2009-454 -� TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
E IF10 ATE OCCUP-ANf-"v
Permit Number: P20090454 Date Issued: Wednesday, December 02, 2009
This is to certify that work requested to be done as shown by Permit Number P20090454
has been completed.
Location. 870 STATE ROUTE 9
Tax Map Number; 523400-296-017-0001-05 1-000-0000
Owner. ALEXANDER POTENZA
Applicant: PAPA JOHN'S
This structure maybe occupied as a:
Commercial Alteration 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 other issues and conditions as a result of approvals by the Directorof 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: P20090454 Application Number. A20090454
Tax Map No: 523400-296-017-0001-05 1-000-0000
Permission is hereby granted to: ALEXANDER POTENZA
For property located at: 870 STATE ROUTE 9
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. Tyl2e of Construction Value
Owner Address: ALEXANDER POTENZA Commercial Alteration $150,000.00
FRANK BORK
403 GLEN St Total value $150,000.00
GLENS FALLS,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-454
PAPA JOHN'S PIZZA- commercial alteration-removal &addition of walls
$50.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 07,2010
(If a Ionger 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 Tc{ivn of Qelee rye �"�ediieMiay, October 07,2009
SIGNED BY
�� for the Town of Queensbury.
Director of Building&Code Enforcement
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