2001-228 f TOWN OF QUEENSBURY
,,
`- 0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010228 Application Number: A20010228
Tax Map No: 523400-288-008-0001-009-000-000
Permission is hereby granted to: LEO'S PIZZA TIME
For property located at: 1587 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. Type of Construction Value
Owner Address: LEONARD & CALLIOPI LOMBARE Certificate of Occupancy(COM)
1587 STATE ROUTE 9 Total Value
LAKE GEORGE,NY 12845
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-228 LEO'S PIZZA TIME
CERTIFICATE OF OCCUPANCY ONLY.NO STRUCTUAL WORK TO BE DONE.
$0.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,June 27,2003.
(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 To vvrtYlK
ueens ry; W e. ay,June 27,2001
SIGNED BY40
L AI
for the Town of Queensbury.
Director of Building&Code nforcement
- BP File#r go/- )c
ZTellair lEgU irreSm
Dept. of Commumiy Development certificate ®f
Town ofay�bury ®c -apancy Permit
Oueensbury, NY 12804
• (518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this permit.
F
MAY 01 2001
Name of Business: 1►1;i e TOWN
;'�OF OAE SBURY
l i � 11 n8�v�AND CODE
Address: I . 1"G LIT C LG. 17 i4
r—,
Person in Charge or Manager: ep\r, c\'c..0
Business Phone Number: 19 503S
Type of Business: (i.e.;mercantile, restaurant, hobby shop, plumbing store):
Ten_i- au‘raln
Owner of Property: Le O (.0 Vh.) r 7
Address: n•e-)1 56 t o LL-1'C. LG 17,93 `r3
Phone Number: 7 4 Z. 3 Co
Please provide a layout of your store showing all walls, exits, stockrooms, rest rooms, counters
and fixture layout on a separate sheet of paper.
Signature: _ �y Y/
� � � � Date: 7/l
of person submiuinetthis form:
Property Tax Map.,No. /
•
Notes/Comments:
FIRE MARSHAL
TOWN OF QUEENSBURY
kj • QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED 1-4- 1 O I
NAME
LOCATION r-S-1 PERMIT#6 I
SCHEDULE INSPECTION ON l _
EM
APPROVED
N/A YES NO
EXITS /
AISLE WIDTHS
EXIT SIGNS 17/
EMERGENCY LIGHTING
FIRE EXTINGUISHERS , 4,
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM ! _
FIRE SUPPRESSION SYST'
HOOD INSTLATIO
INTERIOR FINISHES 1�
STORAGE: l
CLEARANCE TO S"RINKLERS J 1
CLEARANCE TO H ATING UNITS J
REQUIRED SIGNAGE laY an c'if ,* y
CHIMNEY -Thk,\ OCR- WiAI( V
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN
❑FINAL
REMARKS: crcy❑ OK TO THIS DATE
y i
1-r,6-1 A I t Aurw t YU I(4.- o
r dCOc vep It rC
INSPSLIP.PLIB I PEC
A(1r ihU
--. -1{UOah ti LT
JCt e�I („20,,,_ `N, \ ,,
_,..,...._
g
r
C E ;' R --$
7
MAY 01 2001 CA
61
TOWN OF OUEENSBURY
-7- .) 0 20 7\ B UIL®I G AND CODE
o
Kilep
\- ..
C't
-o
__ a ,..
._. .
--I .\ 6--).,...:
i
Fccr:e 1-
-1 .
0,.(1 -(,-:-5)'-
_ .
' : • t-ktoce. Airc,ok
c/'