2012-531 011111k, TOWN OF QUEENSBURY
Er
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120531 Date Issued: Friday, December 07, 2012
This is to certify that work requested to be done as shown by Permit Number P20120531
has been completed.
Location: 713 GLEN St
Tax Map Number: 523400-302-006-0001-010-000-0000
Owner: CEDAR HOLDING ASSOCIATES
Applicant: NORTH STAR DONUT GROUP LLC
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 (- j 745t—
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.
TOWN OF QUEENSBURY
7421 Bay R1)3d,QUCCIlsburY,NY 12804-5902 (518)761-8201
Corturioniq,Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120531 Application Number: A20120531
'Fax,Nlap No: 523400-302-006-0001-010-000-0000
Periiii,,i,;i(,)nislierebygt-aiitctlto: NORTH STAR DONUT GROUP LLC
For propevy located at: 713 GLEN St
in the'Foxvii of QueensburNl, to construct or place
at the above location iii accordance with application together with plot plans and other information hereto filed
and approved and in coniphance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. iy-ve of Construction Value
Owner .\ddress: CEDAR HOLDING ASSOCIATES (I ornmercial Alteration $75,000,00
C/O DUNCAN 13RAND Total Value $75,000.00
ATTN: MICI-IFLLECUNNIFF
130 ROYALL St
CANTON MA 02021-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-531
Coinmet-cial Alteration
New cefilings and COUritertops
$75.00 PERMIT' FEE PAID -THIS PERMIT EXPIRES: Thursday,November 14, 2013
(if a longer period is required,aii application for an extension must be made to the code Eoforceivicni Officer
of the'rown of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Wediiesday, November 14,2012
tiIGNF'11)BY for tlie'fowii of Queeiisbur.y.
Director of Building&Code F iiforcernent
qq OFFICE USE ONLY
TAX MAP NO3Q •l/I.O — L" I D PERMIT NO. )D....-531 Date
FEES: PERMIT
RECREATION ENGINEERING stamp
(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: p
OWNER: ti Nil- ill. )-- ALL. (IL)
ADDRESS: ADDRESS: '1_0. it i I! a
PHONE NOS[5 )19; .y(-)I41 PHONE NOS. Qc12I3)
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: ,
A. o PHONE: .2-)3-)---Y-10/
LOCATION OF PROPERTY: 42pi'
1)3 C, f'10 0wi '14' v . ---Do - w+c
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? 0 YES VO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z I
APPLY TO YOUR z o cc
o 0 1-
PROJECT _ O co cJ w U.
O
f- O1- 0 • cr Cl) 01w
W -I LL L W 2 =
w 0 -.1LL a °z •
d t=- O � z
Z < Q :- CO N U) O LL. 0 1- 0: w -
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
\,
RETAIL-
MERCANTILE
c
MERCANTILE X '/(55
c °'(f ' us:��0(
FACTORY OR gINDUSTRIAL '�
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS:)1' ;d l I ( II li '111...0
ESTIMATED CONSTRUCTION COST: / 7J, l' FUEL TYPE: A C. IP a / co
HEAT TYPE: *HOW MANY FIREPLACE(S): ' AND/ OR WOODSTOVES(S): (A
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 11-05
ARE THERE STRUCTURE3 NOT SHOWN ON PLOT PLAN? i p
i
ARE THERE EASEMENTS ON PROPERTY? -G`
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
conforman -with local zoning regulations. I acknowledge that prior to occupying the
facilities pr posed, I or my agents will obtain a certificate of occupancy. I also understand
that 1/we a required to provide an as-built survey by a licensed land surveyor of all newly
construct facilities prior to issuance of a certificate of occupancy.
I have rea nd agree to the above.
Signed ____7„,, ,
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
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
BUILDING & CODES APPROVAL ZONING APPROVAL
DATE DATE
QUESTIONS? CALL 781-8256 OR EMAIL
codes(7a aueensburv.net
Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www.queensburv.net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Q
ire:- 9.7-b'l>
Inspection Form
/J.,/ c'Z2.....'
Town of Queensbury Fire Marshal C) Periodic Inspection Date: 2✓rime:
742 Bay Road,Queensbury NY 12804 o Re-Inspection l
518 761 8206/518 761 8205 2P CO Inspection Permit#: -53/
Fire Marshals Representative � �
MJ Palmer Business Name: �/
Location: I. rz- ----2-4) ��TjXGK Stillman Contact: ./moi/d7ei
Type of Inspection N/A Yes No
EXITS: Exit Access FC 1014& FC1029 f NOTES
Exit Enclosure FC 1020&FC1029
Exit Discharge FC 1024& FC1029 /
Locks and latches FC1008& FC1029.2 ./
Sign:Normal FC 1011 &FC1029 /
Sign:backup FC 1011.5.3&FC1029.7.5
AISLES:
Main Aisle Width FC 1024/1025&FC1029.11 ...----
Secondary
/Secondary Aisle Width FC 1025&FC1029.11
FIRE EXTINGUISHER: Hung FC 906 ,./'
Inspection of extinguisher FC 906 /
EVAC Plan FC 404.6
FC5
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING:
Interior FC 1006.3&FC1029.8 ,------
Exterior
/Exterior FC 1006.3
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 /
Combustibles in Equipment Rooms FC315.2.3 /
F.D.Signage- FC 510 ./
No Smoking Signs FC 310.3 -.0-4--
Storage FC 315.2 ------
Compressed
Compressed Gas FC 3003 ,/
Vehicle Impact Protection FC 312.1
Interior Finishes FC 803-804
Smoke Detectors FC 907 J
CO detectors FC 610 ./
Clearance to Sprinkler/Ceiling FC 315.2.1 / /z., 2 /.2,h3, /
18" / 24" ....
EVAC SIGNS IN Rooms FC 404.6(R1 &R2) _,.../.
Fuel Pump Warning Signs FC2205.6
Fuel Station Emer Procedures FC2204.3.5 �`
ExtVacant Storage C 315.3311REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311
21 DAYS
OSYSTEMS: FC 901.6 Insp OK NC DATE: 12-i"1llNC
Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual 7,45. i- DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection - • test r-ce'• e0:
Queensbury Building &Code Enforcement Arrive: o ;`,rr 1•m Depart: _ /Z2am m
742 Bay Road, Queensbury, NY 12804 Inspector's Ini - . _ -
NAME: 1 I u PERM #• I /
LOCATION: C-g DA / 4 -
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 I Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in. /Step Risers 7"1 Treads 11"
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in. w/Lever Handles I 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 Okay
Relief Valve, Heat Trap I 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 Y4 doors
> 10% > 1000 sq.ft.
' Hour Corridor Doors &Closers
Firewalls 1 Fire Separation, 2 Hour, 3 Hour Complete I Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq.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 Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks I Toilets V�
Handicapped Bath/Parking Lot Slgnage z/
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/Flex Gas Piping Bonded
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 4' i 'V Tc 1
Water Fountain or Cooler
LiJ
Building Access All Sides by 20'/Driveable Surface 20'wide
Okay To Issue Temp. or Permanent C1O 1
Okay To Issue C/C
L:1Building&Codes Forms\Building&CodesUnspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008
I h LuiAJ ca LA _31 '1-1
Inspection Form
Town of Queensbury Fire Marshal o Periodic Inspection Date: I e:
742 Bay Road,Queensbury NY 12804 o Re-Inspection / , 3 J
518 761 8206/518 761 8205 ®CO Inspection Permit#: /
Fir Marshals Representative //��
XMJ Palmer Business Name: /) iM
Location: 7 / _-3 -- I--
/GK Stillman Contact: J
TnIt orL U PGn g — Lt' 1>
Type of Inspection N/A Yes„No
EXITS: Exit Access FC 1014& FC1029 NOTES
Exit Enclosure FC 1020& FC1029
Exit Discharge FC 1024& FC1029 /.'
Locks and latches FC1008& FC1029.2 J
Sign:Normal FC 1011 &FC1029 �/ n
Sign:backup FC 1011.5.3& FC1029.7.5 / ( Re - s�U l i L- 4,1 Oa AK-
AISLES: / 16t4a4Y 1 lq-r A-LC-- FuL,c -
Main Aisle Width FC 1024/1025&FC1029.11
Secondary Aisle Width FC 1025&FC1029.11 f ‹t.1-4-1-7 ev c
FIRE EXTINGUISHER: Hung FC 906
Inspection of extinguisher FC 906 -2) Q`/ 0 .1
t /145
EVAC Plan FC 404.6 RE-1411, �}-S L� •-ol q4 0
TRUSS ID SIGNAGE FC 505.3
EMERGENCY LIGHTING: /'
Interior FC 1006.3&FC1029.8 7_,” ' - . t rt{' _ ►n�CI 1l rS 15423
Exterior FC 1006.3 P. ' .ate ti.,t SCuS CA-
Clearance to Electrical FC 605.3
Electric Wiring Enclosed/Labeled FC 605.3.1 0
Combustibles in Equipment Rooms FC315.2.3 f/
F.D.Signage- FC 510 L f
No Smoking Signs FC 310.3 „/' , J rl1 Af oR S'�dL1Gf►GOM. I�r ,'J
Storage FC 315.2 "iv r it PCi a1
Compressed Gas FC 3003 S Q ��
Vehicle Impact Protection FC 312.1 `
Interior Finishes FC 803-804 / it
Smoke Detectors FC 907 �' �`-, fi' >,;(4
CO detectors FC 610 ,,
Clearance to Sprinkler/Ceiling FC 315.2.1 /
18" / 24" `
EVAC SIGNS IN Rooms FC 404.6(R1 & R2) ./
Fuel Pump Warning Signs FC2205.6 /
Fuel Station Emer Procedures FC2204.3.5 �
Exterior Storage FC 315.3 !� REINSPECTION DUE APPROXIMATELY
Vacant Buildings FC 311 /
/ 21 DAYS
SYSTEMS: FC 901.6 Insp OK NC DATE: OK NC
_ Date
Generator Annual DATE: OK NC
Hood Installation
Elevator Semi Annual
FIRE ALARM Annual DATE: OK NC
HVAC Shutdown
Sprinkler System Annual
Sprinkler FDC
_Kitchen Suppression Semi Annual
Fuel Island Suppression Semi Annual
Hood Cleaning 3-6 -Annual
Knox Box:installed/checked FC506
Operating Permit, if required will be issued after
Completion of Inspection
KL ( M
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection requj ed:
Queensbury Building &Code Enforcement Arrive: : � �
, a gDepart: 7
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
PERMI / `L J I
LOCATION: ? / DATE: /
J
COMMENTS: 1j p
Y f N NA
Chimney/13"Vent/Direct Vent Location /
Plumbing Vent Through Roof 6"/Roof Complete f
Exterior Finish/Grade Complete 6" in 10'or Equivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior I Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in.I Step Risers 7"I Treads 11"
Vestibules For Exit doors > 3000 sq. ft.
All Doors 36 in. w/Lever Handles I Panic Hardware, if required
Exits At Grade Or Platform 36(w)x 44° (!)/Canopy or Equiv.
Gas Valve Shut-off Exposed &Regulator(18")Above Grade
Floor Bathroom Watertight I Other Floors Okay I /
Relief Valve, Heat Trap I Water Temp. 910 Degrees Maximum ,/
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System \' - i''`
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 sq. ft.
%Hour Corridor Doors&Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete I Fire
Dampers/Fire Doors
_Ceiling Fire Stopping, 3,000 sq. 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 Signage 1 Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible ✓
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp I Handrails Continuous/12 in. Beyond [Both
sides]
Active Listening System and Signage Assembly Space
Final Electrical/Flex Gas Piping Bonded
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 4' \
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:1Build'eng&Codes Forms\Building&Codesllnspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008