2012-459 TOWN OF QUEENSBURY
FAT431
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120459 Date Issued: Wednesday, December 19, 2012
This is to certify that work requested to be done as shown by Permit Number P20120459
has been completed.
Location: 756 QUAKER Rd
Tax Map Number: 523400-303-015-0001-008-000-0000
Owner: AMERADA HESS CORP
Applicant: AMERADA HESS CORP
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 (DI
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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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120459 Application Number: A20120459
Tax Map No: 523400-303-015-0001-008-000-0000
Permission is hereby granted to: AMERADA HESS CORP
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: AMERADA HESS CORP Commercial Alteration $20,000.00
PO BOX 696419 Total value
SAN ANTONIO TX 78269-6419 $20,000.00
Contractor or Builders Name /Address Electrical Inspection Agency
NORTHEAST PETROLEUM TEC1 NOLO
TOM BRENNAN 518-852-9978
2940 CURRY Rd
SCHENECTADY NY 12303-0000
Plans&Specifications
2012-459
Commercial Alteration to coffee island 60 sq ft
$75,00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, September 24,2013
(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 of Queensbury; Monday,September 24,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
rs- . _s—'1010
OFFICE USE ONLY
I ,
TAX MAP NO. 30 3 t 1 _`i —g PERMIT NO. /o1(`-'�(
FEES: PERMIT RECREATION ENGINEERING
25- ,(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: II 01--kec+5! Pc fmet.„,..,,.s i-r ,h„,Ic5i cOWNER: i'fc-SS Co fp0 rot"-0e n
ADDRESSct 70 Cc:Cry jA Sch 6i, t., 1- 6f y ADDRESS: 0170 NcSS (alaZ«�t.,/ovcl�jr, 5c 11J5
PHONE NOS. i " PHONE NOS. 72),2-75-0-6 f c?---
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:rom,13lc,►.hAn PHONE:'7 5." -9 ( 8
LOCATION OF PROPERTY:?S C U A t'C r r 0,.rcv)3 bury i V y
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES 02 NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT p o ~
CJ d Lu LL u)
APPLY TO YOUR z0 a O O a) u) w
PROJECT O O
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SINGLE FAMILY
TWO-FAMILY
MULTI-FAMILY
(NO.of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL- 1/ b Otar�
MERCANTILE i shAn d
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: 6 & �JYp es5
ESTIMATED CONSTRUCTION COST: k2 j OUD.(20 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: 1-1 (.5
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
*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 agree to the above.
Sign
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:
Cf/1.•
BUILDING C DES APPROVAL ZONING APPROVAL
DATE91--` t
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
S -r-
Commercial Final Inspection Report
Office No.: (518) 761-8256 Date In •=ctio,n ••• es -ived:
Queensbury Building & Code Enforcement Arrive: "- ^ a • • Depart: (Mr ayv•m
742 Bay Road, Queensbury, NY 12804 Inspector's Initoa s ,
NAME: f-f gc.(; PERMIT /.,)- y , `7
LOCATION: 7 .5 CJ (LF K N r ,- DATE: ,l I Z-
COMMENTS:
YN NA
Chimney/'B'Vent/Direct Vent Location e —
Plumbing Vent Through Roof 6"/Roof Complete
Exterior Finish 1 Grade Complete 6" in 10'or E.uivalent
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Banisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in. --38 in.I Step Risers T"I Treads 11"
Vestibules For Exit doors> 3000 sq. ft.
All Doors 36 in.wiLever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36 w x 44" 1 Cano• or E.uiv.
Gas Valve Shut-off Exposed& Regulator(18")Above Grade
Floor Bathroom Watertight 1 Other Floors Okay
Relief Valve, Heat Trap I 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 %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 I Toilets
Handicapped Bath/Parking Lot S's na s 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 I Flex Gas Piping Bonded
Site Plan/Variance required ! tSJC
Final Survey, New Structure/Flood Plain certification,if U
As-built Septic System Layout Required or On File C-D
Building Number or Tenant Address on Buildin• or Drivewa 4' .�.
Water Fountain or Cooler
Building Access All Sides by 20'l Driveable Surface 20'wide
Okay To Issue Temp. or Permanent CIO
Okay To Issue C/C
L:\Building&Codes Forms\Building&Codesllnspection Forms1Conimercial Final Inspection Report.doc Revised January 7,2008
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Rough Plumbing I Insulation Inspection Report
Office No. (518) 761-8256 Date Ins ection req ce'► _ .:
Queensbury Building & Code Enforcement Arrive: ,1() a '; •art: 3 Za a pm
742 Bay Road, Queensbury, NY 12804 Inspect is Initials:
NAME: /-I-es PERMt1 #: V{I 59
LOCATION: 77if, (Q;r a Ker Pd _ INSPECT ON: /i--l L8-1(A
TYPE OF STRUCTURE: 41-,
Y N N/A I ‘__ALL Fe�
Rough Plumbing /Nail Plates . lir. t70.30-T 5 / I=f 04k—
Plumbing Vent/Vents in Place LPtI• 7 ro/` y�ECT l
1 1,4 inch minimum Drain Size ✓
Washing Machine Drain 2 inch minimum ,
Cleanout every 100 feet 1 change of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
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/Hot Water Piping Insulation
If required unheated spaces ,--
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape 1
COMMENTS:
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
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