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2014-358 TOWN OF QUEENSBURY I ON 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20140358 Date Issued: Friday, August 08, 2014 This is to certify that work requested to be done as shown by Permit Number P20140358 has been completed. Location: 527 AVIATION Rd #32468 Tax Map Number: 523400-302-005-0001-038-000-0000 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 (r 462t— 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&Code Enforcement or Zoning Board of Appeals. ((jam` TOWN OF QUEENSBURY ` a 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140358 Application Number: A20140358 Tax Map No: 523400-302-005-0001-038-000-0000 Permission is hereby granted to: HESS RETAIL OPERATIONS LLC For property located at: 527 AVIATION Rd #32468 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 2014-358 Hess Retail Operations LLC d/b/a Hess Express#32468 C/0 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 Town f Que sbu , ZJ Th . ,d3, _gust 07,2014 C �F! SIGNED BY T' . for the Town of Queensbury. Director of Building&Code Enforcement u. _e Office,UseOnly Town of Queensbury Fire Mar u al f Il ij I duo 0 6 2014 Recei ved: ESTABLISHMENT OF A NEW BUSINESS* J a Map ID: 4?Del 5— / 3 ? " trivAtiyL "A r4 is^NSBI TPermit No.: M - 3 S 6 CERTIFICATE OF OCCUPANCY PERMIT APPLICATION QDa i `Permit Fee: 46b1 `Note: This application is for occupancy only,with no work requiring a building permit. Name of Business Hess Retail Operations LLC d/b/a Hess Express#32468 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 Corporation Address One Hess Plaza, Woodbridge, NJ 07095 Phone (732) 750-8500 /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: G/� Or— Date: Stf/ft • 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 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#32468 BUSINESS ADDRESS: 527 Aviation Road, Queensbury, NY 12804 BUSINESS PHONE: (518) 745-5380 CONTACT 1: Mike Catuccio HOME PHONE 518-281-7403 ADDRESS: 23 Main Street, South Glens Falls, NY 12803 CONTACT 2: HOME PHONE ADDRESS: Town of Queensbury Fire Marshal-New Business Permit 518-761-8206 Inspection Form Town of Queensbury Fire Marshal 0 Periodic Inspection Date: Y\t (I�Time: h 90 742 Bay Road,Queensbury NY 12804 o e-Inspection 518 761 8206/518 761 8205 CO Inspection Permit#: /1-re Fire Marshals Representative ,�..!! MJ Palmer Business Na kr�' L/ Location: (,, aZean GK Stillman Contact: 2 Type of Inspection N/A Yes No EXITS Exit Access FC 1014&FC1029 Exit Enclosure FC 1020&FC1029 / NOTES Exit Discharge FC 1024&FC1029 / Locks and latches FC1008& FC1029.2 Sign.Normal FC 1011 &FC1029 l� Sign:backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 Secondary Aisle Width FC 1025&FC1029.11 FIRE EXTINGUISHER: Hung FC 906 ../e Inspection of extinguisher FC 906 EVAC Plan FC 404.2 TRUSS ID SIGNAGE FC 505.3 / EMERGENCY LIGHTING: Interior FC 1006.3&FC1029.8 Extenor FC 1006.3 / Clearance n ElectricalnoeFC 605.3 /� �1r Electric Wiring Enclosed/Labeled FC 605.3.1 e............---;„" Combustibles in Equipment Rooms FC315.2.3 / F.D.Signage- FC 510 No Smoking Signs FC 310.36-..0".- t-d Storage FC1 Compressedi --R7/ 7 Gas FCC3003 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" �YI EVAC SIGNS IN Rooms FC 404.6(R1 &R2) Fuel Pump Waming Signs FC2205.6 Fuel Station Emer Procedures FC2204.3.5 Exterior Storage FC 315.3 �, REINSPECTION DUE APPROXIMATELY Vacant Buildings FC 311 Emergency Disconnect FC 2203.2 ...•01 21 DAYS SYSTEMS: FC 901.6 Insp 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 /.rf-/� Fuel Island Suppression Semi Annual 3,/ /`'y/ Hood Cleaning 3-6-Annual Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection Inspection Form /1� Town of Queensbury Fire Marshal 0 Periodic Inspection Date: 7 / Timer•/S 4n 742 Bay Road,Queensbury NY 12804Re-Inspection / _3 518 761 8206/..5_,.18 761 8205 "CO Inspection Permit#: Fire Marshalsepres — MJ Palmer Business Name: 7 —Z _- i t * Location: -2:7 11 j .� pj i KGK Stillman Contact: gj�/ ice-id Type of Inspection N/A Yes No EXITS: Exit Access FC 1014&FC1029 Exit Enclosure FC 1020&FC1029 ...•-• NOTES Exit Discharge FC 1024&FC1029 Locks and latches FC1008& FC1029.2 Sign:Normal FC 1011 &FC1029 Sign.backup FC 1011.5.3&FC1029.7.5 AISLES: Main Aisle Width FC 1024/1025&FC1029.11 •� Secondary Aisle Width 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 ✓ Combustibles in Equipment Rooms FC315.2.3 F.D.Signage- FC 510 No Smoking Signs FC 310.3 Storage FC 315.2 ✓ Compressed Gas FC 3003 ✓ Vehicle Impact Protection FC 312.1 ._.--)"� Interior Finishes FC 803-804 ie< Smoke Detectors FC 907 ✓ CO detectors FC 610 ✓ Clearance to Sprinkler/Ceiling FC 315.2.1 18" / 24" ^^11 EVAC SIGNS IN Rooms FC 404.6 (R1 &R2) ------ .. //onl,�..,� /'sir./ 'r / M Fuel Pump Warning Signs FC2205.6 „/ {�/��pblri�� ( /v¢ 7Y Fuel Station Emer Procedures FC2204.3.5 / r?'� Exterior Storage FC 315.3 REINSPECTION6UE APPROXIMATELY Vacant Buildings FC 311 ✓ Emergency Disconnect FC 2203.2 ../ 21 DAYS SYSTEMS: FC 901.6 Insp 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 ' Fuel Island Suppression Semi Annual 3/ii V Hood Cleaning 3-6-Annual / /� Knox Box:installed/checked FC506 Operating Permit, if required will be issued after Completion of Inspection ////i; ///%// i%%////%//////O%////////D//%////////f///%// D//NKi�/���%%/////%/`%/���%��/////%/%/%%%%%%%%%/%/���%%%//%%%%%%/%%%%%%%%%%%/%//////o/a/a////////////a/a///a/77// et: I % I 22" COOLER DOORS % REST % /I / 1 I r r 1 0 ROOM / I0 Q gi i ygqg Sp m m m m u a w �u a 6,,p y .A ,„,„,..„,r,,,,,,,,111/vir r ea. 1 ® DAIRY 1> 44.1/4:4,0 L U u ICE CREAT/ \ C LL �•A D 044".‘, R fl ICE 7„„„, .................i, TCOOOt�EA 1j ii •••......._ _,...• O© i i REST "i rue V I TOMERPEPSI 0 or FEM CVV ROOM $a 3 POWER C0M12 PEPSI COKE a y O CARTON • _ 2ETR n7R WATER %//////////////V ali, , ar ,,,,, ///r, =�_, . � /// Marketing Plon 32468 Queensbury 1800 FF BEER DD JUNE 2013