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2008-446 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20080446 Date Issued: Friday, December 19, 2008 This is to certify that work requested to be done as shown by Permit Number P20080446 has been completed. Location: 474 AVIATION Rd Tax Map Number. 523400-302-005-0001-098-000-0000 Owner. JOLLEY ASSOCIATES, A VERMONT GENERAL Applicant: SUBWAY This structure maybe occupied as a: Commercial Alteration 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& de E oncement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080446 Application Number. A20080446 Tax Map No: 523400-302-005-0001-098-000-0000 Permission is hereby granted to: JOLLEY ASSOCIATES, A VERMONT GENERAL P For property located at: 474 AVIATION 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: JOLLEY ASSOCIATES, A VERMOI` PO BOX 671 Commercial Alteration $5,000.00 ST. ALBANS, VT 05478-0000 Total value $5,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2008-446 SUBWAY- 590 SQ FT COMMERCIAL ALTERATION $70.80 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 15, 2009 (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 own Quee bu EW dne day, October 15, 2008 i'� for the Town of Queensbury. SIGNED BY Qu ury. Director of Building&Code Enforcement ................................................... �...,..,................. OFFICE USE ONLY 0 ' , TAX MAP NO. ` PERMIT NO.--JDff- 446 ; FEES: PERMIT RECREATION ENGINEERING 00 ; (if applicable) ... PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: L= CO Cc� � tr;,��.'�.n . OWNER: -7n I\Q Ci a4�' S A(2 , ADDRESS: a�� r1 ADDRESS: Sk A-l6s,g , U I bS-H-R ::,4 PHONE NOS. S( g u�b- l g 3 PHONE NOS. g(Da- 3S - -1 D C) ` CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: PHONE: LOCATION OF PROPERTY: I'LO L/ SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT CO (— APPLY TO YOUR Z O U) � W PROJECT 0 O ~ -j w ¢ 00. �_ U � 0 IW. � � z C1 ►=— I-: O � � WZ cn N f!1 Ou- I— u- a = 06 SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- c� MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: J ESTIMATED CONSTRUCTION COST: 0 OCR FUEL TYPE: HEAT TYPE: "HOW MANY FIREPLACE(S):,AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? PROPOSED USE OF BUILDING OR ADDITION: *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LGL t t-05 10 Town of Queensbury - Community Development Office - 742 Bay Road, Queensburil, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. 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. Signed co C�, Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) %................... Permission Is hereby granted to the above ; This application / proposed action described Applicant to erect or alter the building herein is found to be in accordance with the 000 described herein in accordance with said zoning Laws of the Town of Queensbury. Application: 00 00 , , , , BUD / % 00 ZONING APPROVAL 110 DAT DATE QUESTIONS? CALL 761-8256 OR EMAIL codesftmueensbury net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.gueensbury.net Operating Permit Issued: Yes Y_No Occupancy Type: •I Construction Classification: S� Assembly Occupancy Limit: k Special Conditions: Town of Queensbuny Community Development Office - 742 BayRoad,, Queensbuny, NY 12804 Commun' Development Office ; _____________________ Town of Q e nsbury- 742 Bay Road- Queensbury, New York-12804 Data David H.-tin,Drector of Binding&Codes Craig Brown,Zoning Administrator-Michael J.Palmer,Fire Marshal Stamp ------------------- ES TABLISHMENT OF A NEW BUSINESS CERTIFICATE OF OCCUPANCY PERMIT APPLICATION *Note: T Ns appficadon is for occupancy oniy, with no work roWddng a bulk ng permit TAX MAP# BLDG. PERMIT FILE# Name of Btu: J lo," Address at�STlo S? CALL 7614W6 OR of Business:Business: 6.rta EMAIL .net r VIN T OUR WESSITE FOR MORE Person in Charge or Manager: Ev-%5 P'4 d e n - VW*RMATM www.auee net Business Phone Number: (. 0 7 % " Type of Business: ra S-�- 1:;00t Owner of Property: As S a c,,,J±s Phone Number(s):�__7L__`-a-7— 011 � Owners Address: 575 Lo ta t-r- (e!d r n 5t P O b o A 6 -1 1 S)(. A1(-64AS , vT 0,5714-1f Provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms, counters and fixture layout on a separate sheet of paper. �: Date: a of peAn submitting this Corm [Votes/Comments: EMERGENCY CONTACT UPDATE TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2W2 PLEASE PRINT DATE: BUSINESS NAME: BUSINESS ADDRESS: �{1`� AV BUSINESS PHONE: J 5 d. - L4 7 CONTACT 1: Ev S S F-c d,n HOME PHONE S7b ADDRESS: 02 9 Li ;t An i . SQM2�Q a AjV l vl 6 L CONTACT 2: G v-, Fcd(e/I HOME PHONE `I Za-2 6 3 ADDRESS: n,,-{, C,le,s �� S . JU �oZcFO This form Is used to assist Emergency Service personnel who may be called to your business affer hours. Please be sure that the persons listed on this form will be willing and available to respond during off-hours to assist Police and/or Fire personnel in gaining entry to your building. PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE PERSONNEL. FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Quecttsbury, NY 12804 " Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW 2008-446 Subway/Jolly Mobil 8/28/2008 I have reviewed the submitted plans for the above project, and offer the following comments: 1) Fire Marshals office has no concerns at this time Deputy Fire Marshal Gary K Stillman 742 Bay Road Queensbury NY 12804 518 761 8205 firemarshal@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437 -flrernarsltal@queensbw-il.net • www.aueensbury.net Commercial Final Inspection Rep Office No.: (518) 761-8256 Date Ins ection r st ce' ed: Queensbury Building&Code Enforcement Arrive: T Depart: am/ 742 Bay Road, Queensbury,NY 12804 Inspector's Initi � NAME: ,� 7 � ��-�- _ PERMIT LOCATIO i. �,� DATE: 77( 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"/Treads 11" Vestibules For Exit doors>3000 s . ft. All Doors 36 in.w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36(w)x 44" 1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator 18" Above Grade Floor Bathroom Watertight/Other Floors Oka 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 '/2 doors > 10%> 1000 s .ft. 3/a Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping, 3,000 s . 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 Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ramp/Handrails Continuous/12 in.Beyond[Both sides] Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler 01 Building Access All Sides by 20' /Driveable Surface 20'wide Okay To Issue Temp. or Permanent C/O Okay To Issue C/C L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc Commercial Final Inspecti n Report Office No.: (518) 761-8256 Date Ins ectio feq i Queensbury Building&Code Enforcement Arrive: Depart: � pm742 Bay Road, Queensbury,NY 12804 Inspector's Initia NAME: X, PERMIT LOCATION: ! / s �= ( •.DATE: COMMENTS: Y N NA Chimney/"B"Vent/Direct Vent Location ' Plumbing Vent Throug 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"/Treads 11" Vestibules For Exit doors>3000 s . ft. LT\U$v All Doors 36 in.w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36 (w)x 44"(1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator 18" Above Grade Floor Bathroom Watertight/Other Floors Oka 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 s .ft. 3/a Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour,3 Hour Complete/Fire Dam ers/Fire Doors Ceiling Fire Stopping, 3,000 s . 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 Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in.,Checkout 36" Handicapped Ramp/Handrails Continuous!12 in.Beyond[Both sides] Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Drivewa Water Fountain or Cooler Building Access All Sides by 20' /Driveable Surface 20'wide Okay To Issue Temp. or Permanent C/O Okay To Issue C/C L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc c ��►4 Inspection for Permit to 9cupy Fka Marshal's 01111ce Request Rec'd Permit No. Town of Queensbury Qu Bay Road fZ -'� G�� Queensbury,NY 12804 Scheduled Inspection Date: Time: , Phone: (518)761-SX6 Business Name: Fax: (518)745-4437 location: '! 'Ja N A Yes No EXITS: Exit Access Exit Enclosure COMMENTS Exit Discharge AISLES: 1/,j Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Si -normal Si -battery EVAC signs in rooms TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun Inspection of extinguisher FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Islan Generator Hood Installation Elevator Interior Finishes Storage Compressed Gas Clearance to§2dnklers Clearance to Electrical Electric Wiring Enclosed A Combustible Waste Vehicle Impact Protection Knox Box F.D.Si na e-Utility Rooms No Smoking Signs 77 Maximum Occupancy Sign Emergency Evacuation Plan AP (I Zedf no other approvals apply,the B&C Office win issue th Certificate of Occupancy) Den /coil for Recheck Ins pect 8y: L:\FireMarshal\New Foider\permitto occupyform.doc STATE OF NEW YORK C IT_1/_//W' DI:MDEPARTMENT OF HEALTH Glens Falls District Office 77 Mohican Street Glens Falls,New York 12801 (518)793-3893 Fax(51'8)793-0427 Richard F.Daines, M.D. Wendy E.Saunders Commissioner Chief of Staff September 29, 2008 Mr. Kevin Brough LE O p Y Glen Street Subway's, Inc. 870 State Rt. 9 Queensbury, NY 12804 Re: Subway—Exit 19 Facility Code: 45-AJ63 (Proposed) Halfmoon (T), Saratoga County Dear Mr. Brough, This office is in receipt of an Application for a Permit to Operate, a Notice of Intent to Construct, Enlarge or Convert a Facility, a Food Service Establishment Plan Preparation Guide, Architectural Plans, and numerous ancillary documents,received in this office September 15, 2008, for the proposed construction of a Subway, to be located in the Mobil Mart at 474 Aviation Rd, Queensbury (T). In reviewing the documents submitted, this office finds that the application to operate a Food Service Establishment is acceptable, pending the satisfactory completion of a pre-operational inspection by a representative of this office, and under the following conditions: Food Service Establishment Plan Preparation Guide • On Page 19, you failed to indicate the anticipated concentration of disinfectant to be used to sanitize food contact surfaces. You must ensure any chemical sanitizer be used in accordance with Subpart 14-1.112 of the New York State Sanitary Code (NYSSC), and that no toxic residue is left on the surfaces. If use choose to use a quaternary ammonia compound(for example), you must ensure compliance with section 4-501.114 of the U.S. Food and Drug Administration Food Code (2005). • Also on Page 19, you indicate that you intend to prepare vacuum packaged foods on-site. You may not prepare vacuum packaged foods,also known as reduced oxygen processing (ROP), without prior approval from this department. Should you wish to pursue approval, you must submit a written plan to this office, prepared by an individual with appropriate qualifications, and receive said approval prior to conducting any reduced oxygen processing. Please contact this office for information regarding the definition of an individual with appropriate qualifications. Food noted on-site which was been found to be reduced-oxygen packaged without an approved scheduled process on-file with this office will be subject to embargo as an unapproved source. • You indicate that you intend to prepare all vegetables at least 24 hours in advance of preparation and service. As all vegetables must be washed prior to preparation and service, please indicate the intended sink to be used for this purpose. As a reminder, any food preparation sink must have an indirect drain, and if you intend to use the 3-compartment sink, that sink will not be available for dish and utensil washing. PAFacility Folders\Subway-Exit 19\Application Review-Conditional Approval.doc c< • On Page 23 of the preparation guide, and on your ap atfon oil inXe that your operation will be connected to a private, on-site wastewater treatment system. As this is believed to be a mistake in your submission, you are reminded that your facility is not approved for an on-site wastewater treatment system, and that all waste lines must be connected to the Town of Queensbury Sewer District. • On Page 26, you indicate the intended use of a slicer, please be aware that the slicer(for which no manufacturer's technical specification sheet was included) must be easily disassembled, and that you may use only non-toxic food grade lubricant on the unit. Architectural Plans/Equipment Specifications • Your plans indicate the connection of the soda system machine to the facility water supply. Please ensure that a proper back flow prevention device is installed to prevent the back flow of carbonation into the facility water distribution system. The only acceptable devices for back flow prevention are by use of an air gap at the water inlet, or installation of a double check valve vented to the atmosphere. Only NYS-approved.double check valves--maybe installecton the waterline, --- please see attached sheet for approved models. • Your plans indicate installation of an interior grease trap, to be located in the food preparation area. Please ensure you have an contract with an acceptable hauler to periodically clean the grease trap. You must monitor the grease trap to ensure the unit remains properly functioning, and that no back-up of sewage be allowed into the facility. In reviewing the proposed project, the Town of Queensbury may require an exterior grease trap. General/Administrative • You must obtain a Certificate of Occupancy from the local Building Department or Code Enforcement Office. Please contact that office for further information and ensure that once approved, a copy of the Certificate of Occupancy is forwarded to this office for filing. This office will not issue any Permit to Operate without proof of a current, valid Certificate of Occupancy or Certificate of Compliance. • Finally, not indicated on your floor plan,basic CPR equipment must be maintained at the facility. A brochure detailing your requirements has been included for your review. This office must conduct a pre-operational inspection prior to the facility receiving a Permit to Operate. Furthermore, New York State Sanitary Code,Subpart 14-1.190 requires a valid permit to be issued by the permit-issuing authority prior to operation of the facility. Please contact Richard Hess, of this office,to schedule a pre-operational inspection. Should you have any further questions regarding your application, you may contact this office at (518)-793-3893. Sin erely, re ory F. Re olds ricipal Sani 'an cc: Anita Gabalski,District Director Queensbury (T) Code Enforcement File PAFacility Folders\Subway-Exit 19\Application Review-Conditional Approval.doc 2 10/09/2008 15:10 518-456-1018 EMCO CONSTRUCTION PAGE 02/02 10-v8-08;01 :30PM; ; # 2/ 2 Richard R. Stephens Consuifiing Engineer, P.C. Yi October 9,2008 Queensbury Building Department 742 Bay Road Queensbury,New York 12804 Attention: Mr,David Hatin . Director of Bulldog and Code Enforcement Re; Jolley Convenionce Sto%Queensbury,Now York Outside Adr Calculation and Exhaust Air CaloulWwn Dear Sir. This letter is in response to your correspondence requesting a letter related to ihe outside air calculation and the exhaust air calculations for the Jolley Convenience Store In Queensbury,New Yank. The following is the requested Information: Based on the New York State Code for retall atom,the outside air requir meM is.30 CFM Square Ft.for the street level.The street level area(5081 Set, Ft.)x.30 CFM Sq,PLI 1,525 CFM of outside air.The drawings have been revised to incorporate the above and are marked. RTU—1 900 CFM Outside Air RTU-2 75 CFM Outside Air RTU—3 SW CFM Out®ide Air 1,836 Outside Air Total The exhaust flow rates from the first floor as follows:• . Dunkin Donuts Sandwich station 610 CFM(Manual Control) Dunkin Donuts Mint Reek 600 CFM(Manual Control) Dunkin Donuts Sink Exhaust 130 CFM(Manual Control) Men's ToW Exhaust 93 CFM(Control thru Ught Swit6h) Wonten's Toilet Exhaust 93 CFM.(COMVI thru LWht.Switoh). Total&h" 1,426 CFM Total Outside Air Minikes 1.626 CFM Total Exhaust Air Volume 1aa CFM Total Po&Vh a Pressure 99 CFM If you have any questions,pieatse do not hesitate to call. Respect fulty, JrZlcard R.St�hens pp Principal 77 Maple Avenue Troy,New York 1.2180 (518)786-UN Fax, (518)7$6.6366 offlce�rrsen9tac.cotn Jan . 5 . 2009 11 :49AM MDIA No . 0620 P . 4/4 MIDDLE DEPARTMENT INSPECTION-AGENCY, INC. cGex4#od•that the electrical wiring to the electrical equipment fisted below has been examined and is approved as being in accord with the National electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued subject to the following conditions. Owner: Subway Date: 12/23/2008 Occupant: Commercial Locatlon: 474 Aviation Rd. Occupancy' Non-Residential Queensbury, Warren Co. NY Applicant Ambrose ElectricI, yt. 790 Watervliet Shaker Rd 'J#' Latham, NY 12110 v:' vt� .,a dA x� . r .o �. $ ti'1i�7� �mr.•v.r�.aaw.rn.tra..,� R Raymond A. No k ��.�N� � •�, a r k No. >r 1400 7 Equipment:- 8-Switches; 12-Recept r es, 161 t° u . 2 ri`I a el; 4 V1ya S1' S try, PI x NMI � , This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership inspection. No warranty is expressed or implied as to the mechanical safety,elfi- of the property indicated$Dove,this certificate Shall be immediately null and void, clency or fitness of the equipment for any particular purpose. This certificate shall in the event that this certificate becomes invalid based upon the above conditions. be valld for a period of one year Iron the above noted date. Should the electrical this certificate may be revalidated upon relnspection by Middle Department system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle ed to,the introduction of additional electrical equipment andfDr the replacement of Department inspection Agency, Inc. to Initiate the inspection and revalidation any of the components installed as of the above noted date,this certificate shall be process. A tee will be charged for this service. �� LALA