2006-395 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (-"1)8rc7 OCCUPANCY
Permit Number. P20060395 Date Issued: Thursday, June 15, 2006
This is to certify that work requested to be done as shown by Permit Number P20060395
has been completed.
Tax Map Number. 523400-295-008-0001-002-000-0000
Location: 1161 STATE ROUTE 9
Owner MITCHELL A COHEN
Applicant: MITCHELL A COHEN
This structure may be occupied as a:
Certificate of Occupancy(COM)
I
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the f
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the
Planning Board or Zoning Board of Appeals. Directoro E t
TOWN OF QIJE E NSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060395 Application Number. A20060395
Tax Map No: 523400-295-008-0001-002-000-0000
Permission is hereby granted to: MITCHELL A COHEN
For property located at: 1161 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. Type of Construction Value
Owner Address: MITCHELL A COHEN
PO BOX 21 Certificate of Occupancy(COM)
Total Value
LAKE GEORGE, NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-395
SCOOTERS ICE CREAM SHOP
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,June 15, 2007
(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 o ensb ZZ
ne 15, 2006
W
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement