CC-000401-2017 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
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Permit Number: CC-000401-2017 Date Issued: Tuesday, June 26, 2018
This is to certify that work requested to be done as shown by Permit Number CC-000401-2017
has been completed.
Tax Map Number: 309.13-1-35
Location: 208 Corinth RD
Owner: Switchco LLC
Applicant: Fastrac Markets,LLC
This structure may be occupied as a: Commercial New Building 5809 s.f.
Fastrac Market By Order of Town Board
Cross Ref. Z-AV-18-2017 and P-SP-22=2017 and P-SUP-5-2017 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 Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
4FLTOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: CC-000401-2017
Tax Map No: 309.13-1-35
Permission is hereby granted to: Fastrac Cafe
For property located at: 208 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
Type of Construction
Owner Name: Switchco LLC Retail-Mercantile-New $724,999.00
Owner Address: PO Box 503 Total Value $724,999.00
Glens Falls,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Fastrac Markets
Plans&Specifications
Commercial New Building 5809 s.f.
Fastrac Market
Cross Ref. Z-AV-18-2017 and P-SP-22=2017 and P-SUP-5-2017
$ 1,336.07 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, August 28, 2018
(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(f Que ury; 4 M ust 28, 2017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Permit#: C-C "A 01 -2G 1`}'
PRINCIPLE STRUCTURE PERMIT r
Permit Fee:$ � �'J to » �
- APPLICATION
Ti.�rn of Cjtaera?bur *Rec Fee:$ lV
742 Bay Road,Queensbury,NY 12804
P:518-761-8256 www.aueensbury.net Invoice#.' �P
Project Location: 220 Corinth Road
Tax Map ID #: 309.13-1-35 Subdivision Name:
*TOWN BD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units: single family,duplexes/two-family,
multiple family, apartments, condominiums,townhouses, and/or manufactured &.modular homes, but riot mobile
homes. This Is In addition to the permit fee(s),
CONTACT INFORMATION: IUL �b
• Applicant: 0�%Il OF Ui=ENS�S
Name(s): Fastrac Markets LLC "!iiLn14
Mailing Address, C/S/Z: 6500 New Venture Gear Drive, East Syracuse, NY 13057
Cell Phone: ( ) Land Line: ( 315 ) 552-6800
Email: bhughesCcD_fastracmarkets.com
• Primary Owner(s):
Name(s): Same as above
Mailing Address, C/S/Z:
Cell Phone: _ ( ) Land Line:
Email:
• Contractor(s):
Business Name: Same as above
Contact Name(s):
Mailing Address, C/S/Z:
Cell Phone: Land Line:
Email:
• Architect(s)/Engineer(s):
Business Name: Nelson Associates Architectural Engineering
Contact Name(s): Ronald Stafford
Mailing Address, C/S/Z: 1 North Park Row Clinton NY 13323
Cell Phone: ( Land Line: 315 ) 853-5704
Email: rstaffordCcD-nelsonae com
Contact Person for Building & Code Compliance: Same as above
Cell Phone: A Jand Line: � )
Email:
Town of Queensbury Building&Code Enforcement Principle Structure Application Revised February 2017
PROJECT INFORMATION:
TYPE: X Commercial
WORK CLASS:
_Single-Family _Two-Family Multi-Family(#of )
Townhouse Business Office X Retail —Hotel/Motel
Industrial/Warehouse Garage(#of cars i Other(describe )
STRUCTURE SQUARE FOOTAGE: GARAGE SQUARE FOOTAGE:
1sT floor: 5809 SF 1sT floor:
2"d floor: 2nd floor:
3rd floor:
Total square feet:
4"floor:
"Total square ieet: 5809 SF i
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ 724 999.00
2. Proposed use of the building: Gasoline Station / Convenience Store
3. If Commercial or Industrial, indicate the name of the business: Fastrac Cafe
4. Source of Heat (circle one): Gas Oil Propane Solar Other:
(Fireplaces need a separate Fuel Burning Appliances 8t Chimney Application, one per appliance)
5. Are there any structures not shown on the plot plan? YES NO Explain:
6. Are there any easements on the property? YES NO
7. SITE INFORMATION:
a. What is the dimensions or acreage 9f the parcel? 2.15 acres
b. Is this a corner lot? YES NUO
c. Will the grade be changed as a result of the construction? YES NO
d. What is the water source? PUBLIC PRIVATE WELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system? Sewer
Town of Queensbury BuldinggCade Enforcement Principle structure Appicat,on Revised February 24T.
DECLARATION:
1. 1 acknowledge that no construction shall commence prior to issuance of a valid bu i Iding permit and
work will be completed within a 12 month period.
2. If thework is not completed by the 1 year expiration date the permit may be renewed, subject to
fees and department approval.
3. 1 certify that the application, plans and supporting materials are a true and complete statement and/or
description of the work proposed, that all work will be performed in accordance with the NYS Building
Codes, local building laws and ordinances, and in conformance with local zoning regulations.
4. 1 acknowledge that prior to occupying the facilities proposed I, or my agents, will obtain a certificate
of occupancy.
5. 1 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: gre44 M. NYhcS
SIGNATURE: za& q�- IxLsLI,,L DATE: 77
Town of Queensbury Building&Code Enforcement Principle Structure Application Revised February 2017