2005-911 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number:. - P20050911- .-- Date Issued: - -.-Thursday, December 01, 2005
This is to certify that work requested.to be done as shown by Permit Number P20050911 has been completed.
Tax Map Number: 523400-302-005-0001-098-000-0000
Location: 474 AVIATION Rd
Owner: SOCONY MOBIL OIL CO INC
Applicant: EXIT 19 MOBIL
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
p Y
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 Enforcement
Planning Board 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: P20050911 Application Number: A20050911
Tax Map No: 523400-302-005-0001-098-000-0000
Permission is hereby granted to: EXIT 19 MOBIL
For property located at: 474 AVIATION 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: SOCONY MOBIL OIL CO INC
C/O EXXON MOBIL CORP Certificate of Occupancy(CON)
PROPERTY TAX DIVISION Total Value
PO BOX 4973
HOUSTON, TX 77210-4973
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-911 EXIT 19 MOBIL
CERTIFICATE OF OCCUPANCY
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, November 29, 2006
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbu before thepiration4da
Dated at the Towof Q (eer}sb 'ry; ; November 29, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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Inspection for Permit t0 Occupy
Fire Marshals Office Request Rec'd Permit No.
Town of Queensbury 3�
742 Bay Road
Queensbury,NY 12804 Scheduled Inspection Date: (( Time:
Phone: (518) 761-8206 Business Name: �-
Fax: (518) 745-4437 Location: a �c<D
Type of Inspection N/A Yes No
EXITS:
Exit Access COMMENTS
Exit Enclosure �d
Exit Discharge
A15LES:
Main Aisle Width
Secondary Aisle Width
EXIT SIGNAGE
Sign-normal
Sign-battery
TRUSS ID SIGNAGE
EMERGENCY LIGHTING
FIRE EXTINGUISHER:
Hun
Inspection of extinguisher
Hydro extinguisher x
FIRE ALARM SYSTEM
Fan Shutdown
Fire Sprinkler System
Fire Suppression-kitchen
Fire Suppression-Gas Island
Hood Installation
Interior Finishes
Storage
Compressed Gas
Clearance to Sprinklers
Clearance to Electrical
Electric Wiring Enclosed
Combustible Waste
Vehicle Impact Protection
Fire Lane
F.D.Si na e-Utility Rooms
No Smoking Signs %
Maximum Occupancy Sign
Emergency Evacuation Plan
Approved (If no other approvals apply,the B&C Office Willis ue the Ce'i#i ate of Occupancy)
Denied
o Call for Recheck
Inspected By:
L:\Sue Hemingway\Fire Marshals Office lnpsection 08.17.2005.doc
--= � 1f5f2005 11:21 802-527-0115 S.B. COLLINS PAGE 03
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TOWN OF QUEENSBI IRY
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11/25/2005 11:21 802-527-0115 S.B. COLLINS PAGE 04
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