saratoga Springs as an additional insured.The City shall be included as an additional insured on said insurance for the permit(s)process. The City of Saratoga Springs must be listed as the certificate holder with the physical address of 474 Broadway,Saratoga Springs,NY 12866. 2. Proof of New York State statutory workers'compensation and employer's liability insurance for all employees,or a waiver of same as permitted by law. 3. For sidewalk cafes that serve alcoholic beverages,a Certificate of Insurance for liquor legal liability insurance in the amount of five hundred thousand dollars($500,000)bodily injury and property damage per each occurrence must be submitted with this application. Such insurance must contain a provision that the Commissioner of Accounts be notified if the policy is cancelled or if there has been a material change in coverage and/or conditions. The City of Saratoga Springs must be listed as the certificate holder with the physical address of 474 Broadway,Saratoga Springs,NY 12866. The Certificate naming the City of Saratoga Springs as Additional Insured solely for the issuance of permit(s)should be addressed to the attention of Department of Accounts City of Saratoga Springs 474 Broadway Saratoga Springs,NY 12866 Attention:City Clerk's Office The Licensee acknowledges that failure to obtain such insurance on behalf of the municipality constitutes a material breach of contract and subjects Licensee to liability for damages,indemnification and all other legal remedies available to the City. The Licensee is to provide the City with a Certificate of Insurance naming the City as Additional Insured prior to the issuance of any permit.The failure to object to the contents of the Certificate of Insurance or the absence of same shall not be deemed a waiver of any and all rights held by the municipality. The Licensee shall indemnify and save harmless the City of Saratoga Springs,its Agents and Employees(hereinafter referred to as"City"), from and against all claims,damages,losses and expenses(including,but not limited to,attorneys'fees),arising out of or resulting from the licensed activity,sustained by any person or persons,provided that any such claim,damage,loss or expense is attributable to bodily injury, sickness,disease,or death,or to injury to or destruction of property caused by the tortuous act or negligent act or omission of Licensee or its . employees,its agents or subcontractors. Nothing in this license shall be construed as granting the Commissioner of Accounts any power to confer rights upon license holders to do or pertain any act in contravention of any duly adopted zoning regulations or ordinance in effect in the City of Saratoga Springs.It shall be the responsibility of the licensee to determine if his or her activity complies with the applicable zoning ordinances, City of Saratoga Springs Chapter 136 License Application 6-1-2017 3 1 ARTISANAL BREW WORKS APPEAL SUPPLEMENT 17 .� +� �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM1DDNYYY) 081301241 7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE {TOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUT5 A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANP. If the certificate !Holder is an ADDITIONAL INSURED, the poiley(ies) must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION 1S WAIVEt3, subject to the terms and conditions of the policy, certaln poiicles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in l'Iou of such endorsernent(s). PRODUCER CONTACT House NAME, Hughes Insurance Agency. Inc. H NN Ext); (518)71 3-3131 as � N� : (51$)793-3121 AAI328 E-MAIL: ADDRESS: Bay Road INSURER (S) AIF`FbR[31NG C411ER4©"E NAIL # ISO BOX 4630 INSURER A : Tri-State Ins Ca of Minnesota 31003 Queensbury NY 12804 INSURED INSURER 13: Sentinel Insurance Co_ LTD 11000 QUINN BORCHARDTBRENNG LLC INSURER C INSURER D - ARTISANAL BREW WORKS INSURER, E 41 GEYSER ROAD INSURERF : SARATOGA SPRINGS NY 12886 COVERAGES CERTIFICATE N UM13ER: 17-18 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE DEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE P01FICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM! OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT 1!°IJITH RESPECT TO WHICH THIS CERTI HOATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TifPl= �F INS ISD MD POLICY NUMBED POLIGYEFF I4;MIDD1"ifYYY POLICY EXP MMIDD LIMITS COMMERCIAL 13ENrzRAL L?ABILITY EACH OCCURRENCE 2,000,000 CLAWS -MADE � OCCUR 500 PREMISES Es a trance $ ,000 MED EXP (6ny one person) $ 10,880 PERSO MAL & ADV INJURY $ 2,000,000 A ADV5273665-11 OW0112017 09101/2018 GENERAL AGGREGATE $ 410009000 +GEN'LAGGREGATE LiMITAPPLIES PER, PRODUCTS- COMPIOPAGG $ �irO0DJ-000 X.Poucy EPRO- JECT LOC O -!•HER: AUTOMOBILE LIABILITY COM131NED SINGLE LIPAIT $ 2,000,000 Ea EiWdentl BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY ALITOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY ADV5273666-11 09/0112017 0910112618 BODILY INJURY (Per amident) $ PROPERTYUA-MAGE $ Per aWdenl UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAO CLAIM&MADE DEDT RMESON S B WORKT RS COMPENSALMN AND EMPLOYERS' LIA131LITY YIN ANY PROPRIE TORMARTNERJEXECIJTIVE OF~FiCEWM�EMBER EXCLVDED,? (Mand4tnry In N141 N I s1 Q1U CZI2�10' 0311$12017 031161201$ STATUTE ER EL_ 1✓ACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 1 Ot}.60D 500 000 E.L. DISEASE - POLICY LIMIT $ , If yes, desc6a under I)ESGRIPTION OF OPERATIONS below Liquor Liability Business Personal Property ADV527366�6-11 09/0112017 09101120/8 each common cause 2,0401000 Iimitf $2,500 deductible 25.000 DESCRIPTION OF OPERATION'S ! LOCATIONS I VEHICLES (ACORN IB1, Add itlonal Rom arks Schodule, may be attochad if mom spaco is required) Subject to all policy terms, IlMitations and conditions: Certificate Holder is Additional Insured on a primary hien Contributory basis, including Waiver of Subrogatlon, when required by wriKen contract, agreement or permit_ C15RTIIF+ICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPiRAT1ON DA`rE THEREOF, NOTICE WILL BE DELIVERED IN City of Saratoga Springs ACCORDANCE WITH THE POL(CY PROVISIONS, 474 Broadway AUTHORIZED REPRESENTAEVE Saratoga Springs NY 12586 WALL 0 1988-2016 ACORD CORPORATION. All rights Feserved. ACORN 25 (2016103) The ACORD name and logo are registered marks of ACORD or F ARTISANAL BREW WORKS APPEAL SUPPLEMENT 18 to �{ � STATE OF NEW YOB Y,� 0 KKS' COMMNSATION ROA9P. !`1'G� T] sT'iTtT!'i�i rI'�'Ti �f i►3� �nTi`� YIr�TST�I�.► 7� C� � �137►��r �T� ►� 'T~TT1hT Th,�'�Y�'13 �. �T�T1' !`r,�l►'[ iGTJ �► �Tu L+1'JRlil'11.1 JEE 0.i' 4 .■.ia Y!r V1 1L'�11f,7 1_.lJl�li L' l�fJt111111� J1 ►J itit1111111e 1_•V .L'U�1tii'�l'r la. Legal. Nairne & Address of Insured (Use street address only) 1b. Business Telephone Number of Insured Quinn Borchardt Brewing LLC Artisanal Brew works 1-..P-,,,NYS Unemploymtenf Insurance �inp er 4srca ra�Qg Span;=.�1i': �.•�,.� s ... _ • ' - Ipg�riioiri o .Iirsed Id. Federal Employer Id+entififcation Number of Insured. Work Location of Insured ((only required if coverage is specifically or Social Security Number limiter to certain locutions in New fork State, i,e., a Wrap-gyp 474970368 ' Policy) -2: Name and Address of the EmiltyRequestingTro61 of 3a. Name 611usurance Carrier Coverage (E ntitk Being Listed as the CertH tate Holder) Sentinel Insurance Co. LTD City of Saratoga Springs 3b. Poucy Number of entity'listed in box *�ia-. 474 Broadway OIWECZ12401 Saratoga Springs NY 12866 3e. Policy effective period 3d. The,Rroprictox, Partners or Executive Officers are included. (Only cheek box if all portnerslofficersincluded) � all excluded or certain partners/officers excluded.. ' :=Thi. :c fae ►t=� r a ,i '= i t : bs ' - .k� • : roc s if • i c a e tin=bvx`9.a'}31 Tat wi;Aeis eonapeya�safrio x ncl z� e< ►r oa i t� ofktre Cbl ensatkon. `Law. (To use1his fa�•m; l�e� �o �i�'S� m�at=b��isted on the INFORMATION PACE of the workers' compensation insurance policy). The Insusance Carrier or its licenset� agent �u sen.d- this Certificate of .Insmance to the entity listed above as the certificate holder in box "2 . the Insurance Cwwrier •will also notify the shove certificate holder within 10 days IF apo licy is canceled cine to nonpayment ofpremiums or ,within 30 days IF there are reasons other than nonpaym en t ofprerrriums that cancel the policy or eliminate the insured from the coverage indicatedon this Certificate. '"hese notices maybe seat by regular urian) Otherwise, this Certificate is validfor one year after this form is approved by the insurance carrier or its licensed agen4 or until the policy expiration date listed in. box "3c'; ivhja&=r Ll garlier. Pl apse Note. Upow the, �aZtatioA of'�,W6f.k�xs., 0,&M AmfioA, #oli�y iridiba-tiodea, thi9 for--n�� if fhpi lausYness- eaitihues:tlb: W. ,r•: :. named on a permit, license'or contract issued by a certificate holder, the business must provide that'ceX#ficate holder with a new . r Cerfifiicate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory . rynt►n�+rrYn �+nrwTTir mnTsi ^4F fi r► Alnq r'VOILdrk Ci�eslrti � r+ �r..�a? f`snrasrrnresz#Fian T rr3:r _ - LV 'rt tirX 4b4. i 441YL1 %'it"Il�RillC Vl mum, i %%, TT K Vl ti Sial Lir 7 1 V RF.VL LY ti.I KJll11J Vtjpl as t•t It �iLi . - Under penalty of Baer.-jjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. . t, Li n4a �,`b-nAo e* I y. �Pri cmc Qf•su grim=mpr wWAti_w ior liWoused-agent-Df- ir}saraqce-r„ar iwe )- (Sim: Date President. - Telephone Number of authorized representative or licensed agent of insurance carrier: 518-793-3131 'lease Nbte; Only imur once carriers and'thieir licensed agents are authorized to ione F°orrn C-105.2, l surance brokers are MOT— authorized to issue it. C-105:2 (9-,07) wtvv-w6b.statemy.us of ` ARTISANAL BREW WORKS APPEAL SUPPLEMENT 19 STATE OF NEW YOR OR."ISS' COMPEN S.ATION BOARD ��� mr�rr . rru+ n rarer ra ivy COVER Q C r nrrr E THE NYS nT � � e rr TT Y BENE ITS LAW r.s=fJ R a s� ' s .•S!. i �R:1 �J Z' LL �l iJ LJ J!t r a r�1 i C C.i 'F JR, tieY ,s UNJL k�J : w JR .X� t! L ti i x1, f [? ltr w x 1 s R le ra fs tJ:1Jr.' Y i 3 3 ► I..PARTI. To be completed by D is abiii Benefits Carrier or Licensed Insurance Agent of that Carrier 1•a: Leg -at Name and-Addmss.of Insured -(Use street address € nly) 1l� Business Telephone -Number of Insured. Quinn Borchardt Brewing LLC ' Artisanal Brew'Works 61c. 1c. NYS Unemployment Insurance Employer Registration - ' 41 Geysdr Rd, Saratoga Springs, NY 12866 Number -of Insured Id.. Federal Employer Identification Number of Insured or Social Security Number 474970368 2. Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Cover;age'(Entity'Being Listea as the Certificate H61der) . Standard Security Life Ins. Co. of ICY City of Saratoga Springs 3b. Policy Number of entity listed in box "l a7: 474 Broadway M55344-000 Saratoga Springs NY 12866 3c. Polio effective period: 311612017 to 34.1.6/2018 4. Policy covers: a. Q All of the employer's employees eligible under the New "York Disability Ben6ftts Lair b. Ej— Only the fallowing class or classes at the employer's employees: Underpenalty ofperj ury,.1 certify. that I an an authorized representative or licensed agent offfie insurance carrmer referenced above and that the named Insured has NYS Disability Benefits insyffince coverage, %irespattative, bed. above. ■ r Date Signed. August 29, 201.7 By (Signature of in uranee carrier's authorizorNYS Licensed insurance Agentof thetinsurance carrier) 518-793-313. Presli-dent:. Telephone Number Title EWPOIRTANT: If box `14a" is cheered, and this form is signed by the insuirancecar.riier's authorized representative or NYS Licensed Insurance Agent of (pati carrier„ this certificate is COMPLIffE. M$j7 it directly to the certificate bolder. If box"4la'1 is checked, this certificate is NOT COMPLETE for.puraoses of Section 220, Subd■ 8 ofthe Disability Benefits Low. It Mustbe mailed for completion to the Workers' Comp ensafiom Roan[, DD Pians Acceptance UnIt, 20 Park Street, AIbuny, Now York x220' . PART 2. To be completed by NYS Workers' Copjaensation Board qniif box 114b" a Part 1 Inas been cheeked� State-OfNew York Workers' Compensation Board According to infoiwaMQn maintained by the NYS axkers' Compensation Board, the above-named employer has complied with the NYS Disability Benefits Lave with respect to all of his/her employees. Bate Signed By (Signature of NYS orkeks' Compensation board Employee) -Telephone Number 'Title Please Note: Only insurance carriers licensedfo wrile NYS disability benefits instfrancepol cies and NYS licensed insurance agents a� f' those insurance carriers care .authorized to issue Form DB --120.1. Insurance brokers are NOT authofized to issue this form. DD -1.20.1 (5-06) ARTISANAL BREW WORKS APPEAL SUPPLEMENT 20 'State of New York Department of Health P RMIT Food Service Establishment This is to certify that QUINN BORCHARDT BREWING, LLC. the -op. ;of ARTISANAL'BREW WORKS at 41 GEYSER. ROAD •1' Located. in:���_� 7T 6fSAkd_ �� .p�����r� �� �'� A Comty C is granted �. �F�.{J'ei'�nissi�?j.1 to �: ������ tai %4� hlista'n ent in, ��1'� �.iance wit the rovisio' ns V.+ 1 - .('a.R' •w: w'�w;►. r_ _sem' i 441.1 ancl A ekli 71 If _ r«z. _ .a . •�r � _.'•r,3 �fi• � • � f w••. � . '+. �=r f: �=% wa r ' f � �'r ,. •' 1) This permit is granted snbj4��=to ai.`•p;�-W'411,kpp 1Y.01� St& bal:6fid �Municipax Laws, .L�ij13iLLlLw+�+l1t:L1�if[ei'1.77-ancl W. iAa ��r'��� :.f� r{. r Y- ••'�-;i �? s;r ae ' _ ... �q'*r`.•--: .. �:. •' _ •-' .., • l.t.:; �r _• . `s �. :5-•(� it i by + .. 'S�T � yti,-, ti+t -.• :�...: ..• � •�.s�,:.. i : a= :.:� Y'• i•!= titV" L�to � 1A1��6k 111iFs;l� �� f,+R 'iied* enu gra tet food itemapproved -••t �t S•i': r • L�'� � 1 i r `this office. r • •� '� `.1• L . y+s=-w IR ;i: i`f ••ti• .LS S�� `• r .: i•:,'iti:vit�;.�l: �� ^. `,� ,i,-•1�...� ._rtia •: a.;s��:C:.:-•.a• :^:: ..I;., � • •r• � �j„"n'��%='=..may. '!�` r^� j •�P •� � ''•� r•r.: tazy it 's r.' r ��� .l•r.�.s. �� }a fir., 'i• :y -y�. it Effective Date January 04,X017 14 , r Permit is NON -TRANSFERABLE E�rmillsewn�Dfftiaai• This permit expires on September 3'U, z0"�� andmay be revokecl-or suspended for cause. THIS PERMIT SHOULD BE PASTED C0►NSPICUOUSLY Facility Code 45-BJ12 Permit Number 45-BJ12 Operation ID 945634 (GEN -1 29) ------------------------------------ ARTISANAL BREW WORKS APPEAL��S�U P P�L E�M E NT 21 ��~��r�_+�1�����_r ■ E v BUILDING PERMIT TO CONSTRUCT roe% 1 .1 AJ ALT -STRUCTURAL -COMM 4 ,, _ . �Permit Tumbev 20161320 RATED Date: December 12, 2016 Permission is hereby granted to the below owner or contractor for construction m* accordance to application 20160958 together with plans and specifications hereto filed and approved and in compliance with the provisions of the Codes of City of Saratoga Springs, New York. Permit Issue Date: 12/12/2016 LOCATION Sect/Block/Lot: 178.-1-33 Street: 41 GEYSER RD Zoning District: MG GENERAL INDUSTRIAL OWNER VAN HALL HOLDINGS LLC 41 GEYSER RD i"A iTO A PRINGS2 NY 12866 APPLICANT ARTISANAL BREW WORKS 41 GEYSER ROAD SARATOGA SPRINGS, NY 12866 Total Value of Work: 1000 Total Square Feet: 3383 Application Date: 11/17/2016 Permit Issued By: SS Scope of Work: F-2 OCCUPANCY WITH A-2 ACCESSORY USE Permit Expiration Date: 12/12/2018 PERMIT CLASSIFICATION Permit Type: B BUILDING Work Type: 12 MAJ ALT -STRUCTURAL -COMM Prop Usage.- COMM Occupy Class: F-2 Const. Class: HI CONTRACTOR ARTISANAL BREW WORKS 41 GEYSER ROAD SARATOGA SPRINGS, NY 12866 518-260-0361 Permit Fee: 1020.75 Comments/Conditions: TENANT SPACE INCLUDING BREWERY., TASTING ROOM(BAR), LAB, OFFICE AND COLD ROOM. Zo� & Building Inspector ......................................................................... 1 w N N Z W F OPN WU) r 7� i CIO, W 0.00 C) ON Lorl), 00 14: t._w,; Lo }_rd Ln Lr) P jl �--! doo-% z Lr) ry w Z. < 0 i:d O 1 w 2 E�-F-Y"i-N-.7 %-R I I I-" IV I TI L B WOFMJ& , 2 DO NOT WRITE HERE - FOR. OFFICE USE ONLY INSPECTOR TAMP # DATE BUILDING PERMIT # CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY STREET #AND OR ROAD .�� -�� f Pole Number ell Additional helpful directions Section _ Block Lot OCCUPANTS NAME BUILDING OCCUPANCY . ; �f.' frr • ~�� � 1; J ,.! .s"' .; � Y.,, -',� r' f'P F r`.��� .� f,�! -`yG� :s4. �,.r £ r i.. J"rte .- ..,,-- f�• f OWNER'S NAME & ADDRESS HOME TELEPHONE CURRENT SUPPLIED BY FROM THEIR OFFICE WORD TELEPHONE BUILDING IS NEW OLD WORK IS NEW ADDITIONAL DEFECTS REMOVED Inspection or Electrical Premises Survey: We have attended at the premises named herein to inspect the electrical installation and regret that we can not issue a certificate of compliance for the reason(s) listed hereunder; Concealed work not exposed suffiently for inspection. Additional work observed with no application for inspection being filed. Installation not completed sufficiently for inspectiion. Installation not in compliance with the NEC for reasons listed hereunder. Key: Code number printed under column A listed below combined with code number printed under column B listed below indicates condition. NEC VIOLATIONS Level NEC VIOLATIONS Level NEC VIOLATIONS Level NOTES jNSPE9TION INSPECTION INSPECTION Size of service APPLICANT ATTESTS THAT THERE IS NO OTHER APPLICATION PENDING Feeders WITH A QUALIFIED ELECTRICAL INSPECTION AUTHORITY, FOR Work is exposed INSTALLATION LISTED HEREIN. THIS APPLICATION IS VALID FOR A Work is concealed PERIOD NOT EXCEEDING ONE YEAR FROM THE DATE RECEIVED. Service enters the structure overhead MUST ENTER APPLICANTS IDENTIFICATION NUMBER Service enters the structure underground Date inspection requested PLEASE GIVE FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANTDATE OF,: APPLICATION. -1 r'• + �. firf f fi r ,-1 )el ..-i— J e. Y r. =ter DRESS STREET AD TELEPHONE # _ 'LICENSE NUMBER CITY OR POST OFFICE� µ w• 1 8 0 0 �4 8 7 0 5....3 5 7063 State Route 3-74 WWWAhe.e1ectr1*ca1ins-p&fte,c, tor.com Chateaugay, New York 1.2.920. Date: January 20, 2017 ARTISANAL BREW WORKS APPEAL SUPPLEMENT 25 .. BUILDING PERMIT KII&MI&II61 MAJ ALT -STRUCTURAL -Comm Permit Number: 20170055 Permission is hereby granted to the below owner or contractor for construction in accordance to application 20161045 together with plans and specifications hereto filed and approved and in compliance with the provisions of the Codes of City of Saratoga Springs, New York. - Permit. Issue Date: 01/2012017 LOCATION Sect/Block/Lot: 178.4-33 Street: 41 GEYSER RD Zoning District: MDG GENERAL INDUSTRIAL Permit Expiration Date: 01120/2019 PERMIT CLASSIFICATION Permit Type: B BUILDING Work Type: 12 MAJ ALT -STRUCTURAL -COMM Prop Usage: F-2 INDUSTRIAL -HAZARD LOW Occupy Class: F Const. Class: IIIB I OWNER CONTRACTOR VAN HALL HOLDINGS LLC VAN HALL HOLDINGS LLC 41 GEYSER ROAD 41 GEYSER ROAD RINGS, NY 12866 SARATOGA SPRINGS, NY 12866 518409-2539 APPLICANT VAN HALL HOLDINGS LLC 41 GEYSER ROAD SARATOGA SPRINGS, NY 12866 Total Value of Work: $500 Total Square Feet: 45 Application Date: 12/16/2016 Permit Issued By: DM Permit Fee: $186.25 Scope of Work: 41 GEYSER RD - REPLACE PORTION OF BOILER ROOM WALL i Comments/Conditions: Assistant Building In6pector 1. . . . . . . .. . .. . .. . . ARTISANAL BREW WORKS APPEAL SUPPLEMENT 26 BUILDING PERMIT SUBMISSION CHECKLIST ALTERATIONS COMMERCIAL BUILDING 0 PROJECT SITE ADDRESSql (�T ?2Aqk,/' 1ko ZONING DISTRICT CHECKLIST PREPARED BY: PREPARER'S PHONE No-: ALL ITEMS BELOW MUST BE CHECKED EITHER "YES", NOPPI "N/A", or "PBA" (pending board approval — only where applicable). A separate checklist, must accompany each application for a building permit. All items checked "YES OP shall accompany the application form at the time of submission to the building department. Until the application is deemed complete it may be rejected by the building department and returned to the applicant. Acceptance of a permit submission as complete does not imply or guarantee that a permit will be issued. FOR STAFF USE ONLY: SUBMISSION ACCEPTED FOR REVI a -V DATE TINIF REVIEWED BY(SIGNATURE) REVISED 6-13-12 YES NO N/A 1 Building permit form completed and with required signatures from the property owner and applicant. 2. Permit fee to be determined at plan review 3. Energy code compliance report, bearing the seal and signature of the N.Y.S. licensed professional engineer or registered architect. Specify compliance path: 4. Energy code inspection checklist. 5. Septic system permit application form completed and with signatures from the property owner and the contractor. 6. Site plana roval from Planning Board. 7. Special permit approval from Planning Board. 8- Architectural review approval from: Planninq Board El Desiqn Review Commission D 9. Historic review approval from Design Review Commission, 10. Zoning Board of Appeals approval. 11. One complete set of building plans, each sheet bearing the seal and signature of the N.Y.S. licensed professional engineer or registered architect. The set shall include, but not be limited to the following drawings: (a) structural plans; (b) floor plans — all levels; (c) cross-sections; (d) details, (e) elevations; (f) schedules; (g) HVAC; (h) electrical; (i) plumbing, 0) codes specifications; (k) fire protection systems; (1) complete code summary 12. In accordance with section 1704 of the Building Code of New York State, a statement of special inspections shall be prepared by the registered design professional, to include: a complete list of materials and work requiring special h. inspections; the inspections to be performed; and a list of the individuals, approved agencies or firms intended to be retained for conducting such inspections. 13. Other: FOR STAFF USE ONLY: SUBMISSION ACCEPTED FOR REVI a -V DATE TINIF REVIEWED BY(SIGNATURE) REVISED 6-13-12 ARTISANAL BREW WORKS APPEAL SUPPLEMENT 27 APPLICATION FOR BUILDINGPERMIT For Office Use 0 "1 Permit No. Zo t :zoo G5 Date Applied Issue/deny date it zMal I Permit Type - check line that applies: Residential - New Addition Alteration T--ornmerc Ncw Addition Alteration /Ncz- Ce of Occupancy ApplicationFee, I Z 5.00 Fee Babince &-( - 25 CITY OF SARATOGA SPRINGS BUILDING DEPARTMENT City Hall- 474 Broadway Saratoga Springs, NY 12866 Telephone (518,)587-3550 Ext. 2511 Fax (518)580-9480 job Site File # L4 (3 L-1 1-� Application 11 Zoning Informati Zoning District <5 Sect-Btk-Lot 17 8 -.- -1 33 Lot Width Lot Area No. of Bedrooms 1s, Floor Area — No. of Stories 21'd Flour Area Bldg. Height Basement Area I Yard Dimensions for Prm'citml Buildine Front Rear Left — Right Principal Building Rear lot line N Owner - Address elkar% Oar - Phone Fax ,F,rnad VY..-Vi-xvAL Aie't4-1cij I C CID # J, ("'011tractor Adr-h-ess Phone Fax Email CID # fie � I �� ulus C, sF Accessoz, Building - D stance To Left lot line Right lot line Applicant Address Phone Fax Email CID # Design Professional - Address Phone Fax Email CID # 1 ARTISANAL BREW WORKS APPEAL SUPPLEMENT 28 ADDRESS/LOCATION Is the job site in a floodplain? Is this job site in a historic district? �.v If so, DRC approval date Is this job site in a architectural district? If so, date of approval Does application require approval ZBA approval?� If so, date of approval, Does application require the city planning board approval? If so, date of approval (Ex: site plan, subdivision, special permit) Construction Costs Basic Improvemen$ 57 C70 t' Electrical Heating Other Total Cost *Please note that all applications granted approval by the Resign Review Commission and/or the Zoning Board of Appeals shall expire within eighteen months unless a building permit is issued and actual construction has begun (section 240-7,12) Application is hereby made to the Building Department for the issuance of a building permit for construction as herein described, pursuant to provisions of the Zoning Ordinance of the City of Saratoga Springs and in accordance with the N.Y. State Uniform Fire Prevention and Building Code which is applicable to new construction of buildings, and to conversions, additions and alterations to buildings. The owner and the applicant agree to comply with all applicable laws, ordinances and regulations and with all regulations and procedures as explained in this application, and will allow all inspectors to enter the premises for all required and necessary inspections. The following regulations shall apply: A. This application shall be completed and signed by the property owner and the applicant, and submitted to the Building Department. B. This application must be accompanied by: 1. Plot plan showing lot dimensions, existing and proposed buildings or structures on the lot and their distances to one another as well as to the lot lines, and all other pertinent details of the property. A copy of a legal survey is required for all new construction and may be required at the discretion of the building inspector for all projects as deemed necessary. 2. One complete set of plans and specifications for the proposed construction, each plan bearing the signature and seal of a New York State Registered architect or licensed professional engineer, (exception: projects where no structural work is necessary and expenditures are minor, in accordance with the State Education Law). For all new construction completed checklists shall be submitted (see attached). 3. Liability insurance coverage: (a) F'orgeneral contractors acting in the capado of ageneral contractor a Certificate of Insurance on an ACCORD form with Commercial General Liability Insurance of One Million Dollars ($1.,000,000) per occurrence aggregate naming the City of Saratoga Springs as an Additional Insured and Certificate Holder; (b) For homeowners urath no contractor patiicipation in the project: proof of homeowners insurance evidencing General Liability in the amount of Three Hundred Thousand Dollars 0300,000; and (c) 1411 Applicants must provide proof of NYS Statutory Workers Compensation, Employer's Liability and Disability Insurance or a waiver of same as determined by the NYS Workers Compensation Board. C. Application fee as required by the City Code and as calculated by the building department, shall be paid by check or money order (payable to "Commissioner of Finance".) D. Work covered by this application shall not commence prior to permit issuance. E. Occupancy of any building or premises to which this application applies shall not occur prior to the issuance of a required Certificate of Occupancy. F. Any deviation from approved plans must be authorized by the approval of revised plans subject to the same procedure established for the examination of the original plans by the building department, including any required fees. G. Building Department shall be notified (minirnum notice 24 hours in advance) according to this required schedule of inspections. (Note; before subsequent inspection requests will be scheduled, all prior inspections shall have passed). See attached card for required inspections included with building permit when issued. H. The building permit is effective for two years from the date of issuance unless a different period of time is specified. The Individualfiling this application, to the fullest extent provided by lar , small ihdemn and Sane harmless the City of Saratoga Springs, its Agents and Employees (hereinafter referred to as "Cite'), from and against all claims, damages, lasses and expense fincludin& but not limited to, attorneys' fees), arising out of or resulting from the performance of the work covered by this building permit application, sustained by afy person or persons, provided that any such claim, damage, lass or expense is attributable to bodily injug, sickness, disease, or death, or to ii jury to r destruction of propert�� caused b�+ the tortious act or neligen actor omission afApphcant, its contractor or its employees or aigone for whom the ameto pliable or Subcontractors. yy SIGNATURE OF PROPERTY OWNER DATE 1 t SIGNATURE OF CONTRACTOR —DATE ARTISANAL BREW WORKS APPEAL SUPPLEMENT 29 ADDRESS/LOCATION SPECIFICATIONS & MATEIPALS CHART GENERAL SIZE MATERIAL SPECIFICATIONS OTHER -FOOTINGS psi DRAT N going to: -SLAB psi -FOUNDATION 'WALL psi WATERPROOFING VENT -COLUMNS/PIERS psi -GIRDERS/BEAMS -EXTERIOR WALL STUD O.C. -INTERIOR WALL STUD _ y, O.C. -FLOOR JOIST, 1S FLOOR O.C. -FLOOR JOIST, 2nFLOOR O.C. -CEILING JOIST O.C. -ROOF RAFTER ¢= ed 1 6 -COLLAR TIES O.C.eg4e -RIDGE BEAM -FLOOR SHEATHING -WALL SHEATHING -ROOF SHEATHING ' r UNDERLAYMENT INSULATION SIZE MATERIAL VAPOR BARRIER R -FACTOR -FOUNDATION - OUTSIDE -FOUNDATION - INSIDE -UNDER SLAB -EXTERIOR WALLS -CEILING/ROOF FINISH WORK SIZE MATERIAL UNDERLAY OTHER EXTERIOR WALLS INTERIOR WALLS FLOOR CEILING ROOF MISCELLANEOUS SIZE MATERIAL SPECIFICATIONS OTHER ARTISANAL BREW WORKS APPEAL SUPPLEMENT 30 ADDRESS/LOCATION HEATING SYSTEM PLUMBING - #UNITS & VENT SIZE TYPE FUEL SINKS LAVORATORIES VENT-MATERLkl, SIZE TOILETS TUB/SHOWER SEWER — TYPE -- CITY PRIVATE DESCRIBE (DRAW ON SITE PLAN) WATER SUPPLY — CITY PRIVATE CHIMNEY AND/OR FIREPLACE: MATERIAL FLUE SIZE GARAGE TYPE: ATTACHED DETACHED UNDER NO. 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Business Ma[ling Address It j 5* Businm Wcb Addmss %V W*vV J e L -L 6 Business Phone 57f q 0,1 TWO) "Wax Numb 7. Applicant's Name - V%iAe44. LoL 8. Applicant's Home Address 9. Applicant's Home Phone Lodging_ (it of rooms Sidewalk C66 A 4 , 4q 4%,va, 11 a i e. 10. Business Owner: >%A^ete Email; 11. Emergency Contact: Email: - 12. Content Occupation 4 t6% Rie 61A 13. Applicable Business Experience 14- Owner of Property teb &aeem--t V IS. Property Owner's Addr-1 16. Describe., � detail, serviges provided and e uses of your p, Type of fire protection equipment: Sprinkler System? Yes Nq—VN If yes, last inspection date By Who: Fire Extinguishers? Yes-X.No Numbet, 15" P;3e—e 5f yes, lost inspection date 13Y Who. Commercial Exhaust Hood? Yes No If yes, last inspection date. r7 A �,y who. 49411ve 1XV WE 16. Wier? 1-7. Fire Alarm System? Yes XNo�­_ If yes, last inspection date r7 A If yes, date last 'Inspected and/or serviced 18. Expiration date of New York State Department of Health Certificate or New York State ,D eat of Agriculture and Markets Food Processing permit— I (Please inelude copy ) 19. Do you have a functional grease trap or grease interceptor? Yes No X If yes, last service/inspeetion date: 20. Does your business use a dumpster? Yes V No ffyw, contact the Department of Public suety to obtain the required Dumjwer Permit)- 21. Does your business have an alarm system? Yes .No you will be required to complete the 2nLI-Jae- Alarm User Pernill). r 20. Do you serve alcoholic beveragcs? Yes No If yes, how many bars do you have, (include main and satellite)? If yes, you are required to submit with this application till of your current New York State Liquor Licenses. 21. Have you made any floor plan changes since your last renewal? Yes No lf.Les please include an updated floor plan. (Floor plan can be as simple as a sketch on an Sxl 0 piece of paper to show the layout of your establishment.) City of Santoga Springs Chapter 136 Liceaw Application I W20/2015 1 22_ Do you employ security guards or bire security, guards for your business? `des _ No (If yes, you are required to subinit proof with this application that your establishment is registered and licensed Wth the State of New mark Department of State Division of Licensing authorizing you to employ .security guards. You must also provide ivith this application a de failed skefcii (attach an addiflona[ sl ed of paper) of the identEying A W your business will lie using as the security guard uniform, which- has to include your business name, as well as five inch lettering, all capital letters, SECURITY across the chest of the front of the shirt, and across the shoulder blades on tire aback of the shirt. This will be scrhrnitted by the City Clerk}s Office to the Deparfinent o, f Public .Safety for approval. Your securify g Ards are required to -wear .P`ubl'ic .safety approved identification while employed at your establishment. Within th e first, ftue (5) days of employment of each security guard, you will he required to provide the City proof o, f each security guard's New York State registration) 22-. Describe, in detail, the fixed locations of your security guards: The City of Saratoua Salinas requires: 1. A Certificate of Insurance for Proof of commercial general liability insuranco, including personal injury liability insurance, in the amount of One Million Dollars ($1x000,000) per occurrence and Two Million Dollars ($2,000,000) aggregate, naming the City of Saratoga Springs as an additional insured. The City shall be included as an additional insured on said insurance for the permilt(s) process. The City of Saratoga Springs must be .listed as the certificate holder with the physical address of 474 Broadway, Saratoga Springs, NY 12966. 2. Proof of New York State statutory workers' compensation. and employer's liability insurance for A employees, or a waiver of Sable as permitted by law. 3. For sidewalk cafes that serve alcoholic beverages, a Certificate of Insurance for liquor legal liability insurance in the amount of five hundred thousand dollars ($500,000) bodily injury and property damage per each occurrence must be submitted with this appfication. Such Insurance must contain a provision that the Commissioner of Accounts be notified if the policy is cancelled or if there has been a material change in coverage andlor conditions. The City of Saratoga Springs must be listed as the certificate holder with the physical address of 474 Broadway, Saratoga Springs, NY 12866. The Certificate naming the City of Saratoga Springs as Additional Insured solely for the issuance of pej-miil(s should be addressed to the attention of: Dep arttnent of Accounts City of Saratoga Springs 474 Broadway Saratoga Springs, NY 12866 Attention: City Clerk's Office The Licensee acknowledges that failure to obtain such insurance on behalf 6f the municipality constitutes a material breach of contract and subjects Licensee to liability for damages, indemnification and all other legal remedies available to the City. The Licensee is to provide the City with a Certificate of Insurance naming the City as additional Insured to the issuance of any permit. The fallure to object to the contents of the Certificate of Insurance or the absence of same shall not be deemed a waiver of any and all rights held by the municipality. The Licensee shall indemnify and save hatmIess the City of Saratoga Springs, its Agents and Employees (hereinafter referred to as "City"), from and against all clairiis., damages, losses and expenses (including, but not limited to, attorneys' fees), arising out of or resulting from the licensed activity, sustained by any person or persons, provided that any such claim, damage, loss or expense is attributable to bodily injury, sickness, disease, or death, or to injury to or destruction of property caused by the tortuous act or negligent act or omission of Licensee or its employees, its agents or subcontractors. Nothing in this license shall be construed as granting the Commissioner of accounts any power to confer nights upon license holders to do or perform any act in contravention of any duly adopted zoning regulations or ordinance in effect irr the City of Saratoga Springs. Itshall be the responsibility of the licensee to determine if his or her activity complies with the applicable zoning ordinances. if this is an kilfial application for an eating and drinking, cabaret, or lodging license, you are required to submit with your application two (2) sets of detailed plans for your establishment. plans must include a floor plan indicating the location of all rooms, hallways, doors, windows, reception areas, kitchen facilities, bathroom facilities, exits, bar or bars, Mixed stations for security guards, and all fire protection equipment. The plans need to show the location of your structure relative to other parcels of land, adjacent streets, sidewalks, and public ways. If your establishment has on-site parking facilities, the plans must show them. City of Saratoga springs Chapter 136 License Application 10120/2015 2 If this is an initial application for a sidewalk cafe license, you are required to submit four (4) sets of -detailed plans for your establishment, Yoh.must have a valid eating; and drinking license its order to obtain a sidewalk cafi license. For the requirements and specifications on the lay out of sidewalk cafes see the aitached copy of the Code chapter 136-24, 136-25. Be advised there is an application fee for this lleen.se as well as a license fee. If this is a renewal application. T � being duly sworn and depose and state that no part of the subject premises, services provided and uses of premises has changed in any substantial matter since my previous license was issued. If this is an application for a sidewalk cafe, T agree to be fully responsible, to correct any damages caused to he side I result of my business' sidewalk cafe, including financially, i,agree to comply with all applicable state and local ordinances and/or law and agree to operate this busine xri total compliance of those laws and ordinances. I understand my licenses) have annual renewal date(s) and that l am solely responsible to renew My license(s) prior to the expiration date s . rior to the expiration date(s) I agree to pay the r-appli tion fee of $250.00 per license. Date f Signature ofAp scant STATE OF NFA' YORK � ss: COUNTY QP SARA.TOGA � On the day of of20�, before me} the undersigned, a rotary Public/Commissioner of Deeds in and for said State, personally appeared _ _ -_.-_ personally known to me or proved to me on the basis of --- satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the. within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or persons upon behalf of which the individuals) acted, executed the instrument. Not ry Publt76jsslher of Deeds Fees: $100.00 Eating and Drinking License $150.00 Cabaret License $15.00 Sidewalk C66 Application $50.00 Sidewalk C06 License Lodging License: 5 rooms or less $25.00 6 --10 rooms $50,00 It — 25 rooms $75.00 26 --100 Tooms $100.00 1.01 rooms or above $150.00 City of Saratoga Springs Chapter 136 License Application 10/2012015 ' ARTISANAL BREW WORKS APPEAL SUPPLEMENT 39 9 5 V �7 Vm % z o C. t- .7 As1C a" J6 4%. IV's 'A' -Ij -Z JA j,: 441. -Q d, U A. I4F AF. Are, t"T k 'm Ley z;7 d -�Al I 6W V t! A .4� . ..... W IrW4 - Lt' �W F A % 16 Olt. re U V:.t N!j 0; I;L Ar. —.T- 49— AL LK d! fr�-W�. F 4vt H f.,P.d 'At Of IL MWN ?Lq AN Un 1rA1­1 Pv- jar 14 A' Rd= d r 12 WPL 'Y ki d 67 PL" rp FRI .7 od L! T . . . . . . . . . . ,Vz Ir d. Zia I'd *j, A 6T tip. 0.4. -Mgt& A;zip 7R, d —ilk I16 is .44 . I * r,. =% ,— ;_�l _ it Ir Ake Jr I-4—% s16 e % MS 51 -I . * Sr jA t Ilei. . ARTISANAL BREW WORKS APPEAL SUPPLEMENT 41 DATE (MMIDDIYYYY) AC"RH CERTIFICATE OF LIABILITY INSURANCE 11/17/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificato holder in lieu of such ondorsement(s). PRODUCERCONTACT Valerie Childs CISR NAME: r Marshall & Sterling Upstate, Inc. P1110N o ( 518) 587-154,2 FAX n� : (518)597-1146 125 High Rock Ave . Suite 206 E-MAIL vchilds@marshallsterling.com fi ADDRESS INSURERS AFFORDING COVERAGE NAIC � Saratoga Springs NY 12866 INSURER A :Philadel hia 'Insurance Coy[► an INSURED INSURER 8 ZMi ]..a ers. Insurance Group VanHall Holdings LLC dba Upstate Distilling Co LLC INSURERC march Insurance Grow 41Geyser Road INSURER D: INSURER E: Saratoga Springs NSC 12866 1 INSURER F COVERAGES CERTIFICATE NUMBER:16-17 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VVHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE I.NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWi►! MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSF2 LTR TYPE C}t= INSURANCE ADDL SUER POLICY DUMBER POLICY EFF MMID POLICY EXP MMIDI] LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,00()r000 Fx—IOCCUR DAMAGE TO RENTED 50r 000 PREMISES Ea occurrence $ A CLAIMS -MADE MED EXP (Argy one person) $ 1Q 1'000 x PEPK1503474 6/1/2016 6/1/2017 PERSONAL & ADV INJURY $ 110001000 GENERAL AGGREGATE $ 2 r 000 1 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS � r000r0UU POLICY E C JECT�LOC $ OTHER: - - AUTOM0131L'E LIABILITY COMBINED SINGLE LIMIT $ 1,0001000 Ea awlden BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULE[ � � PSFT�iS034'd� 6/1 x'201, 6 6 / X/�C17 � • BODILY INJURY Per accident) $ AUTOS AUTOS NOS! -OWNED PROPERTY DAMAGE � Per accident HIRED AUTOS AUTOS 3 UM13RF-LLA LIAI3 OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS -MADE AGGREGATE $ DECD I I RETENTIONS $ WORKERS COMPENSATION PER +ERH- AND EMPLOYERS' LI�4BILITY YIN ANY PROPRIETORIPARTNERIEXECu l iv r- E.L. EACI-I ACCIDENT $ 100,000 OFFICERIMEMIIER EXCLUDED? NIA (Mandatary In NH) EIG 2363353 00 6/1/2016 6/3./2017 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, descri[ae tllldef DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 NYS Disabil.ity IIDBLO667400 05/13/16 05/13/17 SlatutoTy Limits C DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schaduie, may be attached If more space Is required) Certificate holder is additional insured on a pr1mary and non contributory basis, when required by written contract or agreement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Saratoga Springs THE EXPIRATION DATE THEREOF, NOTICE WILL BE QELIVEHED IN 474 Broadway ACCORDANCE WITH THE POLICY PROVISIONS. Saratoga Springsr NY 12866 AUTHORIZED REPRESENTATIVE Jeanne Maloy/VCHILD 1988-2014 ACORD CORPORATION, All rights reserved. ACORD 25 (2014101 ) The ACORD name and logo are registered marks of ACORD IINS025 (901401ti 3 - ARTISANAL BREW WORKS APPEAL SUPPLEMENT 42 FS"96 Front (Rev. 2111115) NEW c- . Y y. DAK 0 TATT �� and MarketsNOTICE O INSPECTIO'N' New York Stade Department. of Agriculture and Markets Division of Food Safety and Inspe6tion '[ 4B Airline Drive, Albany, NY 1,2235 DATE 0q I IT- I ::Tl COUNTY -CODE--- Es -r. No, . . OW14ER -NAME:- Ifda TRADE NAME:)AasaxM I) EST. ADDRESS Ari inspection of your establishment was made today pursuant to provisions of the New York State Agy1culture--and Markets Law relating to food. i A report of the Department's findings will be mailed to you within eve working days, �! The results of the inspection show: - .The establishment in substantial compliance in that no critical deficiencies were observed [] Critical deficiencies which were corrected at time of inspection s ❑ 'Critical deficiencies EST. REP'S NAME (Please print)110,n _ TITLEP EST. REP'S SIGNATURE �X INSPECTOR'S SIGNATURE .Q. # PLEASE NOTE: A critical deficiency is a sanitation or food safety condition that must 6e corrected�mediately. It may result in the assent.of civil pens/lies and other action provided by law, including administrative hearing'ar court action. Arficlei 28 of the New York Stale Agriculture and Markets Law requires a retail food score to post a copy of the date and results of ids moss recent sanitary inspection in a conspicuous• location near each public entrance. A referl food store may comply with this requirement by posting a copy of this Notice of Inspection. !f you offer -to give any benefit, thing or money to any employee of fqe Department of Agriculture and Markets, your conduct will be reported to your Iotal police arsheriff's department. ARTISANAL BREW WORKS APPEAL SUPPLEMENT 43 ��. PLUMBING E IT _FNG - COMMERCIAL " ` PLUMB I Peen it Number: 20161319 a ' RATE Permission is hereby granted to the below owner or contractor for construction in accordance to application 20160958 together with plans and specifications hereto filed and approved and in compliance With the provisions of the Codes of City of Saratoga Springs, New York. Pennit Issue Date: 12/12/20'16 LOCATION Sect/Block/Lot: 178.-1-33 Street: 41 GEYSER RD Zoning District: IISMG GENERAL INDUSTRIAL OVMR VAN HALL HOLDINGS LLC 41 GEYSER RD SARATOGA SPRINGS, NY 12866 APPLICANT ARTISANAL BREW WORKS 41 GEYSER ROAD SARATOGA SPRINGS, NY 12866 Application Date-, 11/17/2016 Permit Issued By: SS Comments/Conditions: BREWERY AND BAR FIXTURES Permit Expiration Date: 12/12/2018 PERMIT CLASSIUFICATION Permit Type: P PLUMBING Work Type: 1703 PLUMBING - COMMMCL4L CONTRACTOR ON CALL PLUMBING 99 WALWORT11 STREET SARATOGA SPRINGS, NY 12866-2296 584-2300 Permit Fee: 106.00 d � Z mn Build' o mg Inspector --------------------------- ----------------------- ARTISANAL BREW WORKS APPEAL SUPPLEMENT 44 City of Saratoga Springs BUILDING DEPARTMENT CITY HALL - 474 BROADWAY - SARATOGA SPRINGS, NY 12866 P� iONE 518-587-3550 - FAX 518-580-9480 AP PLrICATION FOR PLUMBING PERMIT Application Is hereby made for the issuance of a permit for the installation, alteration or repair of a plumbing system (including any part thereof) within a building or structure on private property in the City of Saratoga Springs, pursuant to Chapter 171 of the Code of the City of Saratoga Springs. The owner and contractor agree to comply with all applicable provisions of the "Plumbing Code of New York State, and agree to arrange for authorized City inspectors to enter the premises for all required inspections. The following shall also apply - 1. APPLICATION MUST BE FILLED OUT COMPLETELY. Signature of property owner is required'. Sig -nature of the master plumber is required, along with the cost of the plumbing work. As needed, plans and/or schematics of the proposed plumbing system(s) shall accompany this application. 2. Plumbing contractor must provide: (a) a certificate of liability insurance showing a minimurn one million dollars per occurrence, with the City of Saratoga Springs listed as additional insured and certificate holder; (b) certificate of workers compensation insurance, on either the State approved C-105.2 form or the U-26.3 forryi; (c) certificate of disability insuranceon either the State approved DB -1 20.1 or DB -1 55 form; (d) copy of the , masterplumber's license and current registration; (e) hold harmless agreement. 'ate permit fee , as calculated on page two of this form (check made payable to Commissioner of 3, The appropriate Finance), must accompany application. 4. Plumbing work for which this permit application is made shall not commence prior to permit issuance Minimurn 24-hour notice is required for all inspections. 5. Required inspections may include, but are not limited to: (a) A pressure test on piping of the potable water supply system prior to covering or concealment; test pressure shall be equal to at least the maximum pressure at which hi . ch the piping is to serve. (b) Water pressure test(s) on building drains, drainage and vent piping, prior to covering or concealment test pressure shall be equal to at least a 10 -foot column of water. 10 fOW19110ni JOB SITE ADDRESSti PROPERTY -ON-VNERINE - RM, TION OWNER"SPIOWE Z Z 41,3 � ADDRESS PLUMBINJO 'ADOMTRACTOk IWORMATIe-IN C COMPANY N,- AME ADDREN MASTERPLUMER Hit, AG -1 AFF L�SE CNL 15 IR 1 tl- t[ j i� .- .. �L Cys f�~�LL fit- •�. 1 E1 P -Ij #- oj TAX -I:D# COST OF PLUMBING WORK $ Uri V PHONE SibMrTURE "'DA -E 1ZM4:k.44?r CID# PHONE FAX Z (� t� 1� PLUMBERS $tGNATURE DATE ----------- - I WL 45.1e. -1 ZICT-1 ZMA A 1. 0 ARTISANAL BREW WORKS APPEAL SUPPLEMENT 45 CALCULATION OF PERMIT FEE FOR INSTALLATION OF PLUMBING WORK BASIC CHARGE By OCCUPANCY TYPE: A. PERMANENT: # OF DWELLING UNITS B. TRANSIENT: # OF SLEEPING ROOMS C. COMMERCIAL: # OF TENANT SPACES D. ALL OTHERS: # OF BUILDINGS .10 X ovue.(00 PER UNIT X $30.00 PER ROOM= xo0 PER SPACE .f X $75-00 PER BUILDING INDICATE QUANTITIES OF EACH FIXTURE AND/OR PLUMBING COMPONENT BELOW TO DETERMINE FEES IN ADDITION TO THE BASIC CHARGES: E. TOTAL # OF FIXTURES AND/OR COMPONENTS: tm � r XA0.60 PER ITEM= 3. ADD ALL DOLLAR AMOUNTS IN THE FAR RIGHT COLUMN FOR ITEMS A, E3, C3 D &E t TOTAL FEE AMOUNT =—w (MAKE CHECK PAYABLE TO COMMISSIONER OF FINANCE) REVISED 1/20/11 ARTISANAL BREW WORKS APPEAL SUPPLEMENT 46 APPLICATION FOR PLUMBING PERMIT Location Information PARCEL ID# JOB SITE ADDRESS 4 l 6rz!2Ar&w_----COST OF PLUMBING WORK $ PROPERTY OWNER INFORMATION OWNER'S NAME f2V PHONE ADDRESS � ✓UIL� AJ� OWNER'S SIGNATURE DATE PLUMBING CONTRACTOR INFORMATION CID# COMPANY NAME ADDRESS MASTER PLUMBER PHONE FAx PLUMBER'S SIGNATURE DATE F'STAFF USE aIVLY= .., iia ,•\ - : IL #• '��:.'• rift/ ` ``4.'. - RECE11IEa BY _ Y : k- B.UiL DING PERMIT • \. •rna ! �'�. r .`:.�-'�'�' f �•.'�...t.ri. ` � c ;�f 'J` a ... .. .. �_; x' -,,, y..... _tib ESA` a•,`:ti •;'.�'•. : sy:. . _ �ti- '.i� s�.t•. •.1•tiy:v rL �•: ;DRTEfTIME APPLIED �: � .. :kPEllllIT:# , J:� ` r.:DATE SSUED, i`` �s::'r •:'cti: ' ,ti:"\?eyE sem,.:.{^ R�=" �DATE:ISSUED ��:�. ON. The Individual filing this application, to the fullest extent provided by law, shall indemnify and save harmless the City of Saratoga Springs, its Agents and Employees (hereinafter referred to as "City"), from and against all claims, damages, losses and expense (including, but not limited to, attorneys' fees), arising out of or resulting from the performance of the work covered by this building permit application, sustained by any person or persons, provided that any such claim, damage, loss or expense is attributable to bodily injury, sickness, disease, or death, or to injury to or destruction of property caused by the tortuous act or negligent act or omission of Applicant, its contractor or its employees or anyone for whom the Contractor is Legally liable or Subcontractors. initial REVISED 7-7-16 ............................. . . .. . . . . . . .. . . . . . . . .. . .. . .. . .. . .. . . . . .. -- '- ARTISANAL RATE Date: September 14, 2016 BREW WORKS APPEAL SUPPLEMENT 48 BUILDING PERMIT TO CONSTRUCT SIGNS Permit Number: 20160966 Permission is hereby granted to the below owner or contractor for construction in accordance to application 20160750 together with plans and specifications hereto filed and approved and in compliance with the provisions of the Codes of City of Saratoga Springs, NeNx York. Permit Issue Date: 09/14/2016 LOCATION SecVBlock/Lot: 178.-1-33 Street: 41 GEYSER Zoning District: INDG GENERAL INDUSTRIAL OWNER VAN HALL HOLDINGS LLC 41 GEYSER RD SARATOGA SPRINGS, NY 12866 APPLICANT ARTISANAL BREW WORKS 41 GEYSER ROAD SARATOGA SPRINGS, NY 12866 Total Value of Work: Permit Expiration Date: 09/14/2018 PERMIT CLASSIFICATION Permit Type: B BUILDING Work Type: 15 SIGNS Prop Usage: Occupy Class: Const. Class: CONTRACTOR ADIRONDACK SIGN COMPANY 72 BALLSTON AVENUE SA.RATOGA SPRINGS, NY 12866 518-409-7446 Application Date: 09/08/2016 Pemit Issued By: JB Pen -nit Fee: 125.00 Scope of Work: 41 GEYSER RD - "ARTISANAL BREW WORKS" SIGN Comments/Conditions: AA Zoning w4[fBuildin0fe-chnician ---------------- --------------------------------------------------------------------- r - j It % ARTISANAL BREW WORKS APPEAL SUPPLEMENT 49 a..� City of Saratoga r ings BUILDING DEPARTMENT CITY HALL 474 BROADWAY - SARATOGA SPRINGS, NY 12866 PHONE 518-587-3550 - FAx 518-580-9480 APPLICATION FOR SIGN PERMIT 1 APPLICATION MUST BE FILLED OUT COMPLETELY, including signatures of the property owner, the applicant and the sign erector. NOTE'. Use additional form(s) if more than one sign is to be erected (only one sign per form.) 2. Contractor must provide: (a) a certificate of liability insurance showing a minimum one million dollars per occurrence, with the City of Saratoga Springs listed as additional insured and certificate holder-, (b) certificate of workers compensation insurance, on either the State approved C-105.2 form or the U -26.3 form; (c) certificate of disability insurance, on either the State DB -120.1 or DB -'155 form- (d) hold harmless agreement-, (e) copy of current City of Saratoga Springs sign erector license. (Please contact the city Accounts Department regarding this license,) 3. To -scale drawings., with dimensions must accompany application- (a) drawing of thp. hijilding facade(s) of the establishment to which the sign will be attached (include the shape and accurate location of the sign), if a wall or roof sign, or if awning graphics; (b) detailed drawing of the sign face(s), including any sign support structure (height above grade, etc., and a site plan with location) if a freestanding sign; (c) detailed drawing of the sign profile, including any sign support structure. 4. The sign permit fee of $100.00 (check made payable to Commissioner of Finance), must accompany application. Location Information JOB SITE ADDRESS 41 Geyser Road TAX MAP ID # 178.-1-33 ARCHITECTURAL REVIEw DIS 7_RlCT YES 71 NOX-1 HISTORIC REVIEW DISTRICT YES —1 NO 3P ZONING DISTRICT -IND ( Industrial General} D.R.C. DECISION DATE N/A -- (PLEASE ATTACH COPY OF DFCISION) PROPERTY OWNER INFORMATION OWNER'S NAME Van Hall Holdings LLC PHONE 409-2539 ADDRESS 41 Geyser Road EMAIL SARATOGA SPRINGS, NY 12866 APPLICANT INFORMATION OATE OWNER'S SIGNATURE;'-� V r APPLICANT's NAME Artisanal Brew Works PHONE 518-260-0361 ADDRESS 4-1 Geyser Road EMAIL GQliF1q11f1@9Ma1l.uu111 SARATOGA SPRINGS, NY 12866 AT's GNA-fU_RE DATE SIGN CONTRACTOR INFORMATION 2) COMPANY NAME ADIRONDACK SIGN CO CID# ADDRESS 72 BALLSTON AVE PHONF 518-409-7446 SARATOGA SPRINGS, NY EMAIL fo'hVDad k4co. cor� SIGN ERECTOR'S LICENSE # N/A C 0 N T R C 0 4RS SE I NA RE DATE FOR STAFF USE ONLY: FILE # L4 DLA DATE'TimE APPLIED RECEIVED 13Y APPLICATION# =)C:>1 G D -I 5 C—) PERMIT #— Z2�6 DATE ISSUED q1k1114 REVISED 1120/11 Q=1 0 3'x 4' - &mm AluFanel - Direct Frint with clear coat - Double Sided Mounted between 2 6'x6 aluminum POEMS This proof is not submitted for color approval or print quality. Please proof read carefully upon receipt. Colors viewed on monitors may vary slightly from actual colors in final production. If color critical, please provide accurate color samples (ie: pantone, paint swatches, etc.) Signed proofs indicate review and acceptance of the proof. Once proof is signed and returned with approval, we are not responsible for any discrepancies regarding color, spelling or materials used in production. PROOFS MUST BE SIGNEDAND RETURNEDVIA EMAIL OR FAX BEFORE PROCEEDING D I RQNQ iCK Customer:pp Artisinal Dreworks Approved As Is: SION COMPANY Project Name: Freestanding Sign 72 Ballston Ave. Designer: R[] Approved with Corrections; Saratoga Springs, NY 12866 no further proof needed: p: 518.409.7446 f: 518.478.8489 Pate: 313of 1 www.AdkSignCo.com Rev Date: Revisions required; New proof needed: Signature/Date i .w _ a r w� •`°sem � ;r�" '�' Cup �'i6•�.5�.4.-� ".�" �..i. cam: /� .•.Z..�.._ ' C _ _.. �: _ i±(r �� This proof i5 not Submitted for co [or approval or print duality. Please proof read carefully upon receipt. Colors viewed on monitors may vary Nightly from actual colors in final production, if color critical, please provide accurate color 5ample5 (ie: pantone, paint 5watche5, etc.) Signed proofs indicate review and acceptance of the proof. Once proof is Signed and returned with approval, we are not responsible for any discrepancies regarding color, Spelling or materials used in production. PROOFS MUST BE SIGNED AND RETURNED VIA EMAIL OR FAX BEFORE PROCEEDING Customer: Artisinal brework5 Approved A l : J�►,OIRONO.�CF{ ��� ����,� Project dame: FreeS�anding sign 5 5. 5igtaaturelDate 72 Ballston Ave. De5iper: Rn Approved with Corrections; Saratoga Springs, IVY 12866 no further proof needed: p: 518.409.7446 f: 518.478.8489 Date: 81011 www.AdkSignCo.com RevDate: I revisions Required; New proof needed: ARTISANAL BREW WORKS APPEAL SUPPLEMENT 52 o ...r 141 R ARTISANAL BREW WORKS APPEAL SUPPLEMENT 53 CITY OF SARATOGA SPRINGS CHAPTER 136 LICENSES New Application Renewal Application (Original date of application Mark each type of license which you are a p lying for: Eating and Drinldn Cabact X Lodes -- (# of rooms, Sidewalk Cafd 2. Name oflBusinessA9*&A&I&I---w &*nW W-PAKS 3. Business Physical Address 4 1' 4. Business Mailing Address. L4 1 5. Business Web Address. ARVhh A" --Wm" 1-- g ES - 6. BusinICISS Phone ' 5 _ + Fax Number ftm.0--owEmergency Cell Phone������� 7. Applicant"s Name 8. Applicant"s Home Address I SMA 51 '>5b 9"hil -1 2SI! E9 9. Applicant's IMom e Phone Applicants Date of Birth LfC4' A 10. Business Owner: Email hone # 11. Emergency Contact; Palcovor -Email: I Phone#—JMMEE- 12. Current Occupation 13. Applicable Business Experience MA+JA4fZ 14. Owner of Property Propefty Owner's Phone, 15. Property Owner's Address 141 16. Describe, in detail, services provided and the uses of your premises: pg:�_J� TgLcks &,5L6'VC PWS WUW�S-j SPkZ4At, 6VWIv Type of fire protection equipment: Sprinkler System? Yes No If yes, last -inspection date By Who: Fire Extinguishers? YesNo Number 1!5 If yes, last inspection ;date 1011 ByWho-.TV—e--Ij7 g - Commercial Exhaust Hood? Yes No )6f yes, last inspection date By Who: 16. Other? 17. Fire Alarm System? Yes No If yes, last inspection date If yes, date last inspected and/or serviced 18. E�piration datr. of New York State Department of Health Certificate or Ncw York State Department of Agriculture and Markets Food Processing permit f?.+-,.W0IASe I MCU opy)l ig. Do you have a functional grease trap or grease interceptor? Yes No )(,,if yes, last service/inspection date: 20. Does your business use a dumpster? Yes %_ No ffyw, Mart A e Dqan*mwt ofPubfic Safety to ab bin the req uired Duquter Permit). 21. Does your business /lave an alanu system? Yes K No 'yw. you will be required to complete the one time Alann User PermU). 20. Do you serve alcoholic beverages? Yes No If yes, how many bars do you have (mclude main and satellite)? If yes, you are required to submit with this application all of your current New York State Liquor Licenses. PLW -"ME IVPVfI# 21. Have you made any floor plan changes since your last renewal? Yes No If veslease include an updated floor plan. P (Floor plan can to as simple as a sketch on an 8XI0 piece of paper to show the layout of your establishment.) City of Sarawp Sprinp Chapter 136 Lieense Application 10/2012015 ARTISANAL BREW WORKS APPEAL SUPPLEMENT 54 22. Do you employ security guards or hire security guards for your business? Yes Na (Ifyes, you are required to submit pro of with th is application thatyou r estrxhlrshment is registered and fleensed with the State of New York Department of State Division of Licensing uuthoriZing you to employ security guards. You mast also provide with this app licadon a detailed sketch (attach an additional sheet o. f paper) of the idenf fying shirt your business wIff be using as the security guard uniforn4 winch has to Include your flushness name, as well as five inch lettering, all capital letters, SECURITY across the chest of the front of the shirt, and across the shoulder blades on the back of the shirt. This will he submitted by the City Clerk's Office to the .Department o, f .Public Safety for approval. Your securi y guards are required to wear Public Safety approved ident�ication while employed of your establishment Within the first five (5) days of e,mployrment o, f each security guard, you will be required to provide the Cry proof of eaek security guard's New York `tote registration) 22. Describe, in detail, the fixed locations of your security guards: The City of Saratoga Sprigs requires 1. A Certificate of Insurance for Proof of commercial general liability insurance, including personal Miury liability insurance, in the amount of One Million Dollars ($1,000,000) per occurrence and Two Million Dollars ($2,000,+000) aggregate, naming the City of Saratoga Springs as an additional insured. The City shall be included as an additional insured on said uxsurance for the pernmit(s) process. The City of Saratoga Springs must be. listed as the certificate holder with the physical address of 474 Broadway, Saratoga Springs, NY 1286'6. 2. Proof of New York State statutory workers' compensation and employer's liability Insurance for all employees, of a waiver of same as permitted by law. 3. For sidewalk cafes that serve alcoholic beverages, a Certificate of Insurance for liquor legal liability insurance intoe amount of fire hundred thousand. dollars ($500,000) bodily injury and property damage per each occurrence must be submitted with this application. Such insurance must contain a provision that the Commissioner of Accounts be notified if the policy is cancelled or if there has been a material change in coverage and/or conditions. The City of Saratoga Springs must be listed as the certificate holder with the physical address of 474 Broadway, Saratoga Springs, NY 12866. The Certificate naming the City of ` Saratoga Springs as Additional Insured solely for the issuance ofpemit(s) should be addressed to the attention of, Department ofAccounts City of Saratoga Springs 474 Broadway Saratoga Springs, NY 12866 Attention: City Clerk's Office The Licensee acknowledges that failure to obtain such insurance on behalf of the municipality constitutes a material breach of contract and subjects Licensee to liability for damages, indemnification and all other legal rernedies available to the City. The Licensee is to provide the City with a Certificate of Insurance naming the City as Additional In.suared mor to the issuance of any permit. The failure to object to the contonts of the Certificate of Insurance or the absence of same shall not be deemed a waiver of any and all rights held by the municipality. The Lxcensee shall indemnify and save harmless the City of Saratoga Springs, its Agents and Employees (hereinafter referred to as "City"), from and against all clauns, damages, losses and expenses (including, but not limited to, attorneys' fees), arising out of or resulting from the licensed activity, sustained by any person or persons, provided that any such claim, damage, loss or expense is attributable to bodily inJury, sickness, disease, or death., or to injury to or destruction of proper caused by the tortuous act or negligent act or omission of Licensee or its employees, its agents or subcontractors. Nothing in this license shall be construed as granting the Commissioner of Accounts any pourer to confer rights upon license holders to do or perform any act in contravention of any duly adopted zoning regulations or ordinance xn effect in the City of Saratoga Springs. It skull be the responsibility ofthe licensee to determine if his or her activity complies with the applicable zoning ordinances. If this is an inidid application for an eating and drinking, cabarets or lodging license, you are required to submit with your application two (2) sets of detailed plans for your establishment. flans must include a floor plan indicating the location of all rooms, hallways, doors, windows, reception areas, kitchen facilities, bathrooms facilities, exits, bar or bays, fixed stations for security guards, and all fire protection equipment. The plans need to show the location of your structure relative to other parcels of land, adjacent streets, sidewalks, and public ways. If your establishment has on-site parking facilities, the plans must show them. City of Saratoga Springs Chapter 136 License Application 10/20/2015 ARTISANAL BREW WORKS APPEAL SUPPLEMENT 55 If this is an initial application for a sidewalk cafe license, you are required to submit four (4) sets of detailed pians for your establishment. You must have a valid eating and drhidng license in order to obtain a sidewalk cafe license. For the requirements and specifications on the lay out of sidewalk cafes see the attached copy of the Code chapter 136-24, 136-25. Be advised there is an application fee for this license as well as a license fee. I, f this is a renewal appEcat ori, I being duly sworn and depose and state that no part of the subjcot premises, services provided and uses of premises has changed in any substantial matter since my previous license was issued. If this is an Application for a sidewalk cage, I agree to be fully responsible, to correct any damages caused to the sidewalk as a result of my business' sidewalk cafe, including financially. I,WWV%, agree to comply with all applicable state and local ordinances and or law and agree to operate Ns business in total compliance of those laws and ordinances. I understand my license(s) have annual renewal date (s) and. that I a.m. solely responsible to renew my license(s) prior to the expiration date(s). If I fail to renew my license(s) prior to the expiration date(s) I agree to pay the re-application fee of $250.00 per1cense. Signature of Applicant STATE OF NEW YO. ) ss: COUNTY OF SARATOGA � . . o Deeds in and for On the day of of �� before me, the undersigned, a Notary Public/Cornmisstoner f said State, personally appear•..---- I - - personally' known to me or proved to me on the basis of C4 r�- KCA k satisfactory evidence to be the mdividual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that helshelthey executed the same in his/her/their capacity(tes), and that by his/her/their signature(s) on the instruxa.ent, the xndividual(s), or persons upon behalf of which the individual(s) acted, executed the instrument. P ubIWCom s sio er of Beds Fees: $100.00 Eating and Drinking License $150.00 Cabaret License $15.00 Sidewalk Cafd Application $50.00 Sidewalk Cafe License Lodging License: 5 rooms or less $25.00 6 --10 rooms $50.00 11-- 25 rooms $75.00 26 —100 rooms $100.00 101 rooms or above $150.00 City of Saratoga Springs Chapter 136 License Application 10/20/2015 ..'s ARTISANAL BREW WORKS APPEAL SUPPLEMENT 56 Eo FLOOR PLAN ARTISANAL BREW WORKS BREWERY OVERLOOK SCALE: j„ -'i` o" T ARTISANAL BREW WORKS APPEAL SUPPLEMENT 57 25,_6., la f 0 �� 0 0 o 0 0 0 0 0 0 0 0L I0 0 0 0 0 0 0 0 0 0 0 0 0 00000 42'-3" Q 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FLOOR PLAN ARTISANAL BREW WORKS TASTING BOON[ SCALE: i``=1'-011 Sly-.. - / �i2• _t7y J' - - ti.:_ _ • moi; _ ., 'r;'r-an•L= �r �y+iti--["•Fr`�= _,t'�,- +'.'-= =7�,''4+• rt, .:- . a r _ 1 _ .r';• : -1 x:.� , hr -•i_ P. l -J =.. tiia �t _ iS� "j: �. +M: _ Lir�ti-. 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J,• r _-•. _- J .rr •. r••` •.. S_ .� s �� .-I . _•i�:• 1.:9 9 �__.. - - _ i. .i.="�'- L•• .. N. :t - •i: - ,V'- •t• . .s• . 'tea l..i-. C•r _iL� s_ ',' .s '1., : -/ % - ',:. : fe;-i'.7:''fir �. °i' .. ..} . • r• :J+ ;. _ - •-r• ij-3s.ls_%•.yi: r+rfa._ . _ _,-r �r - - ` •:: ' - ; s � _ ►� '3' _ i_ . a •1'rll'..•I. •ts +1' - -.0 . -r .~�•. _ :.' - y _ - - - r . •; • •. r •'� -.t, d•. ,F_..Z• -.1- _„�: ••'�.- _ - 1' -�•. l •.1:. '..�' •r'' ,-_• Z�... -. _%7 t :. t. f _ •s + r . , 1• •.�f �,-=`- ? --;%-1 .d. ••y• ••'t' - - t.,.r . S- S•r• •'I. . J `r' _ -a'_ '.7tL :.t l•":.;• , 'a _ . ' - •�: ' . - - - - - , • 'L a -f1 :a •-••e,. r _ :r.,'. _ _t.''»w�'k�• .r•..•---, ti 1. _"_ .ark. - _. •c- •; '• - _:� - -•1'. - - % - - a •1, . - _ - a 1- . .._ . r'- , . ARTISANAL BREW WORKS APPEAL SUPPLEMENT 59 0 [?ATE (MIIIIlaDIYYYY) ACC)R" CERTIFICATE OF LIABILITY INSURANCE8/30/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSUREDr the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain Policies may require an endorsement. A statement on this certificate does not confer ,rights to the certificate bolder in lieu of such endo_ rserrient(s). PRODUCER NAME'�Yiouae F Hughes Insurance Agency, Inc. PHON � Ext)-. {(51S a 7 g3-31.31 � C Nni-' (518) 793-3121 SSDDB Hay Road L ADD PO BOX 4 630 INSURER AFFORDING COVERAGE {LAIC Queensbury NY 12804 INSURER A :Tri -S tate Ins Co of Minnesota 31003 INSURED ir43URER B :S9ntin01 Insurance Co. LTD 11000 Quinn Borchardt Brewing LLC, INSURER C : DFA: Artisanal drew Warks INSURED Q 41 Geyser Road INSURER E Saratoga Springs NY 1286E INSURER F: COVERAGES CERTIFICATE NUMBER -.16-17 Master REVISION NUMBERS - THIS IS T4 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAILED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VVITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEP%EIN. IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN [4f`IAY HAVE BEEN REDUCED BY PAID CLADS. Imam ADD UB POLICY EFF PC}LICY P__ LTR A TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FiloccuR UMBRELLA LIAR OCCUR EXCESS LIAR CLAIMS -MADE POLICY NUMBER ADV15'7330 ADV157330 DED I I RETENTION $ 1 WORKFRS COMPENSATION AND EMPLOYERS' LIABILITY Y i N .ANY PROPRIETORIPA►RTNERIEKECUTIVFN ! A ElOFFICERIMEMBER EXCLUDED? OINECZ12401 B (Mandatory in NH) If yestle5oribe under 0ES6RIPTION OF OPERATIONS below A I Liquor Liabi1 ity ADV157330 8131/243.6 j 0/31/2017 8/31/2016 1 8%3112017 3/16/2016 1 3/16/2017 8,/31/2016 19/31/2017 LIMITS D - GENT AGGREGATE LIMIT APPLIES PER: EACH OCCURRENCE X 'POLICY � E � 7L0C 1, 0()0,004 OTHER: AUTOMOBILE LIABILITY A ANY AUTO ALL OWNEDSCHEDULED $ AUTOS AUTOS PERSONAL 8 ADV INJURY NON -OWNED 11000;000 X HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EXCESS LIAR CLAIMS -MADE POLICY NUMBER ADV15'7330 ADV157330 DED I I RETENTION $ 1 WORKFRS COMPENSATION AND EMPLOYERS' LIABILITY Y i N .ANY PROPRIETORIPA►RTNERIEKECUTIVFN ! A ElOFFICERIMEMBER EXCLUDED? OINECZ12401 B (Mandatory in NH) If yestle5oribe under 0ES6RIPTION OF OPERATIONS below A I Liquor Liabi1 ity ADV157330 8131/243.6 j 0/31/2017 8/31/2016 1 8%3112017 3/16/2016 1 3/16/2017 8,/31/2016 19/31/2017 LIMITS EACH OCCURRENCE $ 1, 0()0,004 -- DA TED 500 000 PREMIgE5 Ea occurrence MED EXP (Arty one pemon) $ 100000. PERSONAL 8 ADV INJURY $ 11000;000 GENERAL AGGREGATE $ 21000,000 PRODUCTS - COMPIOP AGG $ 2 r 0'00 j 000 -COMBINED GLE LUff $ 1 000 004 Ea accidenl r r BODILY INJURY JPer Person) $ BODILY INJURY (Par accident) $ PROPERTY DAMAGE Par accident $ EACH OCCURRENCE AGGREGATE $ $ ER" STATUTE E.L. EACH ACC{DENT $ 1001000- 0 000E.L. E.L.DISEASE - EA EMPLOYE $ 100,000 E,L. DISEASE - POLICY LIMIT $ 500 000 each commm cause 17 000 r 0DQ aggregate limit 2.000,000 DESCRIPTION OF OPERATIONS r LOCATIONS !'VEHICLES (ACORD 101, Additi-onal Remarks Schedule, may he attached if more space le roqulredi Subject to all policy terms r limitations and conditiona Certificate Holder is Additional Insured on a Primary Non Contributory basisr including Waiver of Subrogation, when required by written contract, agreement or perMi t . CERTIFICATE HOLDER City of Saratoga Springs 474 Broadway Saratoga Springs, NY 12866 ACORD 25 (201+4/01) INS025 (2014011 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Lindau Abodeeiy/KR 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and Toga are registered marks of ACORD i. - it ARTISANAL BREW WORKS APPEAL SUPPLEMENT 60 $1hATF%.-0F% NEV YORK WORKEAS" COMPENSATION 130AIM *PENSATION INWRANCE COVE, RAGIE CgR-T-11FICATE OF NVS W'd RKERS COMI. Legal Np me & Address of Insured (Usestreet address i�i�y) I b. Business Telephone Number of Insured 8oft'hairdf-Beew1fig LLC Aftisanal Brew Works le, NVS Unemployment Insurance Employer 42 Gqser Road Sar46ga Sprihg*s, NY 1.2866: Registration Number of Insured r. belil, ecik um -474970368 WEek L o citt i 6ift of W 6 k&(0,61y roqidred #'�40irdk6 i's $Pdeffleally, -ffinited to certain looddous ift lVew York Mate, i.e., a Wrap -Up polio) 2. Name and Addiess of the Entity 11qq"#ng Propif of 3a. Name of lz�jRra"ce Carver Coverqpe• (Entity Behag Listed as the Cerdficate Hijider) 'Sen'tilhol InSuirbnke CO. LTD' city-bf 1%.aMt0&:SPflhgS 3b. Policy N -Umber 6fdnitk listed in bok ".1 a1P 474 Broadway'' DIWEC-ZI2461 Sh-rat6ga-Spkings.. NY'12866 3e, Policy 31141ZOI 6 Jo 3/16/2017 3d. 'T'he Proprietor, Partners or Ex"utive-9fters-aire included. (91�jy check box if :all V�a opers/offleM fricluded) X all exthided or-cettabipartneWoffleeks excluded* This certifies that the, insurance carrier indicated above -in box:" P insures thio business referenced .above in box I a7 for workcrs' cornpensation under the New.York State Workers' Cotoppripation Law. (To-use.thkforra, New York (NY) mRust be listed ander Item. 3 on '6e'tNkdMA'T-j0N''- OA6E ot'he workere compensation lnsq mce V44)7 The Insumnee Carrier or -its Heensed agent d 'thi's Cedfflek6of 1'n­3'U'r4nC'0toth&.C'fiVq' Mted'ab&e . as . the 60rifibWte . h6lidef in bbi'1% Thee-Irmirance Carrjer--w111&1sonoAb tke.abovexertykate harder ivitbin 40 daplFapoficy I"S canceled-dite.to-nonpaymgni-ofpi-emium.For 3 6 dap !" there are i -qa;oP4� ale that than n o np.qyrye!j1 oftre m lums - teat v ance I ti q pp ljqy or 4i -cpm the c!or- Fragg -hese notices ma mail.) 01herivise, ibis Cerdflcate Is valldfor otwyear afler thisforin indicaled' on INs C' �Wiov'a'ie. (T . y be sent by reg!d6i is appoved by the Insurance edriler or Its ficensed agent, or unill the pollay expirallon date listed "Ion box "3c", VET & Please Note: Upon the -cancellation of the warkerss4ompensation -policy indicated on this. -form, If the bqsluess- continues to be named on a -.permit, license -orcontract isgived by a certificate haldq, the.buslaoss must prevIde that certificate holder with a new e ""Ca,te 0'.f Workers" Compensation Coverage or oifier authokized proof tbafth'o bus'luess Is comp!ying with the Mandatory coverage re4iffireimionft ofth6 NeW Yukk Shite Wdkkeirs` Cd awo Under penalty pf.perjury.,, I ct;r#fy that I am an authorized repr.esentaiflvp -qr licensed agent -of the Insurance ca Aer refeir d ejace above and that the named ins-ared h�iA the. eqyerp -s form. ge as depicted an t�l Approved by: Lirida'AbOdO dly (pn 4rddnufiVo Or.. lfc. ti►k6d'8­9­04 0'rinkiianc.-a 6arfl' 0 - I K-4t(Asiks�aj Au •g**kj5-. Approved by: Title: President Telephone Number of authorized representative or licensed agent of insurance carrier: 51 &-793-31.31 p -mise N6&: Ohly hziurdhee 6d&Ws and their fieenied. needs ake. auffiorilzed-td Is vie' C- 105.2. lWGrand e brokers bre NOT akitho&ed-lo lssiu-e 41 C-..! 105,2.(0!-0.7)-- www.wcb.state.ny,.us ;. P_ ARTISANAL BREW WORKS APPEAL SUPPLEMENT 61 STATI.3 OF NEW YORK OMbik i COM PIN" --AtON B A Rb CERTIFICATE OF INSURANCE -COVE, RAGE UNDER THE NYS-DISABILIW BENCTITS LAW FART I. IoLbsabj;kv e co 1e . 0i�� #� Carrier x f � Insurance ► �r I' f tCarrier la, I1egal Ndmt and Address Of lnsurcd-(Usc street address only) 1 b. Bu 166s Tc]cO[ioird-Nurnii6r of-insu-red- t ifin 8&b,1iacdt'13rbwing LLQ A rtisanal Brdw. Wdrks 1 c, NYS Unemployment Insurance El mpl �yer:Re;gistr4tion 41 Geyser.Road Nuinber offnsuj-,qd Saratoga Springs: NY 12866. I d. Ped'ral-Emplu�er tdentifleation -Number of] or S00141. eeurity Nutnher 4749703.08 2. Name and Address of the 18ntity Roquesti*ng Proof of 3q. Name of lrisurance Carrier i'overage Wnisty Bing t IAM as the Certibleaty x�elder) Stitlid�_rd SOdurltV Lffi� Iris. Co. df NY City QF atato aprin .3b. P01icy Nurriberafentity listeA in box ~`Iat % 474 Bwadwa� - 8853441000 Saratop:9pnings. NY 12$66 30. P ligy•etTeVtl,VePoriod: 3/.16/201 6 „ ,.,.,.. to: 3/16/2017 4. -Pa I i iby covars St. [ All cif the employ-pes employees eligible under the New York Dlsabiiaty Benefits Lgtw b. Only thc.fbJlowing glass or elassea of the emplayer5s-employees. Under pgnalty ofpedu"Y: I wft.4 that l am-an.authorized representative or licensed -agent-of the insurance carrler-r.�fg,enced-above and - that the nam insnt•eo bas. 'S Disakbillty i3enefits in nee qoyerage as deco lbed.4bPve. bate.S1grled,. u ust ��. t BY At .. �5ign�ti�reuf'i� �nc�e�Ri��'s'au�hnr�z�dre �nta�iv��r�Y��ir;�s�dinsuc�ncc�igentvf`f�nrir�urr�tii��rii�r� President Tel�p►horic.Nurnber 518-793-3131 Title _ IMPQRTANT: If box "40 to checWj:amd flits tonn 1A%Fr d by thOrijuranee carrier's'nobQri :rep eixf #iv ar �[ L �e�s d ns ranee A unt qtthsf rrlr7 rhts�,sirt catels l l MPLETb' Mail -R diredly #o ibe cern tate holder. If box" fib" h checked-, this cerliilcate k 1' OT COMPUTE for purpds" p f SNtlon 220, 8ubd: 8,of the 1] sybility stet tslAw. 1t m 4stberriailed• farcom tetivn to t ie V4'hrlsers` l~�irn ensr�f uto 000rd, DO Flans Mer.0f! ce Unit, .Fair PART2, TO '' cif lir i . en k i State Of New York Workers' Compensation .hoard Acwrding to information maintained by the NNS Workers' Cumpensafion Board. the above-named employer .has complied wifh the NYS Disability Benefits Law with respect to all ofhis&er employees. Date Sighed Fjy ---- (Signature of NYS etkers' Cbmpensatlori board-Employea) Telephone Numbetsw P10ase.lYate: Ont-Muu anco aiyiars. licensed. to vrlt'e-NrSdisabillo.benefils insurancepolicies and NYS licensed insuranee:agents sof those insurance +carriem are authorl"Zed as issue Form DB -120.1. Insurance hrokers are 1VOTauthorized to issue th4 fe I)B-t120.1 (5.06) ' ARTISANAL BREW WORKS APPEAL SUPPLEMENT 63 2E a_ 0 Q 0 �-- D� i z ■ 0 0, �j L. z ARTISANAL BREW WORKS APPEAL SUPPLEMENT 64 City of Saratoga Springs - CITY ATTORNEY'S OFFICE CITY HALL - 474 Broadway —_ Saratoga Springs, New York 12866 max, R POR A.j ZO p Tele hone 518-587-3550, ext. 2414 Fax 518-587-1688 VIA EMAIL ONLY March 22, 2018 Michael J. Toohey Snyder, Kiley, Toohey, Corbett & Cox, LLP mtoohe (& sktcclaw. com 160 West Ave. Saratoga Springs, New York 12866 RE: FOIL request dated February 12, 2018 — 41 Geyser Road Tax #178.-1-33 Dear Mr. Toohey, VINCENT J. DELEONARDIS CITY ATTORNEY ANTHONY J. IZZO ASSISTANT CITY ATTORNEY TRISH BUSH EXECUTIVE ASSISTANT In accordance with the provisions of New York State Public Officers Law §87, this correspondence is in response to your FOIL request. We have been advised that there are no documents that are responsive to your recent request as there were no submissions made to the Zoning Board of Appeals or the Planning Board. Should you feel that you have been unlawfully denied access to records, you may appeal such denial in writing within thirty (30) calendar days. You may direct your appeal to this office. This completes our fulfillment of your request, in accordance with the statutory requirements of the Public Officers Law. Very truly yours, Trish Bush FOIL Officer ARTISANAL BREW WORKS APPEAL SUPPLEMENT 65 SNYDER, KI LEY, TOOH EY, CORBETT & COX, LLP HARRY D. SNYDER ATTORNEYS AT LAW MICHAEL J. TOOHEY PLEASE REPLY TO: KATHLEEN A. CORBETT P.O. BOX 4367 JAMES G. SNYDER SARATOGA SPRINGS, N.Y. 12866 JAMES S. COX STREET ADDRESS: 160 WEST AVENUE TELEPHONE (518) 584-1500 FACSIMILE (518) 584-1583 February 12, 2018 VIA EMAIL ATyiilceiit.cielcoiiar•disr,"cf�sai-ato(ya-skirinors.ol-�y, Mr. Vincent J. DeLeonardis City Attorney City of Saratoga Springs City Hall 474 Broadway Saratoga Springs, New York 12866 Re: Freedom of Information Request 41 Geyser Road, Saratoga Springs, New York 12866 Tax Parcel No. 178.--1-33 Dear- Mr. DeLeonardis: LOREN N. BROWN* 1994-2016 *RETIRED JUSTICE NEW YORK STATE SUPREME COURT Sharie T. Walersteir7 Paralegal This office represents Marie Louise Whitney and John Hendrickson, the across the street neighbors to the property owned by Van Hall Holdings, LLC with an address of 41 Geyser Road, Saratoga Springs, New York 12866, Tax Parcel No. 178.-1-33. It is our understanding that the zoning and/or Planning Board of the City of Saratoga Springs has granted approvals for one or more uses at the subject property. Mrs. Whitney and Mr. Hendrickson believes that the operation of that property is in violation of any approvals that have been granted. As a result, I would request that I receive copies of all Zoning Board, Planning Board and Design Review Cornrnission rninutes, approvals and denials for the use and utilization of the above specified property. As always, if it would be easier for me to review a file prior to copying I would make myself available. Very truly yours, i M icliael J. Toohey MJT/tlp 1 cc: Jennifer Merriman, City of Saratoga Springs'+erlr1ifer.r��errir�lar�(c�sa-atc���a-s riil�s.or•} Marie Louise Whitney & John Hendrickson ARTISANAL BREW WORKS APPEAL SUPPLEMENT 66 Rete. Completed Requests to Records Access officer Requests are also accepted by: City Attorney's Office Hand -delivery City of Saratoga Springs Fax: (.a 4.!e -spring A 474 Broadway Or Email. FOIL@saratoga 2516 Saratoga Sprm*gs, NY 12866. office Phone: 518-587-3550 x FREEDOM OF INFORMATION LAW REQUEST ng fee for records. Additional fees apply for photos and large maps. There is a 25 cent per page copyi TVAal ing A ilress Tod0 ate 40LG '� R; obefit y, ZZZ7 State Zi1D me �- � � --l� +� er, 14le ay tJ Telephone Numbe • hon Firm r Orgaiaallo' n11 q oh e sikke, 167 Id. �� Email �jjti\ature lb Dear Records Access Officer: York State Freedom of Information Law, Article 6 of the Under the provisions of the New Y rt Describe Public Off Law, I herby request records or portions thereof pe aining to (D cri Record(s) in Detail) -4 T, -, 9 e, S C k e, I A A�/� If this r uest is fora I is what is the ymose for the records: The Freedom of Information Law requires that an agency acknowledge a request within five bus•iness days of receipt. The agency has up to 20 business days to respond to a request and will 'ble. If for any reason any portion of the request is denied, you will be respond as soon asp for denial. If approved, records will be made available upon receipt of informed of the reasons payment. All checks are to be made payable to the Commissioner of Finance. FOR AGENCYLJSE ONLY .4— Total Charge: • Approved Number of Pages Responsive: • Partially Approved o Denied (or denied in part) for the reasons checked below: Release would constitute an unwarranted invasion of personal privacy.[POL § 87(2)] Records requested cannot reasonably be located based on description. [POL § 89(3)(a3] Release of information would endanger the I Ife or safety of a person. EPOL § 87(03 Evidentiary records withheld as criminal action still pending. [POL § 87(e)3 Juvenile records cannot be released without a court order. (Family Court Act § 784] Release of Medical Information constitutes violation of HIPPA. [Men Hyg § 33.13(c)] Interagency or intra -agency materials do not apply to FOIL. [POL § 87(g Exempted by a law other than FOIL Specify: Record not maintained by this agency No record exists which responds to this request/record cannot be found Other Approved By: Date: ARTISANAL BREW WORKS APPEAL SUPPLEMENT 67 FREEDOM OF INFORMATION REQUEST 41 Geyser Road, Saratoga Springs, New York 12866 All land use, boards (Planning, Zoning and Design Review Commission) records, approvals and denials pertaining to 41 Geyser Road, Saratoga Springs, New York 12866 with Tax Parcel No. 178.-1-33. The real property is presently owned by Van Hall Holdings, LLC. ARTISANAL BREW WORKS APPEAL SUPPLEMENT 68 VIA EMAIL ONLY March 21, 2018 Michael J. Toohey Snyder, Kiley, Toohey, Corbett & Cox, LLP mtoohey( sktcclaw. com 160 West Ave. Saratoga Springs, New York 12866 RE: FOIL request dated February 12, 2018 — 41 Geyser Road Tax #178.-1-33 Dear Mr. Toohey, Pursuant to Public Officers Law 89(3)(a), this will acknowledge receipt of the above referenced FOIL request. You may reasonably expect a response, granting or denying this request, in approximately twenty (20) business days. Very truly yours, Trish Bush, FOIL Officer