2013-356 TOWN OF QUEENSBURY
14TO742 Bay Road,Qucensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
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CERTIFICATE OF OCCUPANCY
Permit Number: P20130356 Date Issued: Monday, September 23, 2013
This is to certify that work requested to be done as shown by Permit Number P20130356
has been completed.
Location: 118 QUAKER Rd
Tax Map Number: 523400-302-007-0001-012-000-0000
Owner: QUEENSBURY QUAKER, L.L.C.
Applicant: HAWKINS RESTAURANTS
This structure may be occupied as a:
Commercial Alteration By Order of Town Board
TOWN OF QUEENSBURYA--
Issuance of this Certificate of Occupancy DOES NOT relieve the property riD4VP,1'1
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building& Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
gaty742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130356 Application Number: A20130356
Tax Map No: 523400-302-007-0001-012-000-0000
Permission is hereby granted to: HAWKINS RESTAURANTS
For property located at: 118 QUAKER Rd
in the Town of Queensbury, to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: QUEENSBURY QUAKER, L.L.C.
90 STATE St Suite 1411 CornmercialAlteration $1,000.00
ALBANY,NY 12207-0000 Total Value $1,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans& Specifications
2013-356 O'TOOLE'S RESTAURANT
Comm. Alt. -replace center decorative beam
$75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 13, 2014
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow of ensb ; p T. d�� ,August 13,2013
(
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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Office Use Only
Town of Queensbury Building & Codes
Received: Aeuo 1 2013
PRINCIPAL STRUCTURE APPLICATION Tax Map ID: 3 D�, -/-/ a
A permit must be obtained before beginning construction Permit No.: 13'3 S�(p
Permit Fee: $ 7;`)
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling "Rec Fee:— $ nl iA
units, including single-family dwellings, duplexes or two-family dwellings, multiple family Site Plan No.:
dwellings, apartments, condominiums, townhouses, and/or manufactured and modular Subdivision No.:
homes,but not including mobile homes. This is in addition to the permit fee.
Date Applicant
Tax Map ID 30(;, c) --/ -/a Address
Zoning
Phone/E-mail
Property Owner NA KcNs as/AutDifs (oroof.,as\ Contractor/Agent ./-Iawx-i.Js
Address 4-ta)444_ ®W 24 , /IF GR,gti'.Rj an Address 24 64,4 ha) IA El-, ie
d8Y , tiY /ague{ &BY, NY /2Poy
Phone/E-mail 793- 33P, Phone/E-mail X93-3260 /aim,.' e Re £w& t.
Czar-
Contact Person for Building &Code Compliance: S7EfL Day Phone: 7`73-3 26 0
Building Street Address: Si)sit AT no ye
Subdivision Name: Lot#: Historic Site: Yes _No
Estimated cost of construction: $ /,Can
Type of Construction:
Check all that apply Please indicate measurements as required below:
cc
0 c
d a to
o 1st Floor 2nd Floor Other Total Height
F a
Single Family
Two-Family
Multi-Family(#of
units )
Townhouse
Business Office
Retail-Mercantile
Factory-Industrial
Attached Garages(# )
Other
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
. • 1
If commercial or industrial indicate name of business r �
0 70 atd S g1S7Aaan°✓/ ®a3
Proposed use of building or addition
Source of heat(circle one) Gas Oil Propane Solar Other
Fireplace-complete a separate application for°Fuel Burning Appliances&Chimneys" Yes No
Are there structures not shown on plot plan?
Are their easements on the property?
Site Information
a. Dimensions or acreage of lot
b. Is this a corner lot?
c. Will the grade be changed as a result of construction: Yes No
d. Public water or Private well
e. Sewer or Private Septic System
Value of all work to be performed(labor and materials) $
Declaration: I acknowledge no construction activities shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval. I certify that the application,plans, and supporting materials are a true and complete statement/description of the
work proposed,that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and
in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a
certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above.
Print Name: ,5 "Id ti D- //44-,twS
Signature: Date: P/A3
FOR OFFICE USE ONLY:
Operating Permit Issued: _Yes _No
Occupancy Type:
Construction Classification:
Assembly Occupancy Limit:
Special Conditions:
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
'( h (erl 3f0
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspectio -- � -_
Queensbury Building &Code Enforcement Arrive: O .•o . Depart .`• . ,. . .•
742 Bay Road, Queensbury, NY 12804 Inspector's I -- s: ass
NAME: Q "enra l t?3 PERMI / 3-3 s&
LOCATION: C.Ca'n rM C�p1' DATE: 9— /9/ R
I8. QumLKe.r gel
COMMENTS:
Y N NA
Chimney/'B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6°/Roof Complete
Exterior Finish/Grade Complete 6'in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"I Treads 11"
Vestibules For Exit doors>3000 sq. ft
All Doors 36 in.w/Lever Handles I Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44'(t)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18°)Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap!Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 %doors
> 10%> 1000 sq.ft
'I..Hour Corridor Doors&Closers
Firewalls I Fire Separation,2 Hour, 3 Hour Complete I Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft Wood Frame
Attic Access 30'x 20'x 30"(h),Crawl Space Access 18°x 24'
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
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Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters,34 in., Checkout 36"
Handicapped Ramp 1 Handrails Continuous/12 In. Beyond [Both
sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required (—IM
Final Survey, New Structure/Flood Plain certification,if req. J�
As-wilt Septic System Layout Required or On File 1'j
Building Number or Tenant Address on Building or Driveway 4" O
Water Fountain or Cooler (7
Building Access All Sides by 20'/Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
L:1Building 8 Codes Forms\Building 8 Codesdnspection FonnsCommercial Final Inspection Report.doc Revised January 7,2008