2015-056 TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20150056 Date Issued: Tuesday, March 24, 2015
This is to certify that work requested to be done as shown by Permit Number P20150056
has been completed.
Location: 527 AVIATION Rd
Tax Map Number: 523400-302-005-0001-038-000-0000
Owner: HESS RETAIL OPERATIONS LLC C/O SPEEDWAY
Applicant: SPEEDWAY#07789
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
owner of the responsibility for compliance with Site Plan, Variance, or VV
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
41111&
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150056 Application Number: A20150056
Tax Map No: 523400-302-005-0001-038-000-0000
Permission is hereby granted to: SPEEDWAY#07789
For property located at: 527 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: HESS RETAIL OPERATIONS LLC
C/O SPEEDWAY LLC Certificate of Occupancy(COM)
PO BOX 1580 TotalValue
SPRINGFIELD OH
45501
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-056 Speedway #07789
Certificate of Occupancy ONLY
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,March 24,2016
(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 of Q nsb ;4 • ', ' arch 24,2015
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Town of Queensbury Fire Ma
MAK 18 2111Recei"',
ESTABLISHMENT OF A NEW B NESS Tax Map' I: 3602, 5-1 - 3
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION' Permit No.: - 20\S "D3b
Blt"' Permit Fee: I;frjU.
*Note: This application is for occupancy only,with no work requiring a building permit.
Name of Business Hess Retail Operations LLC d/b/a Speedway#07789
Address 527 Aviation Road, Queensbury, NY 12804
Type of Business Gas station and convenience store
Manager Mike Catuccio
OR
Person in charge
Business Phone No. (518)745-5380
Property Owner Hess Retail Stores LLC
Address c/o Speedway LLC, P.O. Box 1580, Springfield, OH 45501,Attn: Lic Dept
Phone 937-863-6464
"Provide 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: Jason Cetel, Esq.,Attorney-in-Fact
Signature: 1)" .ts
Date: 3r �o i>l C
Notes/Comments:
Location is open for business 24 hours a day, seven days a week.
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
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Marketing Plan 32468 Queensbury 1800 FF BEER DD
JUNE 2013