2000-887 TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUMDIN+G PERMIT
Permit Number: P20000887 Application Number. A20000887
Tax Map No: 523400-036-000-0001 -0��26-000-0000
Permission is hereby granted to: CAUP�RIN'I S)
For property located at: ��" i'�f 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
0rdina.nce. Type of Construction Value
Owner Address: LAKE GEORGE PLAZA Certificate of Occupancy (COM)
CIO GREENRIDGE MANAGEMENT Total Value
701 WESTCHESTER Ave
WHITE PLAINS, NY 10604
Contractor or Builder's Narne f Address Electrical. Inspection Agency
Plans & Specifications
2000-887 CUSTOM PRINTS
CERTIFICATE OF OCCUPANCY
$0.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, November 28, 2002
(If a longer period is required, an application for an extension must be made to the code Enforcement
Officer
Dated at the Town �esbuvember 28, 2000
SIGNED BY 1 :/•/] il for the Town. of Queensberry.
Director of Building & Code Enforcement
BP File =-1Lti�! _
Dept_ of Comnnadty Development � �•�:� ��t�,�,#'.�. Cb:'
'e vy R.00ncbuty
7 42 Bay Road
Queensbury, NY 12804
(518) 761-8256
For occWhIncy only, with no work requiring buikding permit: no fee required far this permit.
��PName of Business: l
Address: (42ALV Ge cK- cad s �a E' }°
Person in Charge or Manager:
Business Phone Number: r] L4
w
Type of Business: (i.e., mercantile, restaurant, hobby RE
� Y shop, Plumbing store): NOV
BUILDING .LNG 000E
Owner of Property: Gi-qen ri r w d ' Imo f lap _
Address: i �1�+�` ��T'� " A ye .) WK, �c �� I`.�,o �Y'� J�g
Phone Number: Wo
Please provide a layoc ut of your store showing all walls, exits, stockrooms, rest rooms counters
arrdfrxture layout on a separate sheet ofpaper.
Signature: Yf Date:
person submining ddsforrn:
Property Tax Map No.
Notes/Comments:
` FIRE MARSHAL
TOWN OF QUEENSBURY
OUEENSBURY, NY 12804
(518) 761 -8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT #
NAME
LOCATIONv_Is
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
NIA YES ' NO
EXITS
AISLE WIDTHS f
EXIT SIGNS _T
EMERGENCY LIGHTING - 1
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM �I
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRI LERS
CLEARANCE TO HEAT G UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: [3 OK TO THIS DATE
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FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED 1 t 0 "7 00
NAME r v+ N
LOCATION _-� r _ PERMIT # (:�)O>
SCHEDULE INSPECTION ON I � (�"7 ) 0
AM M
APPRO ED
NIA YE NO
EXITS to
AISLE WIDTHS
EXIT SIGNS _
EMERGENCY LIGHTING
FIRE EXTINGUISHERS Y"
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: __
CLEARANCE TO SPRINKLER _
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑ MASONRY ❑ FACTORY ELT.
❑ ROUGH-IN
0 FINAL
REMARKS; Ll OK TO THIS DATE
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