2013-419 TOWN OF QUEENSBURY
F
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
s
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130419 Date Issued: Wednesday, July 09, 2014
This is to certify that work requested to be done as shown by Permit Number P20130419
has been completed.
Location: 364 DIX Ave
Tax Map Number: 523400-303-020-0001-003-002-0000
Owner: CLARK BRINK
Applicant: CLARK BRINK
This structure may be ocii OA,D'S RESTAURANT
Commercial Alteration & Addition 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 j1 f'
other issues and conditions as a result of approvals by the Planning Board •
Director of Building&Co. Enfo ment
or Zoning Board of Appeals.
Temporary Certificate of Occupancy
y
90 Day
Building Permit No. : 2013-419
Property Location : Dix Avenue
Property Owner: McDonald's Restaurant
Approved for the following uses: Commercial restaurant
Conditions of approval:
1. All site plan approval items to be completed;
2. Permanent Handicapped &No Parking signs at 60" above grade to bottom of signs;
3. Need design professional's sign off on structural framing and project;
4. Fire Marshal's items.
$100 fee received on: March 7, 2014
90 Day Temporary CO expires on: June 7, 2014
*A final inspection for this project must be scheduled before the expiration of this
Temporary Certificate of Occupancy— if your project is not complete within this
90 day period you will be subject to addition fee
Signature of Applicant: 1,gvL(t,
Name Printed 41E 4/11
4/1:41/
Director of Building & Codes:
Town of Queensbury Building & Codes Office
Dept. of Community Development 742 Bay Road, Queensbury, NY
OWTOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
A Community Development-Building& Codes (518) 761-8256
Inspections per Permit
Permit # P20130419
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
07/09/2014 Miscellaneous Commercial Alteration&Additic STAFF
Misc 2013-419
CO issued&mailed
08/01/2014 Site Plan Commercial Alteration&Additic BRUCE FRANK Staff
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
E Community Development- Building& Codes (518) 761-8256
Inspections per Permit
Permit# P20130419
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
Misc Zoning Department Inspection Report
Project Name:McDonald's USA,LLC
Project Location:364 Dix Ave,Queensbury,NY
Tax Map No.:303.20-1-3.2
Mailing Address: Clark Brink,50 Seward Street,Saratoga Springs NY 12866
Site Plan No.:47-2013
Area Variance No.:none
Building Permit No.: 2013-419
Date:August 1,2014
Dear McDonald's USA,LLC:
A final site plan inspection for your project was performed on July 23,2014. The inspection revealed the
following deficiencies:
1) Curbing and green space with relocated flag pole off of northwest corner of building not constructed.
Pavement striped for an additional parking space with remainder of area crosshatched as no parking found in its
place.
2) ADA compliant ramp and sidewalk at south end of parking area along west side of building not constructed
per approval(constructed but not at approved angle to building).
3) Proposed stop bar missing off of northeast corner of building(at end of drive-thru).
4) Landscape bed not constructed along west side of building.
5) Landscaping south and west of building not arranged per approval,and the total number of plantings appears
to be significantly less than that approved.
6) Clearing limits exceeded at south end of project(proof of NYSDEC directive to remove vegetation due to
septic leach field needs to be submitted).
7) Due to the changes from that approved,you will need to provide an"as built" site plan per Condition#6 of
your approval.
Please contact this office to propose a schedule to correct the above referenced deficiencies. Should you have any
questions or concerns please contact this office.
Sincerely,
Town of Queensbury
Bruce Frank
Code Compliance Officer
�� TOWN OF QUEENSBURY
FO .� 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
ON Community Development- Building& Codes (518) 761-8256
Inspections per Permit
Permit# P20130419
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
_x Regular Mail _Certified Mail _Hand Delivered
L:\Bruce Frank12014\SPR and AV Reports\McDonald's USA,364 Dix Ave SP 47-2013 01 aug 14.doc
01.14/ TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130419 Application Number: A20130419
Tax Map No: 523400-303-020-0001-003-002-0000
Permission is hereby granted to: MCDONALD'S RESTAURANT
CLARK BRINK
For property located at: 364 DIX Ave
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: CLARK BRINK Commercial Alteration&Additic $500,000.00
MC DONALD'S CORP.
50 SEWARD St Total Value $500,000.00
SARATOGA SPRINGS,NY 12866-0
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-419 McDonald's Restaurant
Comm Alt. 2900 sq ft; Comm New Build 560 sq ft
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, October 11,2014
(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 Town t{f Queen bu / F1' y o er 11,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes
Received:
Tax Map ID: 1\d3 ✓ - /-- 3
PRINCIPAL STRUCTURE APPLICATION ° rM
Permit No.s��t
A permit must be obtained before beginning construction Permit Fee: $ AP
a aa
Please read: *TB resolution 86-2013(1-28-2013): $850 recreation fee for new dwelling *Rec Fee: $ I
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 8/30/2013 Applicant McDonald's USA LLC
Tax Map ID 303.20-1-3.2 Address 690 Canton Street
Zoning CI -Commercial Intensive Westwood, MA 02090
Phone/E-mail (781)461-4750
Property Owner McDonald's USA, LLC Contractor/Agent Bohler Engineering
Address 690 Canton Street Address 5 Computer Drive West, Suite 203
Westwood, MA 02090 Albany, NY 12205
Phone/E-mail (781)461-4750 Phone/E-mail (518)438-9900
Contact Person for Building &Code Compliance: Bohler Engineering Owe_Al Day Phone: (518)438-9900
Building Street Address: 364 Dix Avenue
Subdivision Name: N/A Lot#: N/A Historic Site: Yes X No
Estimated cost of construction: $ 500,000
Type of Construction:
Check all that apply Please indicate measurements as required below:
=
0 O
1st Floor 2nd Floor Other Total Height
4-3
? Q a
Single Family
Two-Family
Multi-Family(#of
b
units ) -)_() 1)
Townhouse ci3U
640;
Business Office
9/)mt
Retail-Mercantile f'\c
Factory-Industrial L
Attached Garages(# )
101'+/-x 33'+/-
Other / 14'x31 18'
(addition)
Town of Queensbury Building&Codes Principal Structure Packet 518-761-8256
•
If commercial or industrial indicate name of business McDonald's Restaurant
Proposed use of building or addition McDonald's Restaurant
Source of heat(circle one) v6as Oil Propane Solar Other
Fireplace-complete a separate application for"Fuel Burning Appliances&Chimneys" _Yes _No N/A
Are there structures not shown on plot plan? No
Are their easements on the property? No
Site Information
a. Dimensions or acreage of lot 1.83+/-acres
b. Is this a corner lot? No
c. Will the grade be changed as a result of construction: _Yes 'I No
d. Public water or Private well Public
e. Sewer or Private Septic System Private Septic System
Value of all work to be performed(labor and materials) $ 500,000
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: Owen •eal tra, Bohler Engineering, as agent
Signature: Date:
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