1999-608 I _
BUILDING PERMIT ;
TOWN OF QUEENSBURY ,. No.
VALUE $ 0 99b08
TAX. MAP NO. 110.:.-1-13 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BELL ATLANTTt"
OWNER of property located at 437 DIX AVE. Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a. CERTIFICATE OP OCCUPANCY
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 Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
437 DIX AVENUE
QUEENSBURY.,. NY 12804:
2. CONTRACTOR or BUILDER'S Name .
3."CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
CERTIFICATE OF OCCUPANCY„'ONLY..,
1 I Wood Frame ( I Masonry ( )Steel. ( 1
7. PLANS and Specifications
CERTUICATE. OF OCCUPANCY ONLY NO STRUCTUAL:, WORK. TO BE DONE
B. Proposed Use
CERTIFICATE OF OCCUPANCY
0 September 23 2001
PERMIT FEE PAID THIS PERMIT EXPIRES 19
$ (If a longer period is required an application for anextension must be made to the Building and Zoning inspector of the.
town of Oueensbury before the expiration date.),
23 September, 1999 ,
Dated at the Town of Oueensbury this Day of 19:
1 : 0ZXX.)--e'
SIGNED BY _ for the Town of Oueensbury
Building and Zoning Intf>•etor;.
TOWN OF Q UEENSB URY 71- 601
BUILDING & CODE ENFORCEMENT
531 Bay Road RECIFivo
Queensbury, NY 12804 S p 2
(518) 745-4447 4, 1999
NEW BUSINESS ��O�t��aq `� p�RY
CERTIFICATE OF OCCUPANCY PERMIT
(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: c3€- 4 IA INIA-
Address: 1+aL �.-
Person in Charge or Manager: c J e td lv1 -rCk-- .cA-b
Business Phone Number: 7 '+S ` 3 8`Q
Type of Business (i.e., Mercantile, Restaurant, Hobby Shop, Plumbing Store):
Ph0N Gornrrl
Owner of Property: L. Y►'1 Bf112, (()'I I/ / Th 13Ta
Address: (� `� ���-�2 v-- — Ql,,Ir1s
Phone Number: ��a J�
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.
Signature of person submitting this form:
Office Use Only
Property Tax Map Number: /fD - 1 - 3 Date Received:
1
J9
. .
SEP 21 7999 '
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S;�- l ( e vs ,A -- Ti-►2.Ic1►� Licks jzs _ JOB
BARRETT DRIV-UR-SELF,INC.
r-6 r r'n ._r v L v7 .!1_i 1 vt-e r 674 Quaker Road SHEET NO. OF
S (�V r` �tv �(!(f Y1 l Queensbury. NY 12804
CALCULATED BY DATE
E. James Barrett
PRESIDENT CHECKED BY DATE
Tel.:(518)793-5212 SCALE Na i /a SCA Lc
Fax: (518)792.1986