2015-386 TOWN OF QUEENSBURY
tom 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150386 Application Number: A20150386
Tax Map No: 523400-309-010-0001-038-000-0000
Permission is hereby granted to: HESS RETAIL OPERATIONS LLC C/O SPEEDWAY
For property located at: 81 MAIN St
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 Installation of Tank
PO BOX 1580 St Total Value
SPRINGFIELD OH
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2015-386
Special Use Permit--installation of Blue Rhino propane cylinder exchange cabinet
$100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,August 27,2016
(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 ens ;4 i la • ugust 27,2015
SIGNED BY ' \ for the Town of Queensbury.
Director of Building&Code Enforcement
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Oftbk FIRE MARSHAL'S OFFICE 11-
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Queensbury
f�� Town of Q riJ
�a 742 Bay Road, Queensbury, NY 12804
"Home of Natural Beauty ... A Good Place to Live "
FIRE MARSHAL SPECIAL PERMIT APPLICATION
APPLICATION TO BE SUBMITTED BEFORE BEGINNING WORK,FOR REVIEW BY THIS
OFFICE.AN OPERATING PERMIT WILL BE ISSUED UPON COMPLETION.
Business Name: MWAY gi 770
Property Owner: "
Mailing Address: 7l Ate,A J7/d le G/E-MS'F/b//,S AV/ D/ V
Contact Number: S7 g - 79,1 - 7/S.S—
Tax map Number: Section Block Lot
Descri•tion of scope of work. / /J 1''/ L .1j' ' / _' li / , (�&4 f i
Jae,. ' 0 - i i e ? l9 '' • I_ ' - '9` - / . i 8' 112-141
PLEASE PROVIDE A SKETCH SHOWING LOCATION OF PROPOSED WORK ON THE PROPERTY
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Provide Information IInnddicatinngg/person(s) responsible forthe work:
Contractor Name: � , lkii. '%' J7tf'i1 /1 / x12j17
Contact Number: j-k' -3 4(3 -if-lite.
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Foreman or Supervisor Name: \_ 1/'I.c'.vrc'
Contact Number: .675 !i 4/3 -• `�'f/4 GJ '
Owner/ Contractor shall verify with the local Code Enforcement Official and / or
Fire Marshal any hold points required so proper inspections may be completed.
205-3t(,
Fire Marshal 's Office • Phone: 518-761-8206 • Fax: 518-745-4437
firemarshal@queensbury.net • www.queensbury.net
SPEEDWAY 148101 81 NORTH MAIN ST W, GLEN FALLS, NY
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