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-0123-2019
Tax Map No: 288.-1-55
Permission is hereby granted to: Balsam&Birch,LLC
For property located at: 1439 State Rte 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
Owner Name: Ed&Ed T.Enterprises Retail-Mercantile-Alteration $8,000.00
Owner Address: 1439 State Rte.9,# 16 Total Value $8,000.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Balsam&Birch,LLC
PO Box 1605
Bolton Landing,NY 12814
Plans&Specifications
Commercial Interior Alterations 750 sq.ft.
Suite 3
Tenant:Balsam&Birch
$ 225.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,March 13,2020
(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 Town of Queensbury; Thursday,March 14,2019
SIGNED BY: ( . .49�`d/j ,02(--- for the Town of Queensbury.
Director of Building&Code Enforcement