2012-002 40011K TOWN OF QUEENSBURY
-q 742 Bay Road,Queenebusy,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120002 Application Number: A20120002
Tax Map No: 523400-302-006-0001-043-000-0000
Permission is hereby granted to: OLDE SARATOGA COIN
For property located at 797 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.
Tvne of Construed.,.. Value
Owner Address: NORTHGATE ENTERPRISES INC
PO BOX 4514 Certificate of Occupancy(COM)
QUEENSBURY,NY 12804-0000 Total Vales
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2012-002
OLDE SARATOGA CON- CO ONLY
Suite 6A,Northgate Plaza
S50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,January 13,2013
(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 stQnaensburyel F fl y *unary 13,2012
SIGNED BY
/ lVl7
' for the Two of Queensbury.
Director of Building&Code Enforcement
`t Town of Qua Development
742 Bay Road• Quasnsbury, New York •12804 DEC Irk d '•
David Hen, Director of Building&Codes 011
Craig Brown,Zoning Administrator• Michael J. Palmer, Firs Marshal
.. 3r • . .6 . 1c : I -
1 4 • : ' 14 BUILDING& CODES
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
*Note: This application is for occupancy only, with no work requiring a building pennaL
TAX MAP# 30Z ,6-- I BLDG. PERMIT FILE# 12 r 002-
R RpplacIR
Name of Business: O L a t t5D&ATDa9t Co•
7,p ts:Ltiger
Address L A — iVof
of dressses: A# auESnoNSa CALL nt__ OR
EMAIL
Person In Charge or Manager: )t1. �N I T
prf VtaIT OUR wESemI MORE
I INFORMATION
maintialamail
Business Phone Number. 52 r 1 1
' 1 603
Type of Business: R'L e..t\ lack.o
t4 a wak4ei — cpollt 4, 6-.■uir.e...
r
Owner of Property: W am\arts '�irtie r:
L.: ,•�j0' .r�,.,eLsti
�Q �Ptlons Number(s): 2p�f- Co Lt
Home cil
Owners Address: 1\00a a`+raw C .+vrcn. 11 car 4-$e ,
Provide an accurate yout of your store showing all walls, exits, stockrooms, rest rooms,
and fixture layout on a separate sheet of paper.
Signature: ,/1/ /h Date: 17-)1.•) 1
Of• A, IIIf/, thb tom
Notes/Comments:I
�.. a
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX; 748-2502
PLEASE PRINT
DATE: -/ Le 1 2-fl
BUSINESS NAME: 0 l tt- Sorrin:IVAti A Go; „\
BUSINESS ADDRESS: to R 'mod(' t;t* V2-00,A
BUSINESS PHONE: 62'7—l 't'5 besve)
CONTACT 1: PAX ZK HOME PHONE 6S1- 5131:1
ADDRESS: \A-000Atev C.3 ute• 6A-44/Ooq rat 13446
A\
CONTACT 2: R.' V'ah \,►I; ail4 HOME PHONE 91- Son l-
ADDRESS: tis WAw1,11,11 'Cr 40r p, 5424. ° 1 13 44
This form is used to assist Emergency Service personnel who may be called to your
business after hours. Please be sure that the persons listed on this form will be willing
and available to respond during off-hours to assist Police and/or Fire personnel in
gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE PERSONNEL
MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY POLICE AND/OR FIRE
PERSONNEL.
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