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2012-155 011111W TOWN OF QUEENSBURY coo742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120155 Date Issued: Wednesday, January 28, 2015 This is to certify that work requested to be done as shown by Permit Number P20120155 has been completed. Location: 255 QUAKER Rd Tax Map Number: 523400-296-020-0001-050-002-0000 Owner: TLC CENTRAL LLC NO. 22 Applicant: APPLEBEE'S This structure may be 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 Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. 0.14 TOWN OF QUEENSBURY ET 742 Bay Road,Quccnsbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120155 Application Number: A20120155 Tax Map No: 523400-296-020-0001-050-002-0000 Permission is hereby granted to: For property located at: 255 QUAKER 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: TLC CENTRAL LLC NO. 22 Commercial Alteration $75.00 220 PONTE VEDRA PARK Dr Suite 1 Total Value PONTE VEDRA BEACH, FL 32082- $75.00 Contractor or Builder's Name /Address Electrical Inspection Agency PRIDE SIGNS JEFF BARRON 519-622-4040 EXT 252 255 PINEBUSH Dr CAMBRIDGE, ONTARIO NIT 1B9 Plans&Specifications 2012-155 Aluminum Awning 11.5' w x 5' d x 2.5'h at main entrance $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday, April 20, 2013 (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 Townnsbu Fr'- / pril 20,2012 SIGNED BY 4 . , for the Town of Queensbury. Director of Building&Code Enforcement .- --- -r.._... :-,--s 1r-v) OFFICE USE ONLY di - !J _j.7_, I \Y/ -- TAX MAP NO. Q U / L'� $�� f�p�D� �" 0, p� PERMIT NO. I D-- 1 S �� . _""�,1 FEES: PERMIF 75 RECREATION ENGINEERINGI ( APR 1 1 2012 ,� (If applicable) Gviv C. PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDIN PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.pl �// APPLICANT/BUILDER: lp evu ''pl'�� pr°G��s`I/ OWNER: CX�,(,eenbee R&al LLC, Muir _ �4 ADDRESS: a P4nebU61,\1 Uurbray,)0n a.V6tO, ADDRESS: a a GY2aatIYe??) fr olnil0dt j NZ- , Z- Ot- PHONE NOS.LIa) (019----140400.4".Oa\ PHONE ((��N��OS.Ca•0i)�(pg " ///?��4�//� CONTACT PERSON FOR BUILDING & CODES COMPLIANCE1eFPYa4'')"UY1 PHONE:( 01)6.22-09Y06 0Z LOCATION OF PROPERTY:(2•55.' R(,v,t,R r RDaA, auelrti biry,iV V, 1‘210 HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES 0 NO IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT 0 D I.- APPLY TO YOUR ZO i O: O u) a w PROJECT o o z < N o z 0 - � oi- ccLLZ cn N C/) O LL- I— LL p_. 106 SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO. of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER Curve ertfrewt ‘,/ Canmpg Town ot Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL- NAME OF BUSINESS: 14 p eh e5 ESTIMATED CONSTRUCTION COST: i'i) IOO• 00 FUEL TYPE: HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S): ZONING CATEGORY: C I ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? NO PROPOSED USE OF BUILDING OR ADDITION: Wl, gi/`f)�(7S(� "b) (ll,�/tu �:', e curve, �idl��'l�i AZ©rop ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office 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. SignedK c �, Pride 5i �?s (,ici) 1a 2� q0 00,-a�, 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) Town of Queensbury * Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 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 described herein in accordance with said zoning Laws of the Town of Queensbury. Application: 440 Aig7 if , Bir DING & CODE'. A 'PRO A L ZONING APPROVAL • DA DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(a queensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 i-c wn of Queei w:.—, 1 &Code Enforcement office No. (518)761-8256 Commercial Final Inspection Report Inspection request received: Name: 0-pp is icye. i Inspected on: —�.�-- Location: c.).3 3 0LuRH r'�iid Arrive: • . _ �� �i �.m. Permit No.: J Q—/5 5 Inspector's Initials: •� 7 COMMENTS Y N NA Chimney/"B"Vent/Direct Vent Location �1,,�j`� Plumbing Vent Through Roof 6"/Roof Complete `�PJ Exterior Finish!Grade Complete 6"in 10'or Equivalent Interior/Exterior Guardrails 42 inch Platform/Decks Interior/Exterior Balusters 4 inch Spacing Platform I Decks ---.'"----....'...-.'"----- ) Stair Handrail 34 inch—38 inch/Step Risers 7"!Treads 11" ..,,,..,--'--- Vestibules . `Vestibules For Exit doors>3000 sq.ft. All Doors 36 inch w/Lever Handles!Panic Har twre,� if required Exits At Grade Or Platform 36"(w)x 44 anopy or Equiv. Gas Valve Shut-off Exposed&Reg'gator(18")Above Grade Floor Bathroom Watertight/Other Floo • •kay Relief Valve,Heat Trap!Water Temperature 10 Degrees Maximum Boiler I Furnace Enclosure 1 hour or Fire Exting ' hing System Fresh Air Supply for Occupancy I Ventilation Co 'ustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft.or Within Line Of `.e Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 doors >10%> 1000 sq.ft. %Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour,3 Hour Complete!Fir Dampers/Fire Doors Ceiling Fire Stopping,3,000 sq.ft.Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access "x ' Smoke Vents Or Fan, if required /' Elevator Operation and Signage!Shaft Sealed/ Handicapped Bathroom Grab Bars/Sinks/)tlilets/Mirrors Handicapped Bath I Parking Lot Signage� Public Toilet Room Handicapped Accessible Handicapped Service Counters,34 i . , Checkout 36 inch Handicapped Ramp/Handrails C•,•`inuous/12 inch Beyond [Both„sides] Active Listening System and Si.,,•:ge Assembly Space / Final Electrical/Flex Gas Pip'',a Bonded Vj Site Plan/Variance require, Final Survey, New Struct •/Flood Plain certification, if req. ' As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway 4” Water Fountain or Cooler Building Access Ali Sides by 20'!Drivable Surface 20'wide Special Inspections!Engineer or Architect Approval1/:://3i Okay To Issue Temporary or Permanent CIO Okay To Issue C/C Commercial Final Inspection_11 27 12