2007-267TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development -Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070267
Tax Map No: 523400-309-014-0001-083-000-0000
Permission is hereby granted to: MOBIL OIL CORPORATION
For property located at:
114 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. Tyke of Construction Value
Owner Address: MOBIL OIL CORPORATION
C/O EXXON MOBIL CORP PROPEL Removal Of Underground Stor
PO BOX 53 Total value
HOUSTON, TX 77001-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Application Number. A20070267
Plans & Specifications
-267
[OVAL OF UNDERGROUND STORAGE TANKS
$100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, May 15, 2008
(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 nsb ~ T e d . y 15, 2007
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SIGNED BY ___ for the Town of Queensbury.
Director of Building & Code Enforcement
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. TAX MAP NO. ~ ~ ~~ , ~ ,
' PERMIT NO. ; ~'~~~~`~.F~
FEES: PERMIT '
RECREATION
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PRINCIPAL STRUCTURE: .........../ ,..B~tD1NCR'vD~o~
APPLICATION FOR ZONING APPROVAL F~ BUILDING
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APP PERMIT
REVIEW BEFORE ISSUANCE`,~OF A VALID PERMIT FOR CONSTRUCTION. LIGATION IS SUBJECT TO
APPLICANT/BUILDER: ~'`~-~
OWNER: ~Q, ~Ka~
ADDRESS: 1 ~ N ~ ~
ADDRESS' / ~ c~-
PHONE NOS. ~~ 7~ ~~ ~, ~ PHONE NOS. r~--
CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:
LOCATION OF PROPERTY: I ~'<~-~`i-~d-~;
J~~'vn PHONE~~ 7~CP3.~vX ~
P
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SUBDIVISION NAME: '
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PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR z ~ ~ o: a p
PROJECT O p o ~ Ca w ~ ~
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z °a ¢ ~-cdn 1•,cdn p~ 0 mow?
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SINGLE FAMILY
TVVO-FAMILY
MULTI-FAMILY
(NO. of IJNITS_~
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
I STRIAE `r
fib
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL - NA E OF BUSINESS: ~~I c1P~/1~lGQ__ ~ /~ ~'~~~
ESTIMATED GONSTRUCTION COST: ~ ~ '
AA (( - ~ ~ FUEL TYPE: A J /~--
HEAT TYPE: (v
*HOW MANY FIREPLACE(S);,~'~'/~- AND / OR WOODSTOVES(S): N
Z • C,.~
•NING CATEGORY. ARE THERE WETLANDS ON THIS SITE?
IS THIS A HISTORIC SITE? N/
PROPOSED USE OF BUILDING OR ADDITION: ~G~t.~-.
*Please complete a separate Application for "Fuel Burning Appliances & Chimneys" available in our office
B 3-LGL 11-05
Tozvn of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
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A-- C-~TM CERTIFICATE OF LIABI RGA
LITY INSURANCE °^~~-
PRODUCER 04!05107
The Treiber Group, LLC THi3 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
377 Oak Street - CS B01 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Garden City, tdY 11530-01;01
A~TER THE OVERA E AFFORDE'DBTTHE POL~I~S BE LOW.
51s 745.osoo
INSIRED INSURERS AFFORDING COVERAGE NAIL
The Tyn=,e Organization, Ltd. INSURER A: Commerce S Indust Insurance Co 19410
208 Route 109 INSURER e: American International Group 32220
Farmingdale, Nl' 11735 INSURERQ The State insurance Fund 36102
WSURER a American Intl. SpeNalty
COVERACsF~ INSURER E
THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IWSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAI~ING
MAY PERTAIN THE INSURANCE ~ ORDED BY THE POD UGEgTDE3CR18ED FIEREIN IS SUBJECT TgEALL THE TERMS, EXC USIONS Ate CONDITIONS OFSUCH
POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAS CWMS,
TYPE OF INSURANCE POUCY NUMBER
A oENERALLUeu-m, GL4178227 u~
x ~~~ ~~ LUBn.rrY 12/31/06 12131/07 EacH OccuRRENCe s1000 000
culMS WADE ~X DccuR ~ ~D s10 000
~D ~' o~ s10 000- .
PERSONAt.6ADYINJURY S1 000" ~ O~•
6ENERALAGGREpATE S OOO tIO
6ENt AC36REOATE LIMITAPR-IES PER;
A AUTIOMOBILELIABILIry CA7686918 12/31/06 12/31/07 ~•
A X aNYAUro t~~NGLEUaIIr s1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY NJURY s ,
(Pa pawn}
X HIRED AUTOS _
X NON-OWNED AUTOS BOOILYBWURY $
(P~raodd~M)
(PRar~r~dsnl~~E i
GARAGE LUUNLITY
ANY AUTO AUTO ONLY - EA ACCIDENT j
pTHER Tt1AN EA ACC i •
B ~tee.e.~us.... _ AUTO ONLY' AOR s
X oc
^
cuR
cLaMS MADE
DEDUCTIBLE
X RETENTION s 10000
C BCO~~+~ 13750039 04/01/07
C EMPLOYERS WBNm 04l01~8
.
ANY PROPRIETOR/PARTNERIDfECUTNE
OFFICERiL1EMBER EICCLUOED7
8 dweAb~ uWa
D °TMER Professbnal COP31955220 12/31108 12!31/07
Liability
D Pollution COPS195SZ20 12!31/06 12!31107
DE8CRIPTION OP OPERATKlIiB / L~ATKNI81 VEIIICLEi l EXq.UBN!!NI ADDED BY EI'EORSEMSNf 18PECUIL PROVIMONS
This applies to all locations of the named insured.
Thw owners and lessors of the captioned property, including without
Limitation Getty properties Corp., Getty Realty Corp., Power Test Realty
Company Limited Partnership, and Getty Petroleum Mark
ti
e
ng, inc. and each
(See Attached Descriptions)
Getty Petroleum Marketing, Inc.
1500 Hempstead Turnpike
East Meadow, NY 11554
ACORD 2S (2001/08)1 of 3 I'RS1863541M181106
+. wx+we - rvwT umrr I i7 V W UV
;5,000,000 Occurrence
;S,000,OOOAggregate •.
ICELLATION
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXy~P~IRATION
THEREOF. THE 8I8UWD IN8URER WILL ENDEAVOR TO MAIL „~Q,_ DAY~•WRRTEN
E TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT. BVT FAILURE TO Dq ~p aFIN.L
IE NO OBLIGATKNd OR LUUNLnY OF ANY KgID UPON THE INSURER, RS AOEfIPS OR
'-BENTATIYES.
!O~RI2ED ItEPREBENTATNE
ildrt~i/~I'1~w -~i ;
LGU o ACORD CORPOON 1988
i'~.;~.
~:.~•:
57~`Tt.~,S'
Commercial Final Inspection Report
Office No.: (518) 761-8256
Queensbury Building & Code Enforcement
742 Bay Road, Queensbury, Ny 12804
NAME: 1
LOCATION: / Q ~ ~-..
Date Inspection request received:
Arrive: am/pm Depart: a~ m
Inspector's Initials: p
PERMIT #: D
DATE:
U,
Chimne / "B" Vent /Direct Vent Location
Plumbin Vent Throu Roof 6" /Roof Com lete
Exterior Finish /Grade Com lete 6" in 10' or E uivalent
Interior /Exterior Guardrails 42 in. Platform /Decks
Interior /Exterior Ballisters 4 in. S acin Platform /Decks
Stair Handrail 34 in. - 38 in. / Ste Risers 7" /Treads 11"
Vestibules For Exit doors > 3000 s . ft.
All Doors 36 in. w/Lever Handles /Panic Hazdwaze, if re uir~
Exits At Grade Or Platform 36 w x 44" ] /Cano or E ui~
Gas Valve Shut-off Ex osed & Re lator 18" Above Grade
Floor Bathroom Waterti t /Other Floors Oka
Relief Valve, Heat Trap /Water Temp, 110 Degrees Maximum
Boiler /Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy /Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft. or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room (2 hr.), 1 %z doors
> 10% > 1000 s . ft.
3/4 Hour Corridor Doors & Closers
Firewalls /Fire Separation, 2 Hour, 3 Hour Complete /Fire
Dam ers /Fire Doors
Ceilin Fire Sto in , 3,000 s . ft. Wood Frame
Attic Access 30" x 20" x 30" (h), Crawl Space Access 18" x 24"
Smoke Vents Or Fan, if re uired
Elevator Operation and Signage /Shaft Sealed
Handicapped Bathroom Grab Bars /Sinks /Toilets
Handicapped Bath /Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in ,Checkout 36"
Handicapped Ramp /Handrails Continuous/12 in. Beyond [Both sides]
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan /Variance required
Final Survey, New Structure /Flood Plain certification, if req
As-built Se tic S stem La out Re uired or On File
Buildin Number or Tenant Address on Buildin or Drivewa
Water Fountain or Cooler
Buildin Access All Sides b 20' / Driveable Surface 20' wide
Oka To Issue Tem . or Permanent C/O
Okay To Issue C/C
COMMENTS:
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L:\Building & Codes Forms\Building & Codes\Inspection Forms\Commercial Final Inspection Report.doc