CC-000756-2017 TOWN OF QUEENSBURY
742 Bay Road, Queensbury,NY 12804-5904 (518)761-8201
- . Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000756-2017 Date Issued: Wednesday, February 14, 2018
This is to certify that work requested to be done as shown by Permit Number CC-000756-2017
has been completed.
Tax Map Number: 266.3-1-78
Location: 985 State Rte 149
Owner: North Star Donut Group, ASAD PETROLEUM, INC.
Applicant: North Star Donut Group
This structure may be occupied as a: Commercial Interior Alterations 824 sq. ft.
Tenant: Dunkin Donuts By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
�8
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000756-2017
Tax Map No: 266.3-1-78
Permission is hereby granted to: North Star Donut Group
For property located at: 985 State Rte 149
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: North Star Donut Group Retail-Mercantile-Alteration $35,000.00
Owner Address: 509 State Route 67 Total Value $35,000.00
Malta,NY 12020
Contractor or Builder's Name/Address Electrical Inspection Agency
Shaw Contracting
3580 State Route 4
Hudson Falls,NY 12839
Plans&Specifications
Commercial Interior Alterations 824 sq.ft.
Tenant: Dunkin Donuts
$164.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,December 14,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Q ensb 7�iurs y D er 14,2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Oniv
ADDITION/ALTERATION PERMIT Permit#: C'G 7 s� -o ( 7
APPLICATION Permit Fee:$ /67 r. P0
Town ofQ_ueensbury
742 Bay Road,Queensbury,IVY 12804 Invoice#: 2469,
a
P:518-761-8256 www.gueensburV.net
Project Location: Q y .
Tax Map ID #: °�O 3'I- -78 Subdivision Name: nl� .1
EGrEW
CONTACT INFORMATION:
DEC 0 7 2017
• Applicant: -T�6wGS Burke,Z-7 TOWN OFQUEENSBURY
`l COMIVIUN OEVELOPMENI
Name(s): D Or�(-P- 1\� �+f l� Pl i i�
Mailing Address, C/S/Z: _ �a°� Mt,\ fit- Ta, � G7 11-4-6- NY I20'2-0
Cell Phone: r$ ) a `I - 33 7-- _ Land Line:
Email-
Primary
mail Primary Owner(s):
Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line: � )
Email:
• Contractor(s):
Business Name: , I\4bo
Contact Name(s): 7D C-1 r'
Mailing Address, C/S/Z:
Cell Phone: (4W �'b-L(4 - 73 63 Land Line: � )
Email: '-Ra4'S�aw ZB Op Gml^lk . C-e)t
0
• Architects En ineer s : n
Business Name:
Contact Name(s):
Mailing Address, C/S/Z: 310
Cell Phone:_ L401 ) 2 2- .50 T d Land (ine: � )
Email:
Contact Person for Building & Code Compliance:- 'Lry-) `u
Cell Phone: 50S )_ 3C�-J - :��M Land Line:
Email:
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
PROJECT INFORMATION:
TYPE: Commercial Residential
WORK CLASS:
_Single-Family _Two-Family — Multi-Family (#of units )
Townhouse _ Business Office Retail
Industrial/Warehouse _Garage (#of cars ) —Other (describe )
ADDITION SQUARE FOOTAGE: ALTERATION SQUARE FOOTAGE:
1st floor: 1st floor: S a4
2nd floor: 2nd floor:
3rd floor: 3rd floor:
4th floor: 4th floor:
Total square feet Total square feet: 0
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $_ f �
2. If Commercial project, what is the proposed use:
3. Source of Heat (circle one): as Oil Propane Solar Other
Fireplaces need a separate Fu Burning Appliances& Chimney Application
4. Are there any structures not shown on the plot plan? YES I&
Explain:
5. Are there any easements on the property? YES NO
6. SITE INFORMATION:
a. What is the dimensions or age of the parcel? Anc-ok. 2.5 Act► +
b. Is this a corner lot? YES NO
c. Will the grade be changed as a re It the construction? YES NO
d. What is the water rce?
�TIC
PRIVATE WELL
e. Is the parcel on EWE or a PRIsystem?
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
DECLARATION:
L I acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If the work is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or
description of the work proposed, that all work will be performed in accordance with the NYS Building
Codes, local building laws and ordinances, and in conformance with local zoning regulations.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 1 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: ont
SIGNATURE: DATE: 11/3o/17-
Town
1 3o t7-
Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised February 2017
FIRE MARSHAL'S OFFICE
Tozum of Queensbury
742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
PLAN REVIEW
Dunkin Donuts (Northstar)
985 State Route 149
CC-000756-2017
12/13/2017
I have reviewed the submitted drawings for the above project, and offer the
following comments:
1) Fire extinguisher locations to be discussed.
2) Locks / latches shall comply with 2015 IFC.
3) Verify CO detection.
4) Verify exit sign in back room- (ASAD Petroleum plans)
5) Provide specs for type 2 hoods.
6) Emergency light plan appears adequate.
7) Fire Alarm by building owner. (ASAD)
4-1/r7n::Z�
Deputy Fire Marshal
Gary K. Stillman
742 Bay Road
Queensbury NY 12804
518 761 8205
garys@queensbury.net
Fi r e M a r s h a l 's Off i c e - P h o n e: 518-761-8206 - F a x: 518-745-4437
firemarshaftueensbunl net - wzvzv.yueensbuni.net