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2012-327 ..4111a TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120327 Date Issued: Wednesday, August 22, 2012 This is to certify that work requested to be done as shown by Permit Number P20120327 has been completed. Location: 110 MAIN St Tax Map Number: 523400-309-014-0001-080-000-0000 Owner: CUMBERLAND FARMS, INC. Applicant: CUMBERLAND FARMS, INC. 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 4 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. 010k TOWN OF QUEENSBURY =7.` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120327 Application Number: A20120327 Tax Map No: 523400-309-014-0001-080-000-0000 Permission is hereby granted to: CUMBERLAND FARMS, INC. For property located at: 110 MAIN St 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: CUMBERLAND FARMS, INC. Commercial Alteration $200,000.00 100 CROSSING Blvd Total Value FRAMINGHAM, MA 01702-0000 $200,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency EMCO CONSTRUCTION 518-456-1853 2050 WESTERN Ave Suite 210 GUILDERLAND NY 12084-0000 Plans&Specifications 2012-327 Comm Interior Alterations 3,816 sq ft. $763.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 03, 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 trTie sbury• 4Fril :.ugust< . , 03, 2012 % . SIGNED BY ' for the Town of Queensbury. Director of Building&Code Enforcement A i'1"1010 OFFICE USE ONLY / 3A TAX MAP NO.3�, 14-WO PERMIT NO. 1 FEES: PERMIT -7V)• ATION ENGINEERING JUL b 2012 • . (If applicable) i 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: Emco Construction OWNER: Cumberland Farms ADDRESS:2050 Western Ave Suite 210 Guilderland NY 12084 ADDRESS: 100 Crossing Blvd Frammingham MA PHONE NOS. 518-456-1853 PHONE NOS. (508)270-4410 CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: Kevin Huntington PHONE: 518-456-1853 LOCATION OF PROPERTY: 110 Main Street HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? D YES IN NO IF SO, INDICATE APPLICATION NO.AND DATE OF APPROVAL: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT ZD H APPLY TO YOUR z o 0 O 0 w LL O v7 v7 w w PROJECT O < 00 O �: O = w iL` o � U W 0 U Z C1 F- Of— wz z < < to Nu) Ow Hw OI s SINGLE FAMILY TWO-FAMILY MULTI-FAMILY (NO.of UNITS ) TOWNHOUSE BUSINESS OFFICE RETAIL- X 3,816 MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 IF COMMERCIAL OR INDUSTRIAL—NAME OF BUSINESS: Cumberland Farms ESTIMATED CONSTRUCTION COST: 200,000 FUEL TYPE: NG HEAT TYPE: Hot Air RTU *HOW MANY FIREPLACE(S): AND/OR WOODSTOVES(S): ZONING CATEGORY: ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? No PROPOSED USE OF BUILDING OR ADDITION: Convenience Store with Gasoline Sales ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? No ARE THERE EASEMENTS ON PROPERTY? No *Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office 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 ._• Signed P�� 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) Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Revised 4/14/2010 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: %r, BUILD! CODES APPROVAL ZONING APPROVAL 3L— DAT DATE QUESTIONS? CALL 761-8256 OR EMAIL codes(a�queensbury.net Office Use Only VISIT OUR WEBSITE FOR MORE INFORMATION www.queensbury.net Operating Permit Issued: Yes No Occupancy Type: Construction Classification: Assembly Occupancy Limit: Special Conditions: Town of Queensbury* Community Development Office * 742 Bay Road, Queensbury NY 12804 Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection request received: g'(,)-(4/3-ti/ Z Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ar)'` ' 4�¢��t d71 PERMIT#: i / cam' 7 LOCATION: uy ti &. r& DATE: COMMENTS: YN NA Chimney/"B"Vent/Direct Vent Location m r 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"I Treads 11" Vestibules For Exit doors > 3000 sq. ft. All Doors 36 in. wiLever Handles/Panic Hardware, if required N/ Exits At Grade Or Platform 36(w)x 44°(1)/Canopy or Equiv. Gas Valve Shut-off Exposed &Regulator(18")Above Grade 4 Fkaor Bathroom Watertight I Other Floors Okay Relief Valve, Heat Trap I Water Temp. 110 Degrees Maximum 4r 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 ''A doors > 10% > 1000 sq. ft. A�� �l cTJM5 % Hour Corridor Doors&Closers Yr Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/ Fire -"( Dampers/Fire Doors �' _ Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame ' 23 ) j[ Z1 Attic Access 30" x 20"x 30" (h), Crawl Space Access 18"x 24" L Smoke Vents Or Fan, if required Elevator Operation and Signage/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets 4 Handicapped Bath/ Parking Lot Signage 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 b� 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' e"--- Water Water Fountain or Cooler Building Access All Sides by 20'!Driveable Surface 20'wide Okay To Issue Temp. or Permanent CIO Okay To Issue C/C L:\Building&Codes Forms\Building&Codes\Inspection Forms\Commercial Final Inspection Report.doc Revised January 7,2008 iJi4 at 'I 7 Inspection Form Town of Queensbury Fire Marshal C> Periodic Inspection Date:' '' -e3-I) } lime: 1�35� 742 Bay Road,Queensbury NY 12804 o Re-Inspection l� 518 761 8206/518 761 8205 CO Inspection Permit#: / ,1� A / Fire Marshals Representative MJ Palmer Business Name: C-w.-tL A(?cct! Location: / /D GK Stillman Contact: kL11 i r\I 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 / s Locks and latches FC1008& FC1029.2 y ok CJ' N Sign:Normal FC 1011 &FC1029 �` A*�G mU C.‘1< Ji- Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: r` 1.6,..1:, NI F P •- Main Aisle Width FC 1024/1025&FC1029.11 /' Secondary Aisle Width FC 1025&FC1029.11 // C GrcY\Q11 crtJ NP. � n r FIRE EXTINGUISHER: Hung FC 906 l ( +11n-F 614,n.n Inspection of extinguisher FC 906 j EVAC Plan FC404.6 l Y -,7-3c \ Vr-/i1Gc--Y✓r Sh�IA.---r-- TRUSS ID SIGNAGE FC 505.3 / r,i.e EMERGENCY LIGHTING: ����4� Interior FC 1006.3& FC1029.8 7 • Exterior FC 1006.3 / Clearance to Electrical FC 605.3 / Electric Wiring Enclosed/Labeled FC 605.3.1 6'Combustibles in Equipment Rooms FC315.2.3 / F.D.Signage- FC 510 / � � No Smoking Signs FC 310.3 !i ,, 1 Storage FC 315.2 0 Compressed Gas FC 3003 .."- (---'k6 k Vehicle Impact Protection FC 312.1 Interior Finishes FC 803-804 Smoke Detectors FC 907 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 / Vacant Buildings FC 311 REINSPECTION DUE APPROXIMATELY 21 DAYS Insp OK NC DATE: OK NC SYSTEMS: FC 901.6 Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE: OK NC HVAC Shutdown .efl—r Sprinkler System Annual Sprinkler FDC c:o til` t like " �I4llli,j&Cetl�s : • Kitchen Suppression Semi Annual , Fuel Island Suppression Semi Annual • Hood Cleaning 3-6-Annual h'�� Knox Box:installed/checked FC506 � " ) *0 Operating Permit, if required will be issued afterFire 10 • Turr V —i Completion of Inspection Jc 2-SdcL y -fo Commercial Final Inspection Report Office No.: (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: 7/)1P am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: <iT NAME: lam' 7"-e•d2a,--y,(4) PERMIT#: / ' 3 ,;) '7 LOCATION: l/c i Mo? , � DATE: 2 - ' 1.-i COMMENTS: Y N NA Chimney/13"Vent I 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 sq. ft. / All Doors 36 in. wllever Handles I Panic Hardware, if required �h/�` Exits At Grade Or Platform 36(w)x 44° (1)/Canopy or Equiv. i� Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathroom Watertight(Other Floors Okay / /� Relief Valve, Heat Trap 1 Water Temp. 110 Degrees Maximum �� ����e/• Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing Systemn 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. '/. 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 i,,/G 2 At Handicapped Bath I Parking Lot Signage f GA. Public Toilet Room Handicapped Accessible ' ✓ rfi� ,2/t. j r Handicapped Service Counters, 34 in., Checkout 36" t/- Handicapped Ramp I Handrails Continuous/12 in. Beyond [Both sides] Active Listenin_g System and Signage Assembly Space Final Electrical I Flex Gas Piping Bonded ✓ .h ec . -�^f� 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° 4—pi, i Water Fountain or Cooler Building Access All Sides by 20'/Driveable Surface 20'wide Okay To Issue Temp. or Permanent C/® iJ Okay To Issue C/C L:\Building&Codes Forms\Building&Codeslinspection Forms\Commercial Final inspection Report.doc Revised January 7,2008 Framing / Firestopping Inspection Report - ( C) Office No. (518) 761-8256 Date Inspection request received: S 11-)/1-2-- Queensbury Building &Code Enforcement Arrive: _amlp Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ') `� NAME: , C / F) ,v flThrL m PERMIT##: -5)-7 LOCATION: f IT11 ,� te; \T INSPECT ON: TYPE OF STRUCTURE: bt/� 1� N NIA COMMENTS: `Framing \ " Attic Acce 2" x 30° min's, Jack Studs/ Headers G Bracing /BridgingS l -�. � ,� S1.k �\ I I Ch1 Joist hangers j Jack Posts 1 Main Beams Exterior sheeting nailed properly 12" O.C. c�- Headroom 6 ft. 8 in. r� Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches/ Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall • Windows Habitable Space/ Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/ below grade 5.0 sf grade L:\Building&Codes Forms-OLD1Building&Code;\Inspec#ion Forms'Framing Firestopping Inspection Report.dOC Revised January 7,2008 Foundation Inspection Report Office No.(518)761-8256 Date tion, :•� ed: Queensbury Building&Code Enforcement Arrive: i :�, : Depart: 742 Bay Rd.,Queensbury,NY 12804 Inspector's Intr: s:✓,I NAME: P. I #: I '3 a7 LOCATION: I / O NW SPECT ON: TYPE OF STRUCTURE: Comments N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: Q � 12 inch width Js� 6 inches above footing 6 mil poly for wet areas under slab ill P - . rgU• .erSlab ylL/, PV . ast/Copper `�� Q� oundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Rough PlumbingI Insulation Inspection R Report Office No. (518) 761-8256 Date Inspectio requ- «-iv r: Queensbury Building & Code Enforcement Arrive: -V „yr1� �.: 'art: _I - �C artp1L, 742 Bay Road, Queensbury, NY 12804 Inspector's ini i. � NAME: C- � �M (SER c (=0 ENi 3 -ERMIT #: 1 7----.3 Z.7 LOCATION: 1 t 0 M at t _ 61LE-=_ INSPECT ON: -9 - 1 Z PE OF STRUCTURE: _ Y NIA Rough Plumbing / Nail Plates Plumbin s Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/ Head 5 P.S.1. or 10 ft. above highest connection for 15 minutes / Pressure Testti/'ZI Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check/ Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed No Insulation) Duct I Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace r Duct work sealed properly/ No duct tape I COMMENTS: Rough Plumbing Insulation Report revised Nov 17 2003, revised February 15, 2005, revised January 7, 2008 Framing / Firestopping Inspection Report lit t(a tg 0 Office No. (518) 761-8256 Date •Ins Queensbury Building &Code Enforcement Arrive: (3.- ton app: