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
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MARKETING PLAN 32391 QUEENSBURY 5000 S.P. SPECIAL
JUNE 2014