2004-250 -T�
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. P20040250 Date Issued: Wednesday, July 12, 2006
This is to certify that work requested to be done as shown by Permit Number P20040250
has been completed.
Tax Map Number. 523400-309-013-0001-074-000-0000
Location: 192 CORINTH Rd
Owner. MC DONALDS CORP. 031/1015
Applicant: MC DONALDS CORP. 031/1015
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 o - m Co e E �n,
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
L_
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040250 Application Number: A20040250
Tax Map No: 523400-309-013-0001-074-000-0000
Permission is hereby granted to: MC DONALDS CORP. 031/1015
For property located at: 192 CORINTH 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: MC DONALDS CORP. 031/1015
C/O RENEE REARDON Commercial Alteration $60,000.00
- PO BOX 4510 Total Value $60,000.00
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-250
COMMERCIAL INTERIOR ALTERATION(CHANGING DECOR)
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 05,2005
(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 T Queen ry; a esday,May 05, 2004
SIGNED BY iu! for the Town of Queensbury.
Director of Building&Code nforcement
Building Permit Application-
Town of Queensbury—Dept of Community Development,742•Bay Road,Queensbury,NY
(518)761.8256
- C �
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A permit must be obtained before beginning construction. Permit File No,y_o '
No inspection will be made until applicant has received a
Foe Paid $� R ,�
�P PP
valid building permit. All applicants' spaces on this Roe.Fee Paid $ T0� 292004
application must be completed and must appear on the Reviewed By: �UI]Q01Ajapplication form. ` '4 N®NSBURY
CC®F.
Applicant: 'Owner:
Address: s Address: 5'/O•
Utg o e a 5, h u Al VpL/
Phone#(SZ) - Phone#( ) 7`' - �;y
- ?� 5 tares— ��l` l
Property Location: Lot Number: a er ���
Subdivision Name: Tax Map Number: 30
0 New Building: residence /commercial 'Estimated Market Value of Construction: $
o Addition: residence/ commercial if an Addition,what will use of new.addition be?
0—Alteration: residence./,commereial._a'
o No"change to exterior size: residence/com'1
0 Other work(describe—De rw (1.)9fK _)
Check Occupancylnformation 1' Floor 2nd Floor Other floor Total
Below sq.ft, sq.ft. sq.ft. Square Feet
o Sin a family dwelling
0 Two fianfly dwelling
0 Townhouse
o Multifamily dwelling
#of units
o Office
0�Mercantilo
o :Manufacturing
a 1 car detached garage
0 2 car detached iarage
0 3 car detached garage
0 1 car attached garage
a 2 car attached garage
0 3 car attached garage
o Storage building-
commercial
o Storage building-
resider
—OMOthor- _a --
_, ,:
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other:
Number of,Fdwykces to be installed Number of Woodseoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address- Phone Number
Builder ' f
Plumber
Mason
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions-pf the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that Uwe shall
submit;prior to ertifieate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrat or Dzrector of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of now� ustruction.
Signature: ��i G owner,owner's agent,archi contractor
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY. 12804-5902
Memorandum
To: Chris Jones, Dave Hatin, File
From: Michael J Palmer, Fire Marshal
Date: April 5, 2006
Re McDonalds EA 18
Review of submittals, for fire alarm at the above location, indicates the following:
1) all devices listed are acceptable as shown
2) add note indicating Ansul system is incorporated into alarm system
3) Add note indicating system is monitored by central station
4) Is HVAC shutdown and/or duct detection required???
5) Add detection in drive thru window area
Michael J Palmer,Fire Marshal
742 Bay Road
Queensbury, NY 12804
518.761.8206 --flremarshal@queensbuty.net