2012-594 e TOWN OF QUEENSBURY
742 Bay Road,Queensbury, NY 12804-5902 (518) 761-8201
4111.
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120594 Date Issued: Monday, May 20, 2013
This is to certify that work requested to be done as shown by Permit Number P20120594
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 may be occupied as a:
Demolition
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the (-- J 143(°* --
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
1
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 128045902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120594 Application Number: A20120594
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. Tyne of Construction Value
Owner Address: MC DONALDS CORP. 031/1015 Demolition
C/O RENEE REARDON Total Value
PO BOX 4510
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection.Agency
Plans&Specifications
2012-594
Demolition of existing building
$30.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,December 28,2013
(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 Town of Queensbury; Friday,December 28,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
•
l�WFICE USE ONLY32)
TAX MAP NO. qc � PERMIT NO. ���� FEE PAIDt
Permission is hereby granted to the above named Applicant to demolish the building(s) VA°
described herein as set forth in the Application below. ..,Ire`
t4i:.L, i' 012
Director of Building&Codes Date
APPLICATION FOR DEMOLITION PERMIT:
Fill in applicable spaces and submit two(2)plot plans,drawn to scale,showing lot boundaries with
dimensions and adjacent roads/streets. Show all existing structures on the property and indicate which
are to be demolished. Indicate on the plot plan the location of all utilities.
APPLICANT/BUILDER: McDonald's USA, LLC OWNER:McDonald's USA, LLC
ADDRESS: 690 Canton Street, Westwood, MA 02090 ADDRESS:690 Canton Street,Westwood, MA 02090
PHONE NOS.(781)461-4750
PHONE: (781)461-4750
PERSON RESPONSIBLE FOR WORK:Francis Essien PHONE:(781)461-4750
LOCATION OF DEMOLITION:192 Corinth Road, Queensbury, NY
WHERE WILL DEMOLITION MATERIAL BE DISPOSED? Taken off site
ASBESTOS INFORMATION: V
✓ Is there any asbestos within the building to be demolished? YES NO
✓ If YES,our office needs the following information:
Name of firm removing the asbestos:
o License number of firm:
o Indicate where the asbestos material will be disposed:
NOTE:A copy of Asbestos Removal Report must be filed with our office before demolition begins.
STRUCTURE INFORMATION:
✓ Indicate which structure(s)will be demolished: RESIDENCE GARAGE BUSINESS ✓
STORAGE BLDG. OTHER
✓ Size of structure: 115'+/-X 55'+/-
✓ Number of stories: 1
✓ Foundation type: FULL CELLAR CRAWL SPACE SLAB V
✓ Foundation: WILL BE REPLACED V WILL NOT BE REPLACED
✓ Structures(s): WILL BE REPLACED ✓ WILL NOT BE REPLACED
UTILITIES INFORMATION:
✓ Indicate utilities for this structure: GAS V ELECTRIC ✓ PROPANE PUBLIC WATER ✓
ONSITE WELL-WATER PUMP PUBLIC SEWER V
Have you notified the Town Water Dept.for public water and public sewer disconnect? YES NO I/
H-ve all utilities been disconnected: YES NO ✓
QUESTIONS? CALL 761-8256 OR EMAIL
w ,, l4 fekRCNS V '11• Ccodesaqueensburv.net
SIG:TORE OF APPLICANT VISIT OUR WEBSITE FOR MORE INFORMATION
www.queensburv.net
Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
Demolition Inspection Report
Office No. (518) 761-8256 Date Ins ection requ• - e' e•.
Queensbury Building &Code Enforcement Arrive: %DC)a pm -•art: ID a pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: `
NAME: cT \ C ►JO _ PERMIT N. -
LOCATION: 14 7— C-O K ( IJ -1 ) INSPECT Ii c 5— — l,5
Comments and/or diagram
Y N N/A
Gas Shut-off J
Water Shut-off .11
Electric Disconnected
Asbestos Removed/ Documentation
Property Cleaned Up and Graded
IN://
Okay to Issue Certificate of Compliance
Demolition Inspection Report 11 27 12
%
IPne
ENVIRONMENTAL SERVICES
REPORT OF ASBESTOS PROJECT MONITOR VISUAL INSPECTION
Location of Project: McDonald's Restaurant
192 Corinth Road
Queensbury, New York 12804
Client: Hunt Companies, Inc.
515A County Route 45
Argyle, New York 12809
Alpine Project#: 13-14223-A
Material or Area of Abatement: Roof
Abatement Specification performed by: Unknown
Asbestos Material Removed: Roof Flashing
Dates of Visual Inspection: May 7th, 2013
Abatement Contractor: Atlantic Contracting
Monitoring Performed By: Alpine Environmental Services, Inc.
1146 Central Avenue
Albany, New York 12205
Phone (518) 453-0146
Technician(s): Michael Balzano
Scope and Purpose
This report is intended to document an asbestos project monitor visual inspection
associated with the abatement at the above address.
Page 1 of 2
1 146 Central Avenue-Albany-New York-12205-1518) 453-0146
Limitations
Alpine was hired to perform project monitor visual inspection services for exterior
roof flashing only.
Asbestos material abatement was limited to the materials listed below.
Air Sample Results
None
Asbestos Materials Removed
Summary of asbestos abatement:
Roof Flashing — 1,200 Square Feet
Conclusion
In the event renovation or demolition reveals previously unidentified suspect
asbestos materials, Alpine should be contacted immediately for verification and
all aspects of 12 NYCRR56 must be followed.
If Alpine can be of any further assistance to you on this matter, please contact
me at (518) 453-0146 Ext. 307.
Sincerely,
Alpine Environmental Services, Inc.
Michael Balzano
Field Operations Manager
Enclosure: Certificate of Visual Inspection.
Page 2 of 2
1 146 Central Avenue-Albany-New York-12205-(518) 453-0146
Alpine
EIIVIROAMENTAL SERVICES
CERTIFICATE OF VISUAL INSPECTION
Building: i,,,.//) -,X•, Qac e ea 11—
9 3- /5,9J-3
/
Project and Project Number: / �- �,.Or•��
Specific Area:
Abatement Contractor:
Asbestos Materials Removed, including Quantities(TO BE COMPLETED BYV PROJECTMANAGER)
MONITOR'S CERTIFICATION:
The Monitor hereby certifies that he/she has accompanied the Asbestos Abatement Contractor on
his/her visual inspection and verifies that his/her inspection has been through and,to the best of his/her
knowledge and belief,the Asbestos Abatement Contractor has removed all asbestos that was to be
removed in the above a -..
By: (Signature) /,i � Date: 7 l 3
(Print Name) jrifforAppr J Title: Pr�:, �.,�/
Has all of the asbestos identified in the abatement specification been removed(circle one):
No Don't Know
Note:This form must be completed and included with any final abatement air samples to be read.
Comments/Concerns:
1146 Central Ave. •Albany, NY 12205 • Phone: (518)453-0146 • Fax: (518)453-0175
7
Commercial Final Inspection Report (7);-/?--
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fr 1,41
Office No.: 518 761-8256 "' Date In •ection •*-: •
Queens•ury Building & Code Enforcement Arrive: a y,i• Depart: - am
742 Bay Road, Queensbury,�JNY
12804 Inspector's I ' • Ai
NAME: /11(_ !J->r-ic PERMIT •
LOCATION: DATE: i 1
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 inch Platform / Decks
Interior/ Exterior Balusters 4 inch Spacing Platform/ Decks
Stair Handrail 34 inch— 38 inch / Step Risers 7"/Treads 11"
Vestibules For Exit doors > 3000 sq. ft.
All Doors 36 inch w/Lever Handles/ Panic Hardware, if required
Exits At Grade Or Platform 36"(w) x 44"(I)/ Canopy or Equiv.
Gas Valve Shut-off Exposed &Regulator(18")Above Grade
Floor Bathroom Watertight/ Other Floors Okay
Relief Valve, Heat Trap / Water Temperature 110 Degrees Maximum
Boiler/ Furnace Enclosure 1 hour 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 1/2 doors
> 10% > 1000 sq. ft.
3/4 Hour Corridor Doors &Closers
Firewalls/ Fire Separation, 2 Hour, 3 Hour Complete/ 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/Toilets/ Mirrors
Handicapped Bath / Parking Lot Signage C:6\VD
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 inch, Checkout 36 inch
Handicapped Ramp/ Handrails Continuous/12 inch Beyond [Both � _AN
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. �' -c !11%Al
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4" E'fkkk
Water Fountain or Cooler
Building Access All Sides by 20'/ Drivable Surface 20'wide •
Special Inspections/ Engineer or Architect Approval
Okay To Issu Tem orary or Permanent C/O
OkayToIde � ` 147:77
Commercial Final Inspection Report revised 11-27-2012
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