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2008-447 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 4z Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20080447 Date Issued: Friday, December 19, 2008 This is to certify that work requested to be done as shown by Permit Number P20080447 has been completed. Location: 474 AVIATION Rd Tax Map Number. 523400-302-005-0001-098-000-0000 Owner. JOLLEY ASSOCIATES, A VERMONT GENERAL l Applicant: DUNKIN DONUTS This structure may be occupied as a: Commercial Alteration By Oder 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 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080447 Application Number. A20080447 Tax Map No: 523400-302-005-0001-098-000-0000 Permission is hereby granted to: JOLLEY ASSOCIATES, A VERMONT GENERAL P For property located at: 474 AVIATION 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: JOLLEY ASSOCIATES, A VERMOI` PO BOX 671 Commercial Alteration $10,000.00 ST. ALBANS,VT 05478-0000 Total value $10,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2008-447 Dunkin' Donuts - 857 SQ FT COMMERCIAL ALTERATION $102.84 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 15, 2009 (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 th.Tzo of QuFe bury; i YVednesday,October 15,2008 SIGNED BY f Dzil for the Town of Queensbury. Director of Building&Code Enforcement ,.. .._. .... ......... �.. . `��. E ONLY ........% i —Y 10 TAX MAC NO. PERMIT N0. FEES: PERMIT RECREATION ENGINEERING ' ' (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. j /� APPLICANT/BUILDER: I;MCA Co tt5tfvcT� � OWNER: a I I Q �4 ASSOC OC i Je-S ADDRESS: a05-0 wes� c�� v e. ADDRESS: _1 C) 110)k L 5+, ins UT. 05'9 u0z PHONE NOd5l`�)`` S _ t 5 3 PHONE NOS. Q D CONTACT PERSON FOR BUILDING & CODES COMPLIANCE. `o"`�� 1`"S PHONE: ()l'13 LOCATION OF PROPERTY: C - y y SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT 0 - 7 F a w APPLY TO YOUR z F= 0 U) cn w 0 PROJECT �d O OJ � w ¢ a.. = U o w u LL = I— 02z SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE ' FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: �(�7, 00 FUEL TYPE: HEAT TYPE: *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S): 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 Town of Queensbury m Community Development Office • 742 Bay Road, Queensburu, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? 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. Signed La 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: , , , 11 , BUILDING & CZM16 APPROVAL 00 ZONING APPROVAL �a ; DATE 'o ; DATE 01 :..................... ........ ................. QUESTIONS? CALL 761.8256 OR EMAIL codes(ftueensbury.net VISIT OUR WEBSITE FOR MORE INFORMATION Office Use Only www.ciueensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: S Assembly Occupancy Limit: Special Conditions: t;`:; Town of Queensbury ,, Cornmunity Development Office ■ 742 Bay Road, Queensbury, NY 12804 FIRE MARSHALS OFFICE Town of Queensbury 742 Bay Road, Queensbury, NY 12804 "Home of Natural Beauty ... A Good Place to Live " PLAN REVIEW 2008-447 Dunkin Donuts/Jolly Mobil 8/28/2008 I have reviewed the submitted plans for the above project, and offer the following comments: 1) Fire Marshals office has no concerns at this time Deputy Fire Marshal Gary K Stillman 742 Bay Road Queensbury NY 12804 518 761 8205 fn-emarshal@queensbury.net Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437 firemarshal@gueensburi.net . untw.queensbury.net tmuu UUNSrRUCTION PAGE 02/02 10-08�08;01 :30PM; ; # 2/ 2 Richard R. Stephens Consuifiing Engineer, P.C. bctober 9,2008 Queensbury Building Department 742 Bay Road Queenabury, New York 12804 Attention: Mr.David Haan Director of Building and Code Enforcement Re: Jopey Convenience Stor ,Queensbury,Now York Outside Air Calculation and Exhaust Air Calculation Dear Sir. This ielw is in reWnsd to your rom"pondence rogues"a letter related to the outside air calculation and the exhaust air calculations for the Jolley Convenience Store In Queensbury,New Ywk. The following is the requested IrA melon: Based on the New York State Code for retali stores,the outside air requirement is.30 CFM/ Square Ft.for the street level.The street level area(5081 Sq. Ft.)x.30 CFM Sq. PLI 1.525 CFM of outside air.The dmwlnps have been revised 4o inaorpomtea the above and are marked. RTU—1 OW CFM Outside Air RTU-2 75 CFM Outside Air RTU—30 CFM Outside Air 1,636 Outside Air Total The exhaust flow rates from the first floor as follows:• `. Dunkin Donuts Sandwich Station 610 CFM(Manual Control) Dunkin Donuts Mini Rack 500 CFM(Manual Control) Dunkin Donuts sink Exhaust 130 CFM(Manual Control) Merl s ToW Exhelust 93 CFM(Control thru Light Swimh) Women's Tolleet Exhaust = 93 CFM.(ContW thru U9ht.Bwitoh)u Tots/ExhAtJ.S! 1,426 CFM Total Outside Air Intakes 1.626 CFM Total Fxhaust Air Volume 1.428 CFM TOW Positive Fvo=ure 99 CFM if you have any questions,pieowe do not hesitate to Call. RospecifctilY, Rjqbmd R.S. Rhona on Itl g all .P.C. .�. `rR��ard R.Ste .�• .. . Principal 77 Maple Avenue Troy,New York/2180 (518)786-"W Fwr (518)-t$"$66 office@fr"ngpc.com Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection re est ec iv d: Queensbury Building& Code Enforcement Arrive: m Depart: 742 Bay Road, Queensbury,NY 12804 Inspector's itia NAME: ;,� � �t, �* PERMIT ? / LOCATION: v _ . t DATE: -- 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/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 s . ft. All Doors 36 in.w/Lever Handles/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/Other Floors Oka Relief Valve,Heat Trap/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 %z doors > 10%> 1000 s .ft. 3/a Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping,3,000 s . 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 Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e 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 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 Water Fountain or Cooler Building Access All Sides by 20' /Driveable Surface 20'wide Okay To Issue Tem . or Permanent C/O Okay To Issue C/C L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc Inspection for Permit to Occupy Fire Mcrxshd's OMIce Request Rec'd Permit No. 0 �z ll'l-7 Town of Queensbury 742 Bay Road Queensbury,NY 12804 Scheduled Inspection Date:_12 1l� Time: Phone: (518)761-8206 Business Name: O - '� Fax: (518)745-4437 Location: - T of WWOC&M N A Yes No EXITS: Exit Access Exit Enclosure COMMENTS Exit Discharge AISLES: Main Aisle Width Secondary Aisle Width EXIT SIGNAGE Si -normal Si -battery EVAC signs in rooms TRUSS ID SIGNAGE EMERGENCY LIGHTING FIRE EXTINGUISHER: Hun inspection of extinguisher FIRE ALARM SYSTEM Fan Shutdown Fire Sprinkler System Fire Suppression-kitchen Fire Suppression-Gas Islan Generator Hood Installation Elevator interior Knishes Stora e Compressed Gas Clearance to Sprinklers Clearance to Electrical Electric Wring Enclosed Combustible Waste Vehicle impact Protection Knox Box F.D.Si na e-Utility Rooms No Smoking Signs Maximum Occupancy Sion Emergency Evacuation Plan ApprOVed )if no other approvals apply,the B&C Office will issue the Certificate of Occupancy) o C?enied /coil for Recheck Ins By: L:\FlreMarshal\New Folder\permitto occupyform.doc 1 Commercial Final Inspection( eport Office No.: (518) 761-8256 Date Inspectioryf: t, d: Queensbury Building&Code Enforcement Arrive: rlDepart: V-z j 742 Bay Road, Queensbury,NY 12804 Inspector's InitiNAME: _ ktlYI ; LL PERMI LOCATION: L � i�ATE: COMMENTS: Y N NA Chimney/"B"Vent/Direct Vent Location %� j `� , PlumbingVent Through Roof 6 /Roof Complete l Exterior Finish/Grade Complete 6"in 10' or Equivalent Interior/Exterior Guardrails 42 in. Platform/Decks Interior/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in. /Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 s . ft. All Doors 36 in.w/Lever Handles/Panic Hardware,if required Exits At Grade Or Platform 36 w)x 44"(1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Re lator 18" Above Grade Floor.Bathroom Watertight/Other Floors Oka Relief Valve,Heat Trap/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 '/2 doors > 10%> 1000 s .ft. 3/4 Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors Ceiling Fire Stopping,3,000 s . 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 Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks I Toilets Handicapped Bath/Parking Lot Si na e 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 Site Plan/Variance recluired 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 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:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc .Jan . 5 . 2QG9 11 :49AM MD1A No . 4620 P. 3/4 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. Vas that the electrical wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued subject to the following conditions. Owner. Dunkin Donuts Date: 12/23/2008 Occupant. Commercial Location: 474 Aviation fed. Occupancy: Non-Residential Queensbury,Warren Co_ NY Applicant Ambrose Electric ,�• t - 790 Watervliet Shaker Rd 115' Latham, NY 12110 r� Raymond A. Nov Equipment: 1 t - Switches; 28 -Receptt les; 3ltl`r� Ixtures; Ig .i 1 E c j Light; - Amp eptacles; 4-50 Amp Receptacles; 2-20 Amp Red tacl9%'4-400 Amp Panel; 1-200 Amp Panel; 4-Wall s ►+. tt POO This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies orgy to the use,occupancy and above and the installation inspected as of the above noted date based on a visual ownership"indicated herein. Upon a change In the use,occupancy or ownership inspection. No warranty is expressed or implied as to the mechanical safety,effi- of me property Indicated above,this certificate shall be immediately null and void, ciency or fitness of the equipment for any particular purpose. This certificate shall In the event trial this certificate becomes Invalid based upon the above conditions, be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalldated upon reinspeclion by Middle Department system to which this certificate applies be altered in any way,including but not limit- IrraperAon Agency,Inc. An application for inspectlon must be submitted to Middle ed to, the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the Inspection and revalldation any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this,service. D % -- HH"7 DCOSTATE OF NEW YORK DEPARTMENT OF HEALTH Glens Falls District Office 77 Mohican Street Glens Falls,New York 12801 (518)793-3893 Fax(518)793-0427 Richard F.Daines, M.D. Wendy E.Saunders Commissioner Chief of Staff October 3, 2008 Mr. Jeremiah P. Burke Glens Falls Donut Group, LLC 5 Jenee Way Saratoga Springs, NY 12866 Re: Dunkin'Donuts—Aviation Road Facility Code: 56-BE50 (Proposed) Queensbury (T),Warren County Dear Mr. Burke, This office has reviewed the additional Architectural Plans, completed by Aharonian & Associates, for the proposed Dunkin'Donuts to be located on Aviation Rd, Queensbury (T). The submitted plans have adequately addressed a number of issues indicated in this office's September 26, 2008 correspondence, and therefore, this office finds that the application to operate a Food Service Establishment to be acceptable, pending the satisfactory completion of a pre-operational inspection by a representative of this office, and under the following conditions: • As stated in this office's September 26, 2008 correspondence, the type and concentration of your intended sanitizer must be verified prior to its use. • You must verify your intended method for insect intrusion from the drive-thru window. • If the basement storage area is to be used for food or food preparation products, it must be properly finished. • You must ensure you have an contract with an acceptable hauler to periodically clean the interior grease-trap. You must monitor the grease trap to ensure the unit remains properly functioning, and that no back-up of sewage be allowed into the facility. • You must ensure a written statement of compliance is submitted from your design professional, which verifies the proper installation of all equipment in accordance with the approved plans. You must obtain a Certificate of Occupancy from the local Building Department or Code Enforcement Office. As a reminder, this office must conduct a pre-operational inspection prior to the facility receiving a Permit to Operate. Furthermore, New York State Sanitary Code, Subpart 14-1.190 requires a current permit to be issued by the permit-issuing authority prior to operation of the facility. Once the project is competed, please contact this office to schedule a pre-operational inspection. P:\Facifity Folders\Dunkin Donuts-Aviation Rd\Application Review-Conditional Approval.doc 4f`' Should you have any further questions regarding your application, you may contact this office at (518)-793-3893. Sincerely, d� r g ' F. Rey olds P ' al Sanitarian encl. rc: Anita Gabalski, District Director Queensbury (T)Building&Code Enforcement Office NYS Dept. of Ag. &Mkts.,Food Compliance File P:1Facility Folders\Dunkin Donuts-Aviation RdWpplication Review-Conditional Approval.doc 2 STATE OF NEW YORKDI:A ` DEPARTMENT OF HEALTH Glens Falls District Office 77 Mohican Street Glens Falls,New York 12801 (518)793-3893 Fax(518)793-0427 Richard F.Daines,M.D. Wendy E.Saunders Commissioner Chief of Staff September 26, 2008 Mr. Jeremiah P. Burke Glens Falls Donut Group,LLC 5 Jenee Way Saratoga Springs, NY 12866 Re: Dunkin'Donuts —Aviation Road Facility Code: 56-BE50 (Proposed) Queensbury (T), Warren County Dear Mr. Burke, This office is in receipt of an Application for a Permit to Operate, a Notice of Intent to Construct, Enlarge or Convert a Facility, a Food Service Preparation Guide, interior Architectural Plans, and numerous ancillary documents, received in this office September 18, 2008, for the proposed construction within the Mobil Mart, located at 474 Aviation Rd, Queensbury (T) of a Dunkin'Donuts. In reviewing the documents submitted, this office finds the application for a Food Service Establishment to be incomplete, and request the following information be provided: Food Service Establishment Preparation Guide • On Page 19, you indicate the intended use of a Kay Chemical sanitizing system, although no chemical type is indicated. You must ensure any chemical sanitizes be used in accordance with Subpart 14-1.112 of the New York State Sanitary Code (NYSSC), and that no toxic residue is left on the surfaces. If this sanitizer is a quaternary ammonia-based compound, you must ensure compliance with section 4-501.114 of the U.S.Food and Drug Administration Food Code (2005). • On Page 20, the interior finish schedule was not properly completed. Architectural Plans submitted with your application also failed to adequately detail interior finishes, in particular the food preparation area ceiling, indicated on sheet D3 as "specified by Dunkin Donuts". • Also on Page 20, you indicate "N/A" when asked if air curtains will be installed at the facility. Please clarify your intended method for excluding insects from the facility at the drive-thru window. Interior Architectural Plans/Technical Specifications Sheets • No equipment manufacturer technical specification sheets, or equipment schedule detailing the proposed equipment, was included with the submission. Please provide the information for all equipment intended for installation at the facility. • No finish detail was provided for the basement storage area, except for flooring. If this area is to be used for the storage of any food or food preparation supplies, you must indicate the proposed finishes for all surfaces, including the ceiling material. P:Tacility FoldersOunkin Donuts-Aviation MApplication Review-Incomplete.doc General/Administrative Eccopy • As a reminder, once completed, you must obtain a Certificate of Occupancy from the local Building Department or Code Enforcement Office. Please contact that office for further information and ensure that once approved, a copy of the Certificate of Occupancy/Compliance is forwarded to this office for filing. This office will not issue any Permit to Operate without proof of a current, valid Certificate of Occupancy or Certificate of Compliance. • Finally, not indicated on your floor plan, basic CPR equipment must be maintained at the facility. A brochure detailing your requirements has been included for your review. This office must conduct a pre-operational inspection prior to the facility receiving a Permit to Operate. Furthermore, New York State Sanitary Code, Subpart 14-1.190 requires a current permit to be issued by the permit-issuing authority prior to operation of the facility. This office must receive the requested additional information before a pre-operational inspection will be scheduled. Should you have any further questions regarding your application, you may contact this office at (518)-793-3893. Sincere , Gre o F. Reyn ds Pry'c al Sanit an encl. cc: Anita Gabalski, District Director Queensbury (T) Building &Code Enforcement Office NYS Dept. of Ag. &Mkts.,Food Compliance File PAFacility FoldersMunkin Donuts-Aviation RdWpplication Review-Incomplete.doc 2