2000-059 BP File A
Dept. of Community Development e-Town O .
7 Bof Que bury t�C�Cupa�C�Pet"�C�..7,t • -
ay Road
Queensbury, NY 12804 ;
(518) 7614256
For occupancy only, with no work requiring building permit: -no fee required for thisperritit. ,
Name of Business: 00 Q /- vow E lei
a
1
Address:
Person in Charge or Manager:
Business Phone Number. FEB 2 8 2000
TOWN U _'.,,, ,BURY
Type of Business: (i.e.,mercantile,restaurant,hobby shop,plumbing store): FUILL79NG t`j' r_v-..
US P. d-ggI J,--iokv
Owner of Property: C,li 111 d GylJ�
Address: Z."Jr ' `r--e t1ij Cyr 4�mje-&, v c 2..)r lc
Phone Number: 1 a7 ig XaC
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: Date: 2121Ica
of person submitting this form: "
Property Tax Map No 22
Notes/Comments:
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No.
TAX MAP NO. 73 . -1-11 . 1
Permission is hereby granted to
Owner of property located at 4856 STATE RQ1JTF69
in the Town of Queensbury,to construct or place ar. Cl �d� ld
at the above location in accordance to application together wi p o pans an other o on ere and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
1025 STATE ROUTE 9
QUEENSBURY, NY 12804
Contractor or Builder's Name:
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
CERTIFICATE OF OCCUPANCY ONLY
Plans and Specifications:
CERTIFICATR OF OCCUPANCY ONLY. NO STRUCTUAL WORK TO BE DONE
" Proposed Use:
CERTIFICATE OF OCCUPANCY ONLY
$ 0 PERMIT FEE PAID—TFIIS PERMIT E-NPIRES March 1 2002
(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 this 1 Day of March 2 0 0
SIGNED BY for the Town of Queensbury
Code Enforcement Officer
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FIRE M^F;ZS"^t-
TOWN OF QUEEN E3UF?Y
(:ZlUEENSEURY, NY 12804
4EaL (51 S) 761-8205
FIRE MARSHAL. INSPECTION REPORT
REQUEST RECEIVED - � \ , \ QQ
NAME
LOCATION Q �- PERMIT OD-
7-1
SCHEDULE INSPECTION ONZ pt�
AM M
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIONS
EMERUENCY LIOHTINO
FIRE EXTING /ET
FIRE ALARM
FIRE SPRINKLM
FIRE SUPPRETEM
HOOD INSTALINTERIOR FIN
STORAGE: _
CLEARANCE TO SPRINKLERS :.
CLEARANCE TO HEATINO UNITS
REQUIRED StONAOE
CHIMNEY
WOOD STOVE
FIREPLACE E-1 MASONRY [--] FACTORY BLT.
F--1 ROUGH-IN
[--] FINAL
REMARKS: OK T-6 THIS DATE
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