1999-340 •
• CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 14 i9 99
• 99340
This is to certify that work requested to be done as shown by Permit No.
has been completed.
CERTIFICATE OF OCCUPANCY ONLY
• . This structure may be used as a
Location 1444 STATE ROUTE 9
Owner BON WORTH
•
TM MAP NO 36 . _1-29 By Order of Town Board
.. TOWN OF QUEENSBURY
Director of Building & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 0 - No. 99340
TAX MAP NO. 36. -1-29 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BON WORTH
OWNER of property located at 1444 STATE ROUTE 9 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a CERTIFICATE OF OCCUPANCY ONLY
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
1444 STATE ROUTE 9
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDERS Name
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
CERTIFICATE OF OCCUPANCY ONLY
l )Wood Frame ( 1 Masonry ( )Steel ( I
7. PLANS and Specifications
No.
8. Proposed Use
CERTIFICATE OF OCCUPANCY ONLY
0 June 15 001
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
14 June 1999
19
Dated at the Town of Queensbury this Day of - - -
SIGNED BY ` for the Town of Queensbury
Building and Zoning Inspector
0141h. -
TOWN OF QUEENSB.URY
9 ?-3
F .. .4j
BUILDING & CODE ENFORCEMENT 0
531 Bay Road 't-i.
Queensbury, NY 12804
(518) 745-4447 JUN 1 4 1999
NEW BUSINESS - TOWN OF QUEENSBURY
CERTIFICATE OF OCCUPANCY PERMIT BUILDING AND CODE
(For occupancy only, with no work requiring building permit)
No Fee Is Required For This Permit
PLEASE FILL OUT AND RETURN TO ABOVE ADDRESS
Name of Business: 8 0,v /x)or' A.
Address: /L/Sq Si`a Z.e R t- 9 Lc_ke a- eoro e A/ / / 545
Person in Charge or Manager: /'arc,,,
Business Phone Number: 7 ga - 95 5
Type of Business (i.e., Mercantile, Restaurant, Hobby Shop, Plumbing Store):
Re &, / Si-or('_
Owner of Property: adiroN do c.,4 /'a c 60 tV 0ILt /e L
Address: /Y5L/ Sfa_ /se R t 9 Lake Ceoryc e N >' / a ZY
'Phone Number: 7962- — 9565
Please provide a layout of your store showing all walls, exits, stockrooms,
rest rooms, counters and fixture layout on a separate sheet of paper.
Please try to make the drawing as close to scale as possible.
•
7 Signature of person submitting this form: C/Ze-- ,&�2
Office Use Only
Property Tax Map Number:3 6, - / - 81 Date Received:
,
°Kak) 441
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME Oy
V:ac5Ri +Q.) PERMIT# l
1-11
SCHEDULE INSPECTION ON
AM PM
'eU°r /G1)17n72i-T APPROVED
N/A YES NO
EXITS
AISLE WIDTHS I,
EXIT SIGNS
\ EMERGENCY'UGH ING
FIRE EXTINGU SH:RS M ara ✓
FIRE ALARM S S BEM
FIRE SPRINKL:7 SYSTE 7'
FIRE SUPPRE .10 STEM
HOOD INSTAL .� ION
INTERIOR F _ISHES
STORAGE: i
LEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS V
REQUIRED SIGNAGE f
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN
❑FINAL V
REMARKS: ❑ OK TO THIS DATE
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