97-330 •
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
July I 97
Date 19 _
MTHC;)5
This is to certify that, work requested to be done as shown by Permit No. 97330
I
has been completed.
CERTIFICATE OF OCCUPANCY ONLY
This structure may be occupied as a
•
309. ROUTE 9
Location
Owner LILIAN VERNON
TAX HAP NO. 35 . -1.-4 . 1 By Order Town Board
TO OF QUEENS URY
/
Director of Bldg. ac Code Enforcement
BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No 97330
TAX MAP NO. 35. —1-4. 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to LILIAN VERNON
OWNER of property located at 3095 ROUTE 9 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a CERTIFT(' 1'1: 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
1439 STATE ROUTE 9
LAKE GEORGE , 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
( )Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
CERTIFICATE OF OCCUPANCY ONLY. NO STRUCTUAL WORK TO BE DONE
8. Proposed Use
CERTIFICATE OF OCCUPANCY ONLY
0 June 27 19 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 27 Day of June 19 97
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEEN B4_" Y . F r)
41h BUILDING & CODE ENFORCEM
M .1 g 1997
742 BAY ROAD
QUEENSBURY, NY 12804r0v,li, A coQ --
(518) 761-8256
NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT
(For occupancy only, with no work requiring a building permit)
No Fee Is Required For This Permit
PLEASE FILL OUT AND RETURN TO ABOVE ADDRESS
Name of Business: R
Address: , "\ SSc( \ /209c •
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Person In Charge or Manager: -p, t1\ vim' CK QS
Business Phone Number: (sib) 7 v \ - S G
Type of Business (i.e., Mercantile, Restaurant, Hobby Shop, Plumbing Store):
Owner of Property: - -�� -
Address: . e< 5 d ic
Phone Number: ( 9 ` L� g
Please provide a layout sketch 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: qA/(r146,WS
Office Use Only
Property Tax Map Number: - - Date Received:
C.4 b Um%
TOWN OF QUEENSBURY
FIRE MARSHAL
.4 *` QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT '
REQUEST FOR INSPECTION R CEIVED(y)— , �
NAME ' ° wn 'CSl'-\
LOCATION 3 09
DATE PERMIT # Si -33C)
APPROVED
7 EXITS
N/A NO
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AISLE WIDTHS / •
EXIT SIGNS V /
EMERGENCY LIGHT
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM /z_
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM ✓
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS '
CLEARANCE TO HEATING UNITS .7/
REQUIRED SIGNAGE ./
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT
REMARKS: 0 OK TO THIS DATE
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Rt. 9. Box 3095-16 4 Lake George,New York 12845 + (518) 792-1483 4 Fax (518) 792-1731