building permit TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: CC-0681-2018
Tax Map No: 296.19-1-32
Permission is hereby granted to: 375 Bay Road LLC
For property located at: 375 BAY RD
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
Owner Name: 375 Bay Road LLC Business Office-Alteration $17,500.00
Owner Address: 6 Industry DR Total Value $17,500.00
Waterford,NY 12188
Contractor or Builder's Name/Address Electrical Inspection Agency
Jersen Construction Group
6 Industry DR
Waterford,NY 12188
Plans&Specifications
Commercial Interior Alterations 2100 s.f.
Creating 4 offices
$ 175.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday,November 4,2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Quee ry before expiratio I 'ate)
Dated at the To of Que b F •: e ovember 2,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement