2009-028 TOWN OFQ UEENSBURY
^� 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201
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Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20090028 Date Issued: Friday, February 13, 2009
This is to certify that work requested to be done as shown by Permit Number P20090028
has been completed.
Location: 364 DIX Ave
Tax Map Number. 523400-303-020-0001-003-002-0000
Owner. CLARK BRINK
Applicant CLARK BRINK
This structure may be oct49P) D'S RESTAURANT
Commercial Alteration 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,
,17/
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
`.1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090028 Application Number. A20090028
Tax Map No: 523400-303-020-0001-003-002-0000
Permission is hereby granted to: MCDONALD'S RESTAURANT
CLARK BRINK
For property located at: 364 DIX Ave
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: CLARK BRINK
MC DONALD'S CORP. Commercial Alteration $20,000.00
50 SEWARD St Total Value $20,000.00
SARATOGA SPRINGS,NY 1286
Contractor or Builder's Name/Address Electrical Inspection Agency
HUNT COMPANIES INC
515 A COUNTY ROUTE 45
NY 12804-0000
Plans &Specifications
2009-028
50 sq ft commercial alteration
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,January 29, 2010
(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 Top Queens , u day,January 29,2009
SIGNED BY 9 for the Town of Queensbury.
Director of Building&Code Enforcement
`� �// FFICE USE ONLY
`;C)L5 ogle; ., } ..
TAX MAP NO. 1" /
PERMIT NO. 07-(_,'0 •.
FEES: PERMIT . )(1 RECREATION ENGINEERING .. "I"{ `
(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.
APPLICANT/BUILDER: //llii'7la /'�' � ,c-
/} )/242/�s f,�U OWNER: a RA 4/-4ter,5C5 o S4 ail
ADDRESS: ._1-16.7/9 (_ yv0u-I' Liss" 5-05- G1,•26{:7 5 i—rs kr—
t�601 y ADDRESS: t . „
PHONE NOS. ,I/0 - . C(4_ -&06/) PHONE NOS. 37,5'--_., "7-•`2.323'--)
CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: tin!S )-I v i PHONE\j726,3 &1‘i
LOCATION OF PROPERTY g /A nye_i cii &iS'b wN
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ES 'O
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z 0 cc 0 cc Oj o t-
PROJECT O 0O Ce - u- co
E_ CO
In 8 � i W ¢ a = =
U
Z < < - d NU) O � I- LL a 2
SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER a, eci,vm,6 1 , �
,41.rYncrbkeZilall'i
eked
IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: f lOv)fthLS Rer, ut
ESTIMATED CONSTRUCTION COST: c;x7e MO FUEL TYPE:.
B 3-LGL 11-05
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? J •
-1' A�1s77' . /2eXj�i�! 1
ARE THERE EASEMENTS ON PROPERTY? , '
r �
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 haviread and agree to the abov=.
Signed . .�►�
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:
Mgr
BUILDING & C 9 ''PPROVAL ZONING APPROVAL
11,
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesCaaqueensbury.net
Office Use Only
/' VISIT OUR WEBSITE FOR MORE INFOaMA nr i
rP- / /
Commercial Final Inspection Rev '
N.
Office No.: (518) 761-8256 Date Inspectio -. eiv d:
____ :934/Queensbury Building& Code Enforcement Arrive: ', Depart: i
742 Bay Road,Queensbury,NY 12804 Inspector's
NAME: AICA-Yk_kl ,j , _ PERMIT :LOCATION: ' %x �1Q DATE: AQ _
COMMENTS:
Y N NA73-_ 1/C/ -
Chimney/"B"Vent/Direct Vent Location « ! ' ,
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish/Grade Complete 6"in 10' or Equivalent /(7.--7 .7
b t
Interior/Exterior Guardrails 42 in. Platform/Decks _
Interior/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. 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&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay
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 'h 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
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
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 Temp. or Permanent C/O
Okay To Issue C/C
L:\Building&Codes Forms\Building& Codes\Inspection Forms\Commercial Final Inspection Report.doc
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
N!Permit No...,.,` e �..-...:.....00. Cert. 7 0 4 5 Cut-in Card No.
Owner ..D.Q 11.F .A,F i&1.714.r.dz. ..4.4
Location 3 G1 Di)(.....14..V cr
Installation Consisting of...4.4.J.t.C=..t.taSr 5
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Installed By.....%Zu a ! '.477/0(4 el/C.4 Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date ''I—0`, INSPECTOR...
Member N.F.P.A.,I.A.E.I.
1VIcDonalds, Queensbury,NY, 12804 Page 1 of 1
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•1'u UEENSBURY BUIiDING DEPARTMENT i'
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DESCRIPTION CAD Iga� F R'A N K E LaVergne,TN 37086 USA
364 DIX AVE. 139-TA6 (888)437-2653
O,ms®uRr• Nr DATE SURVEYED www.frankeis.com
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DESCRIPTION GADSUPERVISORF R A N ME LaVergre,TN 37086 USA
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N IPrIaN , SUPERVISOR
LII N K E LaVergne,TN 37086 USA
964 DIX AVE. IILB-TA6 (886)437-2653
RUSENSBURY, HY DATE SURVEYED W W W.Tr'ankeft.00In
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• ALL DIMENSIONS S MW FINISH TO FINISH. 6.C. TO ADJUST A5
REWIRED TO HOLD SHOW DIMENSIONS.
• ALL WALL/DECOR DIMENSIONS TO BE VERIFIED BY
NKAIITEGT/GONTRAGTOIR/REDION FOR STRUCTURAL CONDITIONS AMO
LOCAL.ADA COLPIANOE.
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