91-060 7,: ERTIFICATE OF OCCUPANCY
CUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date August 23 19 91
This is to certify that work requested to be done as shown by Permit No. 91-060
has been completed.
This structure may be occupied as a medical facility
Location
Route 9, Glen Square
Johnn Nigro
Owner
Tenant: Community Health Plan - Glens Falls (C.H.P. )
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
X
TOWN OF QUEENSBURY
No. 91-060
WARREN COUNTY, NEW YORK c
PERMISSION is hereby granted to John Ni gro/Tenant "CHP" N
I
OWNER of property located at Rt 9 Glen Square Street,Road or Ave. ~
in the Town of Queensbury,To Construct or place a Alteration to medical facility
at the above location in accordance to application together with plot plans and other information hereto filed and =
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
�7
eh
a
G'!
2. CONTRACTOR or BUI LDER S Name
Sano-Rubin Construction
C
a
3. CONTRACTOR or BUILDER'S Address
624 Delaware Avenue a
Albany, NY 12209 518-462-6471
ro
4. ARCHITECT'S Name IN,
Ph
O
7
H
5. ARCHITECT'S Address p
a
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel O _ Existing Building
7. PLANS and Specifications
No. 7,800 sq ft alterations to facility as per plot plan specifications
and application
8. Proposed Use
Medical facility
$ 390.00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 6, 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury thi th Day of, March 1991
�_ 6
SIGNED BY for the Town of Queensbury
6 T mg and Zon' Inspector