Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
CC-0706-2018
TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: CC-0706-2018Date Issued: Friday, December 21, 2018 This is to certify that work requested to be done as shown by Permit Number CC-0706-2018 has been completed. 288.16-1-3 Tax Map Number: 1412 State Rte 9 Location: Jolley Associates, LLC Owner: Thomas Burke, III Applicant: This structure may be occupied as a: Commerical Alterations 363 s.f. (service area remodel only) 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 Director of Building & Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 4iL Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: CC-0706-2018 Tax Map No: 288.16-1-3 Permission is hereby granted to: Dunkin Donuts For property located at: 1412 State Rte 9 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 Owner Name: Jolley Associates,LLC Retail-Mercantile-Alteration $80,000.00 Owner Address: 54 Lower Weldon ST Total Value $80,000.00 St.Albans,VT 05478 Contractor or Builder's Name/Address Electrical Inspection Agency Homeland Builders 465 Sykes RD Fall River,MA 02720 Plans&Specifications Commerical Alterations 363 s.f. (service area remodel only) $ 175.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,November 19,2019 (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 Quee ury; �d/�MAllAoWmber 19, 2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement r Office Use Only f ADDITION/ALTERATION PERMIT Permit#: CC `o7a( 2't APPLICATION Permit Fee:$ l 7 Town of 0%w nsbury 742 Bay Road,Queensbury,W 12804 Invoice#: U�P P:518-761-8256 www.gueensbury.net Project Location: x i Tax Map ID#: Subdivision Name: CONTACT INFORMATION: . • Applicant: Name(s): Ma_ rW. Mailing Address, C/S/Z: NY lam©2-0 Cell Phone: ) 0 ( — q Land Line: �) Email: --lir•• e. rR,\-".1L'VA • Primary Owner(s): o r Name(s): 'G. -F ' Mailing Address, C/S/ . '5 > t ( r ' . a,� 5 A ;y Cell Phone:�_) Land Line: �) Email: • Contractor(s): Business Name: Nt L_P_(_T Contact Name(s): a� Mailing Address, C/S/Z: .Q \( '.ve r - Cell Phone: 50'1 - 14 o Land Line: �) Email:'r.w �S rt Coves • Architects En ineer s : Business Name: ov�"C_^. Contact Name(s): Q U; Mailing Address, C/S/Z: (CO "k" Cell Phone: _ 60 IO Land tine: 1 Email: ro S a x_ .— ern . Co� Contact Person for Building& Code Compliance: Cell Phone: Land Line: � ) Email: Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 :_• R PROJECT INFORMATION: TYPE: Commercial Residential WORK CLASS: _Single-Family _Two-Family _Multi-Family(#of units ) Townhouse _Business Office Retail _Industrial/Warehouse _Garage (#of cars ) _Other(describe ) ADDITION SQUARE FOOTAGE: ALTERATION S�jUARE FOOTAGE: 1st floor: 1st floor: �J - 2nd floor: 2nd floor: 3rd floor: 3rd floor: Basement(habitable space): Basement(habitable space): Total square feet: Total square feet: J ADDITIONAL PROJECT INFORMATION: �� 1. Estimated Cost of Construction: $ Z C T,"u, 2. If Commercial project, what is the proposed use: �-�`'� 3. Source of Heat (circle one): as Oil Propane Solar Other Fireplaces need a separate Fu urning Appliances&Chimney Application 4. Are there any structures not shown on the plot plan? YES Iq Explain: 5. Are there any easements on the property? YES 6. SITE INFORMATION: a. What is the dimensions or acreage of the parcel? b. Is this a corner lot? YES ISO c. Will the grade be changed as a result of the construction? YES (� d. What is the water source? PA)C PRIVATE WELL e. Is the parcel on SEOR or a PRIVAT EPTIC system? Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 i DECLARATION: 1. 1 acknowledge that no construction shall be commenced prior to issuance of a valid permit and will be completed within a 12 month period. 2. If the work 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: Tyr SIGNATURE: DATE: I Town of Queensbury Building&Code Enforcement Addition/Alteration Application Revised March 2018 INSPECTION WORKSHEET (BINS-008976-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal CC-0706-2018Permit Case Number:Case Module: Thu Dec 20, 2018Passed Inspection Date:Inspection Status: John O'BrienCommercial Final Inspection Inspector:Inspection Type: 1412 State Rte 9288.16-1-3 Job Address:Parcel Number: Lake George, NY 12845 Contact TypeCompany NameName Primary OwnerJolley Associates, LLC Granted PermissionDunkin Donuts ContractorHomeland Builders ApplicantBurke, III, Thomas Checklist ItemPassedComments OK to Issue C/OYES12/20/18 Final Inspection Approved - Ok to Issue CO! O'Brien, John (Inspector) Dec 20, 2018Page (1) INSPECTION WORKSHEET (FM-008973-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal CC-0706-2018Permit Case Number:Case Module: Thu Dec 20, 2018Passed Inspection Date:Inspection Status: Gary StillmanOCC-Inspections Inspector:Inspection Type: 1412 State Rte 9288.16-1-3 Job Address:Parcel Number: Lake George, NY 12845 Contact TypeCompany NameName ContractorHomeland Builders ApplicantBurke, III, Thomas Primary OwnerJolley Associates, LLC Granted PermissionDunkin Donuts Checklist ItemPassedComments Fire MarshalYESEXIT 20 Exit AccessYES Exit EnclosureYES Exit DischargeYES Locks and LatchesYES Sign: NormalYES Sign: BackupYES Dec 20, 2018Page (1) INSPECTION WORKSHEET (FM-008973-2018) Checklist ItemPassedComments Main Aisle WidthYES Secondary Aisle WidthYES Fire Extinguisher HungYES Inspection of ExtinguisherYES Truss ID SignageYES Emergency Lighting InteriorYES Emergency Lighting ExteriorYES Clearance to ElectricalYES Electrical Wiring Enclosed/LabeledYES Combustibles in Equipment RoomsYES F.D. SignageYES StorageYES Vehicle Impact ProtectionYES Interior FinishesYES CO DetectorsYES Clearance to Sprinkler/CeilingYES Dec 20, 2018Page (2) INSPECTION WORKSHEET (FM-008973-2018) Checklist ItemPassedComments FIRE ALARM AnnualYES Sprinkler System AnnualYES Occupancy CycleYESA/M Stillman, Gary (Inspector) Dec 20, 2018Page (3) FIRE MARSHAL'S OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 " Horne of Natural Beaitty ... A Good Place to Line " PLAN REVIEW Dunkin Donuts 1412 State Route 9 CC-0706-2018 11/14/2018 The following comments are based on review of the submitted plans: 1) Fire Extinguisher locations to be verified. 2) Locks /latches shall comply with the 2015 International Fire Code. 3) Carbon monoxide detection will be required Per NYS part 1228- Existing ok 4) Verify operation of existing Exit/Emergency lights in space. 4n� De uty Fire Marshal Gary K. Stillman 742 Bay Road Queensbury NY 12804 518 761 8205 garys@queensbury.net Fire Ma r s ha l 's Office - Pit o it e: 518-761-8206 - Fax: 518-745-4437 reniarshal@queensbury.net - www.queensbury.net