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2015-055 TOWN OFQ UEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 Q rY, Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20150055 Date Issued: Tuesday, March 24, 2015 This is to certify that work requested to be done as shown by Permit Number P20150055 has been completed. Location: 756 QUAKER Rd Tax Map Number: 523400-303-015-0001-008-000-0000 Owner: HESS RETAIL OPERATIONS LLC C/O SPEEDWAY Applicant: SPEEDWAY#07700 This structure may be occupied as a: Certificate of Occupancy (COM) By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property ( 140P 4 ,Otowner 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. AO` ,441ALMA., TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 F.4,,TO Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150055 Application Number: A20150055 Tax Map No: 523400-303-015-0001-008-000-0000 Permission is herebygranted to: SPEEDWAY#07700 For property located at: 756 QUAKER 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: HESS RETAIL OPERATIONS LLC C/O SPEEDWAY LLC Certificate of Occupancy(COM) PO BOX 1580 Total Value SPRINGFIELD OH 45501 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2015-055 Speedway#07700 Certificate of Occupancy ONLY $0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, March 24,2016 (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 xpiration date. Dated at the To of s ;0/4 • / , r arch 24,2015 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only Town of Queensbury Fire Marshal Received: ESTABLISHMENT OF A NEW BUSINESS Tax Map ID: 3b3, I5-I -e CERTIFICATE OF OCCUPANCY PERMIT APPLICATION Permit No.: ZA k " 0 Permit Fee: (1-). 6100, cle-cvrre 1 *Note: This application is for occupancy only,with no work requiring a building permit. JJ Name of Business Hess Retail Operations LLC d/b/a Speedway#07700 Address 756 Quaker Road, Queensbury, NY 12804 Type of Business Gas station and convenience store (� (� M Manager Jennifer Young D LE © I E D " OR Person in charge 11 MAR t 8 2015 ,, Business Phone No. (518)761-9506 TOWN OF QUEENSBURY Property Owner Hess Retail Stores LLC BUILDING&CODES Address do Speedway LLC, P.O. Box 1580, Springfield, OH 45501,Attn:Lic Dept Phone 937-863-6464 ./Provide an accurate layout of your store showing all walls,exits,stockrooms,rest rooms,counters,and fixture layout on a separate sheet of paper. Print Name: Jason Cetel, Esq., Attorney-in-Fact Signature: 4111 Date: 3/1(p/15- Notes I Comments: IMPORTANT: The business owner is responsible for keeping exits clear and maintaining exit signs and emergency lights. Fire extinguishers,fire sprinkler systems,and fire alarm systems require annual inspections by an outside contractor and the corresponding documentation must be provided to the Fire Marshal's office. Fire extinguishing systems found in kitchens and gas stations require semi-annual inspections. Any violations noted during an inspection,require immediate corrective action. CONTACT NUMBERS: Director, Building and Codes-761-8253 Zoning Administrator-761-8218 Zoning-761-8238 Fire Marshal-761-8206 Planning-761-8220 Town of Queensbury Fire Marshal-New Business Permit 518-761-8206 Inspection Form Town of Queensbury Fire Marshal O Periodic Inspection Date: l"')5' Time: U 742 Bay Road,Queensbury NY 12804 o Re-Inspection 518 761 8206/518 761 8205 CO Inspection Permit#:pOI - - SSS Fir Marshals Representative MJ Palmer Business Name: ts11* Location: "7 SCe doo r -e) GK Stillman Contact: Inr1f.CL Type of Inspection N/A Yes No EXITS: Exit Access FC 1014& FC1029 NOTES Exit Enclosure FC 1020&FC1029 Exit Discharge FC 1024& FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 Sign:backup FC 1011.5.3& FC1029.7.5 AISLES: v'1 \ CO `4"r£'1,- Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 �^),1 FIRE EXTINGUISHER: Hung FC 906 0a- Ct Inspection of extinguisher FC 906 EVAC Plan FC 404.2 TRUSS ID SIGNAGE FC 505.3 EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 Exterior FC 1006.3 • Clearance to Electrical FC 605.3 Electric Wiring Enclosed/Labeled FC 605.3.1 Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 No Smoking Signs FC 310.3 Storage FC 315.2 Compressed Gas FC 3003 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 REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 Emergency Disconnect FC 2203.2 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 Sprinkler System Annual Sprinkler FDC v�� � Kitchen Suppression Semi Annual �• - r1Ur". 1:A& be: Fuel Island Suppression Semi Annual Hood Cleaning 3-6 -Annual aYC— 2 a Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection ----'\IMIIMIMII IMIIIIIIMIIrli..IIIIIIIMIMI.IIII WORKROOM REST REST STORAGE ROOM---) ROOM FREEZER j D JANITOR CLOSE MGR rr) .. OFFICE 2 LTR «E AVALANCHE } . 3. ?• /2,6<:\<ac,�Hf:g: nslm,rer ,. ���qUM lllll�"R:H \l 1<' J�'r i. .,,,, ei, 4_____„, ''5,,.. '' 404, 4 Y p ....{It i - 4e 8 14%9 J 'V' e`N-- .\� 1�='!� 0© COIF fat Mg MI 4° :00, A KEN la le UA a" WALK-IN tY' o m� p�pg Ry9 ttrE , FREEZER (� ^� Zlei // �� 7t1iF]t LAO ffM ,, �y ULtI:IIA LL lJ z WC�24+E3, '�, W1t1Y Q1f12 iM7 Imo^'-i 1 .—..r...... ' MARKETING PLAN 32391 QUEENSBURY 5000 S.F. SPECIAL JUNE 2014 • WORKROOM REST REST I STORAGE ` ROOM ROOM FREEZER JANITOR CLOSE MGR OFFICE 2 LTR ME. AVALANCHE __ - f' a.' goozy 'v.� p"1 00 'i'l _ ts, war MC ii VIER CSO 04. D © so 0 vX 1/ 40 le Q w V V PEPSI - -vol , ,,i1,04,- ,,,,.4s# 4 Al DEER MI , , A COKE Q p . 9\...) A BER F.3 . , . . g'?. . . . � � U EICER films xc 1 WALK-1 c cvz !Rit o�'F FREEZER (` r �In t is - i Rit lII� fEY a ri Oren MALL v.\ c wcun�s -i �� R"' awn on MO 2 U‘1 MARKETING PLAN 32391 QUEENSBURY 5000 S.F. SSPECIAL JUNE 2014