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2014-359 Ifir ` TOWN OF QUEENSBURY wo742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140359 Date Issued: Thursday, August 07, 2014 This is to certify that work requested to be done as shown by Permit Number P20140359 has been completed. Location: 756 QUAKER Rd Tax Map Number: 523400-303-015-0001-008-000-0000 Owner: AMERADA HESS CORP Applicant: HESS RETAIL OPERATIONS LLC 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 �C1 Av/s 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 8c Cod Enfor ment or Zoning Board of Appeals. TOWN OF QUEENSBURY FON 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140359 Application Number: A20140359 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: AMERADA HESS CORP PO BOX 696419 Certificate of Occupancy(COM) SAN ANTONIO TX 78269-6419 Total Value Contractor or Builder's Name /Address Electrical Inspection Agency Plans& Specifications 2014-359 Hess Retail Operations LLC d/b/a Hess Express #32391 CIO Only $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,August 07,2015 (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 Tow of Qu u I L . _,- 'gust 07,2014 6.4 SIGNED BY / for the Town of Queensbury. Director of Building& Code Enforcement -Offce Use Only Town of Queensbury Fire Mash'al (' ` '� 'i ll �� I Received: l ESTABLISHMENT OF A NE 16IINS 0 6 2014 Tax'iMap ID: 3e, Tax J CERTIFICATE OF OCCUPANCY PERMITtARPLICAT-ION._ Permit No.: _ /y- s,' I TOWN OF QUEENSBURYPenni it Fee: ,Sb� `Note: This application is for occupancy only,with no work-requirriing_la bS dmg pePmlS_ES _I Pd Name of Business Hess Retail Operations LLC d/b/a Hess Express#32391 Address 756 Quaker Road, Queensbury, NY 12804 Type of Business Gas station and convenience store Manager Jennifer Young OR Person in charge Business Phone No. (518) 761-9506 • Property Owner Hess Corporation Address One Hess Plaza, Woodbridge, NJ 07095 Phone (732) 750-8500 VProvide 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: Jas Cetel, Esq., Attorney-in-Fact Signature: / �`� Date: 11/9 /f? Notes/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 EMERGENCY CONTACT UPDATE TO: Warren County Sheriff's Department 1. This form is used to assist Emergency Service personnel who may be called to your business after hours. Please be sure that the persons listed on this form will be willing and available to respond during off-hours to assist Police and/or Fire personnel in gaining entry to your building. 2. Please be advised that failure to respond to assist emergency service personnel may result in damage to your building to facilitate entry by police and/or fire personnel. PLEASE PRINT DATE: 7/31/14 BUSINESS NAME: Hess Retail Operations LLC d/b/a Hess Express#32391 BUSINESS ADDRESS: 756 Quaker Road, Queensbury, NY 12804 BUSINESS PHONE: (518) 761-9506 CONTACT 1: Nancy Wells HOME PHONE (518) 232-1502 ADDRESS: 5D Oakwood Drive, Hudson Falls, New York 12839 CONTACT 2: Jennifer Young HOME PHONE (518) 894-3776 ADDRESS: 898 Grooms Road, Rexford, New York 12148 Town of Queensbury Fire Marshal—New Business Permit 518-761-8206 Inspection Form y1/ //n���/1 Town of Queensbury Fire Marshal 0 Periodic Inspection Date: v////7 Time: •3D 742 Bay Road,Queensbury NY 12804 r_Re-Inspection (,J/ 2 518 761 8206/518 761 8205 CO CO Inspection Permit#: !� J Fire Marshals Representative _ MJ Palmer Business Name: .€7. 3Z31/ Location: 75b AGK Stillman Contact:'T4nflew- V•Jr>ng Type of Inspection N/A Yes No EXITS. Exit Access FC 1014&FC1029 NOTES Exit Enclosure FC 1020&FC1029 ,7' Exit Discharge FC 1024&FC1029 / Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 .n Sign: backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Wdth FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 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 Electric Wiring Enclosed/Labeled FC 605.3.1 .----".1.- Combustibles / Combustibles in Equipment Rooms FC315.2.3 ..----- F.D. F.D.Signage- FC 510 „/ No Smoking Signs FC 310.3 ," Storage FC 315.2 r,_-/ e Compressed Gas FC 3003 ,a= 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 �� me Emergency Disconnect FC 2203.2 / 21 DAYS SYSTEMS: FC 901.6 Imp OK NC DATE: OK NC Date Generator Annual DATE: OK NC Hood Installation Elevator Semi Annual FIRE ALARM Annual DATE: OK NC HVAC Shutdown Sprinkler System Annual Sprinkler FDC Kitchen Suppression Semi Annual 3'/!ft f Fuel Island Suppression Semi Annual 7 Hood Cleaning 3-Annual /4 , Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection iii.MMTh :-'. WORKROOM REST REST STORAGE ROOM ROOM FREEZER JANITOR CLOSE MCR \ OFFICE AVALANCHE =� 2 LTR 1 Ice CMANKIMIMMUIY /.<\ . IN IA1111VMN 0 %. ____je. —. i V_I I N4PS :13316 A in � b ® GDUTC / w1 SPO ' 01, . \PAS 4,,0 i PCPs ieLt aa.i:F,4fr *a, // KP con GEER 0� i Ka a. p4 K� 0a.- P 1 Pa I I IYALN-IS milimmilmir--- MI / illUll LIC En {W E ULEIL 11Au FREEZER r••""� mYl1 mIMY V MARKETING PLAN 32391 QUEENSBURY 5000 S.P. SPECIAL JUNE 2014