CC-0115-2018 TOWN- OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: CC-0115-2018 Date Issued: Wednesday, October 31, 2018
This is to certify that work requested to be done as shown by Permit Number CC-0115-2018
has been completed.
Tax Map Number: 296.19-1-2
Location: 123 QUAKER RD
Owner: 123 Quaker Road LLC
Applicant: Peter Hoffman
This structure may be occupied as a: Commercial Interior Alterations 1,400 sq. I
Business Name: Sawyers Chiropractic, Suite 103A By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (-1- 040 4 )10t
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
u yl
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: CC-0115-2018
Tax Map No: 296.19-1-2
Permission is hereby granted to: 123 Quaker Road LLC
For property located at: 123 QUAKER RD
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
Owner Name: 123 Quaker Road LLC Business Office-Alteration $25,000.00
Owner Address: 100 Glen ST, Suite 3A Total Value $25,000.00
Glens Falls,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Glen Street Associates,LLC
100 Glen ST,3A
Glens Falls,NY 12801
Plans&Specifications
Commercial Interior Alterations 1,400 sq.ft.
Business Name: Sawyers Chiropractic, Suite 103A
$ 420.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,March 29,2019
(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 Town of ensbury; Thu y arch 29,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code nforcement