2010-196 TOWN OF QUEENSBURY
cT 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100196 Application Number. A20100196
Tax Map No: 523400-297-020-0001-002-000-0000
Permission is hereby granted to: AMERICAN LENDERS SERVICE CO OF GLENS F
For property located at: 340 QUEENSBURY Ave
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
Ordinance. Type of Construction Value
Owner Address: GEORGE &CHARLES SICARD
19 GEORGE St Certificate of Occupancy(COM)
LAKE GEORGE,NY 12845-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2010-196
C/O only- American Lenders Service Co of Glens Falls
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,May 07,2011
(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 To Queentrtyk IFF da July 26, 2010
SIGNED BY CIAaX for the Town of Queensbury.
Director of Building&Code Enforcement
Nth> Community Development Office
Town of Queensbury ' 742 Bay Road •
Queensbury, New York -12804
Pkte RP
-David Hatin,Director of Building&Codes l:
Craig Brown,Zoning Administrator•Michael J.Palnner, Fire Marshal
ESTABLISHMENT OF A NEW BUSINESS
CERTIFICATE OF OCCUPANCY PERMIT APPLICATION
TAX MAP# Z BLDG. PERMIT FILE# / 7 �
/ � �� Se
If applicable
Name of Business: 1-tilt an40-2 LIAO SerO/� (ip B"f ael).5 1:4-164
Address
of Business: 3 41 nu unso Crain (�_ ` QUESTIONS? CALL 761-8256 OR
EMAIL codes0aueensburv.net
/; VISIT OUR WEBSITE FOR MORE
Person in Charge or Manager: (-71°,, a__ �L ��,P ( YY)0 UV' INFORMATION
www.aueensburv.net
Business Phone Number: 5 ( (Is - JJJ(c CO
(---RType of Business: { D s S-e SS 1 (7)(1 Q. \
Owner of Property:Ce S LC Phone Number(s): 3-4-36/ -! 'e
�l Home Cell
Ownersc 7
Address: 11 (7'e 6 r e V Lake � va j z6P/
Please rovide an
p accurate layout of your store showing walls, exit , stockrooms, rest rooms,
counters and fixture layout on a separate sheet of paper.
Signature: 14 Al GZ., in/ Date: J� Z-—/01
Of person submitting this form '
Notes/ Comments:
*Note: This application is for occupancy only, with no work requiring a building permit. No fee required for this permit
i0-176
EMERGENCY CONTACT UPDATE
TO: WARREN COUNTY SHERIFF'S DEPT. FAX: 743-2502
PLEASE PRINT
DATE: / f $9? 9 �U
BUSINESS NAME: „4 -e iers 5rtj,'c f £i/
BUSINESS ADDRESS: 3`75 iuecr spiry a ati.e/Asi4ti
zes'il
_
BUSINESS PHONE: V 1 2 /5 6 WOO
HOME
CONTACT 1: L ISA ireUr PHONE3�� ZZZ 79'( S
ADDRESS:3 4 ,D U'e L r)- 1)i) au-L_ (LA ti° nS ICJ b uf/A/
HOME
CONTACT 2: i 1 •
• L.)6 'no e r PHONE 5/c-Z2z
ADDRESS: 3/6 L/•e-i !7S ibv Y 7' , hvz1 ri)
/L
This form is used to assist Emergency Service personnel who may be called to
your business after hours. Please be sure that the persons listed on this form will
be willing and available to respond during off-hours to assist Police and/or Fire
personnel in gaining entry to your building.
PLEASE BE ADVISED THAT FAILURE TO RESPOND TO ASSIST EMERGENCY SERVICE
PERSONNEL MAY RESULT IN DAMAGE TO YOUR BUILDING TO FACILITATE ENTRY BY
POLICE AND/OR FIRE PERSONNEL.
TOWN OF QUEENSBURY FIRE MARSHAL'S OFFICE
Phone: 518-761-8206 • Fax: 518-745-4437
firemarshal@queensbury.net - www.queensbury.net
'' TOWN OF QUEENSBURY
/OW 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
"` Inspections per Permit
Permit# P20100196
Inspection Date Inspection Type
Approved/Denied Comments Permit Type Person Responsible
Approved Zoning Department Inspection Report
Project Name: George Sicard(American Lenders Service Company of Glens Falls)
Project Location:340 Queensbury Ave,Queensbury,NY
Tax Map No.:297.20-1-2
Mailing Address: George Sicard, 19 George Street,Lake George,NY 12845
Site Plan No.:2-2010
Area Variance No.:none
Building Permit No.:2010-196
Date:February 8,2013
Dear George Sicard:
During a final site plan inspection on February 7,2013,your project was found to be developed as approved.
Should you have any questions or concerns please contact this office.
Sincerely,
Town of Queensbury
Bruce Frank
Code Compliance Officer
_x Regular Mail Certified Mail _Hand Delivered
L:\Bruce Frank\2013\SPR and AV Reports\Sicard,George SP 2-2010 08feb13.doc
01/28/2014 Miscellaneous Certificate of Occupancy(COM) STAFF
Misc 2010-196
status slip issued
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