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87-599 f CERTIFICATE OF OCCCU- P.,A►.NC'i' i TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK E)ate December 1 !9 This is to certify that ,�, 0k 7`5�3 9 requested to be done as Shown by Pcrmit ? >s x 4 f i has been cornpieted. i i This structure may be o"upiedas a Restaurant j Fite . 4 4 SAS. 1 f..dcaLocation �(''`�� Owner McDonald ' s Corp . i i By Order Town Hoard i TOWN OF QUEENSBURY I � x - r Blii1.d1l1a' III' 'f.0111ng Inspector i BUILDING PERMIT TOWN OF QUEENSBURY No. $7-599 � WARREN COUNTY, NEW YORK CD PERMISSION is hereby granted to McDonald ' s Corporation i rn _ 1 OWNER of property located at Rt e 9 Street, Road or Ave. in the Town of Queensbury, To Construct or place a Alteration to inside of building at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. I. OWNER'S Address is McDonald r s Corporation 1 Computer Drive South 4 .^J N 2. CONTRACTOR or BUILDER'S Name Machnick Builders n 0 rt 3. CONTRACTOR or BUILDER'S Address Z3 d 1 West Dr . m Green Island , N . Y , o 4. ARCHITECT"S Name rt rt 5_ ARCHITECT'S Address m �.a 6. TYPE of Construction — (Please indicate by XI ) Wood Frame ( ) Masonry i ) Steel ( } y t r-r ro 7. PLANS and Specifications No. Alteration to existing building to include new office area between service booths . 0 rr 8. Proposed Use d Alteration to inside of existing building , cn w w $S . 00 C /o m $ 18 . 96 PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 , 1988 Q (If a io er riod is ng pe required application for an extension must be made to the Building and Zoning inspector of the p town of Queensbury beforea the expiration dam.) Uq Dated at the Town of Queensbury this y�10th Day/of [ ]Sept . Zg 87 SIGNED BY // / cr y 62A£ - for the Town of Queensbury Building and Zoning Inspector op(f4ee TO BE COMPLETED BY BLDG . DEFT . �J Application No . ... 1'O"ln o/ Qutee"JA"ry Permit Issued 19Ws , :; h v BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and HaViland Road, R. D. 1 Box 98 zoning Designation k Oueensbury, New York 12801 variance No . Site Plan Review No . j � ,^� � izi01 f "7 Approved _ G'� FO ./I rt � 3d i, s �� APPLICATION R � � ,_ ., . _• __ FhU I LD I NG AND Z[JN I NG PERMIT LW A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be clone in accordance with the description, plans and specifications submitted , and such special conditions as may be indicated on the Permit . The owner of this property is : M { �4y) h S 5 P . O. Address_ 1 -GyrYti {� t�-C6('�- 4 � ilw , ��c7 + + ri Tel . Property Location : ( `� �i `!r- �� i 1 '� � L� Tax Map Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION of WORK AS REGARDS BUILDING CODES IS : Name P . D . Address Tel . No , Name of builder.in { c 1dI,1Ts_iCr_: LL&04ddress l l r� SC E E-Az� +-SL- 1 . Name of plumber Address Tel . Name of mason Address Tel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : _Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED ' Addition to a building * drawn reasonably to scale and attached hereto . _)Alteration to a building * showing clearly and distinctly all buildings , (no change to exterior dimensions) * whether existing or proposed and indicate all other work (describe) .�4- e'/ set-back dimensions from property lines . Give street and number or lot number and indicate * whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . * COMPLETE INFORMATION RE_QUIR11�'� ?Q2, ""'^- * Size of property. Cyr ft x ft . * Existing building ( s) Size ft x ft . PROPOSED BUILDING AND USE : * Existing building (s ) Use Size of new structure ft X ft Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line (circle one ) * Front yard ft Rear yard ft No . of stories (habitable space ) Side yards ft and ft Height ( grade to ridge ) ft ' If on corner , setback from side street ft if residential , no . of families * OCCUPANCY INFORMATION No . of rooms ( excluding baths ) * * No . of bedrooms PRIMARY BUILDING No . of bathrooms One family dwelling Primary heating system Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be installed * permanent occupancy Will a wood stove be installed? ransient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other Ranch Contemporary Log cabin If addition , what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow Cape Cori Cottage Other ACCESSORY BUILDING- Town House * Detached garage/one car/ two car/ car Colonial Row car ( * Attached garage/one car/ two car/ CIRCLE ONE PLEASE ) � - * * * * * * * * * * * * private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ INFORMATION ON BUILDING .SFECIFICATIONS , ON REVERSE SIDE OF THIS SHEET TO BE COMPLETED ! Form BPA 4/86 mmd-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . � (��� Will any second-hand or ungraded lumber be used? If so , for what ? �} Foundation wall material. �,r���""'t���� Thickness Depth of foundation below grade (to bottom of footing ) r.7 Will there be a cellar?_V 0 Heated or unheated? LAC Vloor sq. footage sq ft Will there be a basement? �Ljy will any portion be used as living space? ( If so , what portion? sq , ft . - - Ty e of use . Type of roof - sloped/flat/shed/otherL'n Material. of roof Size , wood studs�_'"X�" spat ng "o . c . length � ft . Joists ( floor beams ) 1st . floor "x It spacing "o . c . span ft . Jois is ( floor beams ) 2nd . floor _ "x spacing '"o . c , span ft . Overlays (ceiling beams ) ""x '" spacing "o . c . span ft . Roof rafters '" spacing o . c . span f t . Roof trusses (pr engineered) spacing "' o . c . span ft . Exterior wall finish Of what material? Interior wall finish If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? will a flue-lined chimney be installed? Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in . Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well { including Adjoining properties ft _ (A separate application is necessary for any repair or new installation of septic system) Town of County off Warren I A F F T D A V T STATE OF NEW YORK Warren I swear that to the best of my knowledge and belief 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 of the BUILDING CODE , THE ZONING OR.DINAICE , and all other laws pertaining to the proposed work shall be complied with, whet he specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS. Signature _ -own erK owner ' s -age , arcnxre , contract _ day of 19 Notary Public , Warren County , N . Y . * * * * * * * * * . * * * * * * * . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : TA jog ISSUE DATE (MMIDDIY'Y) ® lk 12 /{33 / PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS COOL INSURING AGENCY NC NO Rlf#HT$ UPON THE CERTIFICATE BOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 2074� GLEN'S FALLS. NY 12901 COMPANIES AFFORDING COVERAGE COMPANY A F I REMANS FUND INS CC) LETTER COMPANY INSURED LETTER MACHNIGK BUILDERS. LTD. COMPANY G & GREEN ISLAND EQPT CORD 1 WEST STREET COMPANY GREEN ISLAND, NY 12183 LETTER COMPANY E LETTER • THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWFTH$TANDWO ANY REOUIREMENT, TERM OR CONOJTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- TIONS OF SUCH POLICIES, POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS 00 TYPE OF INSURANCE POLICY NUMBER DATE (MMfDO/W) DATE (MMA)DIYY) EACH p[,.(,aREGATE LTR OCCURRENCE A GaNERAL LIABILITY BINDER 1 645 1 1 / 29/86 1 1 /29/®7 BODILY X COMPREHENSIVE FORM INJURY $ $ X PREMISES/OPERATIONS PROPERTY UNDERGROUND DAMAGE $ $ EXPLOSION & COLLAPSE HAZARD X PRODUCTSICOMPLETED OPERATIONS X CONTRACTUAL COMBINEo $ 2, Ch�1C3 $ 2. Ci{3{? X INDEPENDENT CONTRACTORS V1 BROAD FORM PROPERTY DAMAGE PERSONAL INJURY PERSONAL INJURY $ 2 i 000 A AUTOMOBILE LIABILITY HINDER 1646 1 1 /29 /86► 11 /29 /87 I --R�. . . .. X ANY AUTO IPER PERsoNI $ ALL OWNED AUTOS (PRIV_ PASS.) BODILYKJURY - OTHER THAN) PER ACMNTI $ X ALL OWNED AUTOS ( PRIV. PASS. 1 X HIRED AUTOS PROPERTY pDAMAGE $ NOWOWNED AUTOS GARAGE LIABILITY BI 8 PD COMBINED $ 2, 000 ^ EXCESS LIABILITY PO UMBRELLA FORM B 8 COMBINED OTHER THAN UMBRELLA FORM STATUTORY WORKERS' COMPENSATION (EACH ACCIDENT) � AND B INI3ER 1647 1 1 /29/H6 1 1 /29/E37 � $140 . $ (DISEASE-POLICY LIMIT) EMPLOYERS' LIABILITY $ (DISEASE-EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- Town 4 Q u 4 E? Ti S b ll r PIRA 710 DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR Tp Y MAIL 3 DAYS WRITTEN NOTICE TO T E CERTFYI TE HOLDER NAMED TO THE QueeI# S 'bury . N . Y . LEFT, FAILURE TO MAIL SUCH NO NOOBLIGATION OR LIABILITY OF AND UPON THE COMPANY ENT$ O PRESENTATIVES. AUTHORIZED REPRESENTATIVE TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAV7LAkD ROADS QUEENSBURY, NEW YORK 12811E-- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT ,REQUES INSPECTION RECEIVED NAME LOCATION DATE �.JJ' t PERMIT # APPROVED YES I NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION_ FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED .FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: f, rL} ,� lC) ✓{5 SQL �' AT SPECTOR 2, MIN THE NEW YORK BOARD 4F FIRE UNDERWRITERS BUREAU OF ELECTRICITY (�i� - 5 47 +� 41 STATE STREET, ALBANY. NEW YORK 12207 t7 Rote Application No, on file THIS CERTIFIES THAT only the electrical egssipment a clescribed below and introduced by the applicant uansed on the above opp/iontion number in the prensiaea of , ir .lp . '. 1 T), e. ; ', f T r' .'. T 1 T 1 in thefollowing loeatiq a {st El )at Fl. ❑ $+sd Ft. Section Stock tat „ i:; , . was examined on and found to be in compliance with the requirensents of this Sward. FIXTURE EFTACU SWITCHES FIXTURES RANGES coOKIHG DECKS OVENS bil WASHERS EXHAUST FANS 041TtErs I NCANDESCEWt FLUORESCENT OTHER MAT. K. W. MAT. C W. MAT. K.W. AMT. K. W. AMT, H. r, DRYERS FURNACE MOTORS FUTURE AM"PACE FEEDERS SFECRAl REC'FT TIME CLOCKS I Rill UNIT HEATERS MULTI-OUTLET DIRA AMT. K, w. M H. P. oAS H. ►. AMT. NO. A. W. G. AMT. AMP. AMT. 141hr5. TEAKS. MAT. M. P, SYSTEMS AMT.No. OF Fir MT. W SERVICE DISCONNECT N0. CIF S E R V I C E AMT. AAAF, TrrE AISTIR1 x zw 1 X 9Mr a x 3w s x Aw ^p OF CC'tcallo. OF cr cowD. No, GF rw,ltc C*A #iEc No. OF NEUTRwi,S Of i,rtu i'" OTHER APPARATUS: . ; F ` BRANCH MANAGER Per I —s This certificate must not be altered in any manner. return to The office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY CD BUILDING AND CODES DEPARTMENT BAY & H44VXLAND ROADS QUEENSBURY. NEW YORK 12801 TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR " S REPORT REQUEST R PECTXON RECEIVED�2 NAME jG � � LOCATION7" / DATE Az PERMIT #I_ __- APPROVED YES NO FOOTING/P RS MONOLITHIC POUR FORMS FOUNDATXON AMP—PROOFING BACKFILL AP VAL ROUGH PLUMBItI(G FRAMXNG ELECTRICAL RO H—IN XNSULATXON: FOUNDATION FLOORS WALLS �EILXNG ` L./FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS Lr STAIRS—CLEARANCE &I I it s PLUMBING FIXTURES/RE EF VALVE 0 INTERIOR TRIM/PRIV DOORS FINISHED FLOORS GARAGE FIREPROO NG DOOR CLOSER (S) Zos YAP SMOKE DETECT S FINAL E'LECTRI L XNSPECTIO FINAL APPROV OF CONSTRUCT±QN A SIGNED RTXFXCATE OF OCCUPA CY MUST BE OBTAINED ROM THE BUILDING DEPA TMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: (fir ro I PECTOR ` �[ ' BUILDING and ZONING DEPARTMENT q of S Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING ,INSPECTOR ' S REPORT NAME Q,7 LOCATION Date Permit NO . ✓ = APPROVED - YES NO L41ooting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks ,r'; / ],�.� � ] 4 fn . r'- Building Inspector 6/86 and-vl ys�r� Awi�F• ,. � �•� ram.,. ,'r1�_""'�'��'. .. _., 4.. v Exiti� . �i" cerl�utT - lirMl�itY � AAi1► _ _OF 0iir1. MbKll a� iejctt�i V cwodtl 9ORi.'SL06 -roP of PaFi�P�T SAT cif-li�N �tr�P9 s 0 _-2) -- i E.XIhi1�G NITCti.1E,N ; ExlhilMLt 01FiSA �I �I i N!w 0,11. FLOOR t4Lw (MCAMIt; 11LE. -10 PW Mn 'lot4& w Eltlhjs UTAI. 01MAExltit,MeSOM0.`! wht. --"\ F�.00 � PLQ N CAL IL tmw w000 Fq LM W. A00 pRItNTo M6141A Icxl hl. -� I_ -- --- —==i 1 IVA 41rL �N G I MEW OF�1GE d r'3E.1 �` �q'-p"� I GxIh'i 1 N G 1(7E PAIL ASM POV hEALA4 T nl �4 t� sAA4 i :cu1 D" (► A v, ALL TO F-K 6r, SCALE . I1b" s 0-0 �DI D t` 1t�1tP1E Wsl`t. COQM11 QIIS2_p6R,t<�► adto�lG AtsCN 1�. 1�O�F11!'�tt 1 / � I i1 Ii ► I IA N. \/i o Ic,E AF1CA P> EFu=�T► �E C i � �.� r1� �A�I EXIhThOFF1T L 1"xWoW FMIE7F- '/V PLI (Wood i E v i gl ILv� MATGN E)flh'f METALTIEh@ lb"O.C• r,gh-rE►4EV ro 1'L%`WODO 8',Lot L BLOL I� I�X I -ts"r 16T. \40OC7 TF3 U66Eh 6TEEL PSEAM 1d' OATT. 450L. — — — — — — — hUh17 17ED- y� MAUA �', . NEkf LEF3AM1� E._ . TLLs OVE; i Sxi6T, WALL i I � 1 PSATT. ► 4-iOL . t/2 i7pi�WALL 2 x4: 6TUt7h APO f3AG;GfIEP �q M►L� METAL 3M ri"ZD�L. 6LAF3 FLAhN� w!' \xIEEP QV1 Le"IaPlAJEL I.�pi�h y -d o,G, e3A�iE wl (vx(v w5,8�w ,N aPil 5.8 wW M — MEW QT'. �Lvoofl 13AhE M Ale -A GX 16T o , o. a ••e N' 6 � 4 '•� o • �%i/mil/,� ',`'/���/ �l�'' Exn• �o1�iY. II 1 I PfILjv 14% L 4-W0 EXTEA V ; �., 2' d' �JERT• � 1�pPi tZ . /-Lot�L. FDoT►►�La d o E 6- (loci q- 0 Atf- + nDmrt,u (i - BRS,& T3 3L- 14 ~ -A%N . �: GG -ro ���� ���Go►��E1��E� �7'i-Cis, Cli DEZ7IGAYG� GIPiGI)1� (1� �E�I.•T=�%f01`,� Jvl`iGYl�l� �lX �,�1��1 ��I� �TIOI�. UEFi1F`< w I P�� ND� i� cu a 0) c m N E O �,(\ •� U M L q U v Z c w cz D �•- U N � cz bs O. Z C N '. _ � Cc N co L 0 Cc a a •o,� O ch C o °- c 00 J . r �G� # 4 Z enQ Cl GENERAL NOTES: a ti of r 1. McDonald's Road Sign and Base are by the Sign Contractor. p Conduit and Wiring are by the General Contractor. 2. Bases, Anchor Bolts, Conduit, and Wiring for All Other Signs are by the General Contractor. H W cc 3. %/ Empty Conduit to Locations Shown at the Lot Peri- meter for Lot Lighting is by the General Contractor. Lighting > a ' Q Fixtures, Bases, Poles, Conduit, and Wiring are by the � m Z Owner/Operator. Q y Z 4. Bases for Flagpoles are by the General Contractor. Anchor Q J N Bolts are by the Flagpole Supplier. 0. r i.1 CAI ' 5. Proposed Utilities are Shown in Schematic Only. Exact Locations shall be Field Determined to Allow for the Most f Economical Installation. 6. The Contractor shall Coordinate with All Utility Companies c a to Determine Exact Point of Service Connection at Existing c Utility. Refer to the BuildingElectrical and Plumbing .V O Drawings for Utility Service Entrance Locations, Sizes, and Circuiting. 7. All Elevations Shown are in Reference to the Benchmark and must be Verified by the General Contractor At Groundbreak. 0. 8. Finish Walk and Curb Elevations shall be 6" Above Finish Pavement. Ma I 9, All Landscape Areas shall be Rough Graded to 6" Below Top of All Walks and Curbs. Finish Grading, Landscaping, sss��l and Sprinkler Systems are by the Owner/Operator. 3� 1 a` C ' O v- O .. PAVING SPECIFICATION: ��►► (Minimum 3" Total Compacted Asphalt Thickness.) p r 3 r 72 m N 4 78 0 V r cs. `1 r=1 wy44_ N C Note McDonald's Engineer Reserves The Right To Request A Compac- tion Test And/Or A Core Sample. If Tests Prove Correct, Per = Above Specifications, Tests Will Be At The Expense Of McDonald's, Otherwise, G.C. Will Be Charged. t H LOT LIGHTING RECOMMENDATION: in 0 Note. Electrical Contractor To Circuit Lot Lighting As Noted. PARKING INFORMATION: Total 49 hPACES 9 x '10, @ ? Sif__ Spaces: -_ Spaces I I x 2d @ 75 51 Spaces x @ Spaces x UTILITY INFORMATION: Size: Type: Location: 71 Z Sanitary Sewer 3 V Water j C Storm Sewer FQ- Ln (a a* rA Electric Z % Q m J Gas a �y SURVEY INFORMATION: Prepared By: ;l t Dated: 1 LEGEND: I c Sanitary Sewer S - Gas G o a c N Water W Lot Light 0—'a LP:30 r; �. Storm Sewer ST Existing Elevation (76.5) 0 cc O►y 1.4 a Electric E Proposed Elevation 77.0 '11r PLAN SCALE: 1" = 20' STREET ADDRESS: REGIONAL DWG. NOr hAYh AOul F. °l 4� I AT OH PiOA � M 0"1 CITY: STATE: Q u L E N% f-b u CORPORATE DWG. NO.: COUNTY: SP r )ffi h