2006-499 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20060499 Date Issued: Friday, July 14, 2006
This is to certify that work requested to be done as shown by Permit Number P20060499
has been completed.
Tax Map Number. 523400-226-012-0001-043-000-0000
Location: 333 CLEVERDALE Rd
Owner. SANS SOUCI OF CLEVERDALE, INC.
Applicant: SANS SOUCI OF CLEVERDALE, INC.
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 owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code nfon ent
Planning Board or Zoning Board of Appeals. i
----------E----------,
F Community Development Office
Town of Queensbury • 742 Bay Road - Queensbury, New York ■12804
W
Marilyn Ryba, Executive Director-David Hatin,Director of Building t�Codes 0
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Craig Brown,Zoning Administrator•Michael J. Palmer,Fire Marshal ;I'.T(RWVN
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TOWN ODE
NEW BUSINESS CERTIFICATE OF OCCUPANIGSV PERK '
APPLICATION
Z,•2.6 !Z -1 - �3
TAX MAP # BLDG. PERMIT FILE# 6
If applicable
Name of Business:_ C- , ,� ( \Q'Jes-A"e- -z,
Address `
of Business: QUESTIONS? CALL 761-8256 OR
EMAIL codes@aueensbury.net
C_., [� �� r VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: L� ` INFORMATION
www.clueensbury.net
Business Phone Number: --�c l- 39 q 1
Type of Business: / L-p�". C
Owner of Property: tL�c-�� CAOV Phone Number(s): ` 79% -1--'.--77 3G t -3 1
Home Cell
Owners
Address:
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a s rates eet of paper.
Signature: Date: 1-3 Icy—
f p submitting this foraf
Notes / Comments:
"Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit