CC-000412-2015 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
at Community Development-Building&Codes (518)761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-000412-2015 Date Issued: Tuesday, January 12, 2016
This is to certify that work requested to be done as shown by Permit Number CC-000412-2015
has been completed.
Tax Map Number: 303.15-1-8
Location: 756 QUAKER RD
Owner: HESS RETAIL STORES LLC
Applicant: HESS RETAIL STORES LLC
This structure may be occupied as a: Commercial Alterations
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the n �J
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 Ed'urcen,en
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
OL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: CC-000412-2015 20\`�' w33
Tax Map No: 303.15-1-8
REVISED
Permission is hereby granted to: Speedway LLC
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
Owner Name: HESS RETAIL STORES LLC Retail-Mercantile-Alteration $160,000.00
Owner Address: 1 Hess Plaza Total Value $160,000.00
Woodbridge,NJ 07095
Contractor or Buildefs Name/Address Electrical Inspection Agency
Gilbane Bldg.Co.
7 Soutwoods BLVD
Albany,NY 12211
Plans&Specifications
Commercial Alterations
PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 5,2016
(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 expiration date.)
Dated at the Townf QW sum st 5,2015
SIGNED EY: TJ 4 for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150333 Application Number: A20150333
Tax Map No: 523400-303-015-0001-008-000-0000
Permission is hereby granted to: HESS RETAIL OPERATIONS LLC
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 Commercial Alteration $160,000.00
PO BOX 1580 Rd Total Value $160,000.00
SPRINGFIELD OH
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-333
Commercial Alterations
$1,022.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 05, 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 expiration date.)
Dated at the To o ueens ry; 411e s1 e. • y,August 05,2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
DATE '\ -�d• - \V Received
Tax Map ID
TAX MAP ID SO3•IS- I Permit No. 2415- 33
28 20 Permit Fee
ZONING _ Rec Fee '` 10 2-2 •a O
%F QUEENS Site Plan #
csUiLDING & ( nr
HISTORIC SITE Yes No Subdivision #
SUBDIVISION NAME Lot#
TOWN Ba RESOLUTION 86-2013: $850 RECREATION FEE FOR NEW DWELLING UNITS, INCLUDING SINGLE FAMILY DWELLINGS,
DUPLEXES OR TWO FAMILY DWELLINGS, MULTIPLE FAMILY DWELLINGS, APARTMENTS, CONDOMINIUMS, TOWNHOUSES, AND/OR
MANUFACTURED&MODULAR HOMES, BUT NOT MOBILE HOMES. THIS IS IN ADDITION TO THE PERMIT FEE.
APPLICANT HESS IZ T ASL SToZES L•LG OWNER HESS ZETATc. SToEs LLC.
ADDRESS I J—ss Ttz, , NS ADDRESS I HEss ITLZ, c.JOOD1WZTDC-IE , 1J
070gS 6-7O4s
PHONE/E-MAIL 73a 75O- 6aan PHONE/E-MAIL 73c - 7SO - (>aaC)
C74
t
CONTRACTOR CST CAANr- �Li>C Co. , {C.4T1E CASE�� COST OF CONSTRUCTION(ESTIMATED): $ 1bO (J'
ADDRESS: -7 SoutNwooDs 3LuD, A 1,1y,N7, N`I BUILDING ADDRESS: 7S6 QuAKEZ 1ZD.,(uE'E1‘)s'Rurzy
/DU , ek- /A100
PHONE/E-MAIL 5163- . 58- 353.2 co c (-1= ., • Ck NU�IKtAr I�C�L�aN� ,��
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: PHONE
TYPE OF CONSTRUCTION
Check all that apply Please indicate measurements as required below
New Addition Alteration 1'floor sq. ft. 2nd floor sq. ft. Total sq. ft. Height
Single Family
Two-Family
Multi-Family
(# of units )
Townhouse
Business Office
Retail - Mercantile
Factory- Industrial
Attached Garage
(# of )
Other
1
Town of Queensbury Building&Codes Principal Structure Application July 2014
If,commercial or industrial indicate name of business NEss -K RES
S
Proposed use of building or addition S,lrME
Source of heat (circle one) Gas Oil Propane Solar Other
Fireplace: complete a separate application for Fuel Burning Appliances &
Chimneys
Are there structures not shown on plot plan?
Are there easements on the property?
Site Information
a. Dimensions or acreage of lot I acs
b. Is this a corner lot?
c. Will the grade be changed as a result of construction Yes ✓ No
d. Public water or Private well
e. Sewer or Private Septic System
Value of all work to be performed (labor or materials) $
DECLARATION:
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be completed
within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. 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.
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of
occupancy.
5. 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: PRINT NAME: V�� kV� DATE
SIGNATUREA.\ \CJ \ DATE 1 *Ak5
FOR OFFICE USE ONLY
Operating Permit Issued: Yes No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
2
Town of Queensbury Building&Codes Principal Structure Application July 2014