CO-0148-2018 -Am dons-War—
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CEIRTIFICATE OF OCCUPANCY
Permit Number: CO-0148-2018 Date Issued: Friday, May 25, 2018
This is to certify that work requested to be done as shown by Permit Number CO-0148-2018
has been completed.
Tax Map Number: 309.7-1-2
Location: 10 WESTERN AVE SOUTH
Owner: Adirondack Overhead Dood,United Flooring& Supply
Applicant: United Flooring& Supply
This structure may be occupied as a: Certificate of Occupancy Only
Suite A By Order of Town Board
Tenant: United Flooring& Supply TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
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
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 ,
+ Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: CO-0148-2018
Tax Map No: 309.7-1-2
Permission is hereby granted to: United Flooring& Supply
For property located at: 10 WESTERN AVE SOUTH
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
Tube of Construction
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Owner Name: Mike Ringer Certificate of occupancy $0.00
Owner Address: Total Value $0.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Certificate of Occupancy Only
Suite A
Tenant:United Flooring&Supply
$ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,April 12,2019
(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 o 2,2018
Queen P*oi"for
SIGNED BY: the Town of Queensbury.
Director of Building&Code Enforcement
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CERTIFICATE OF OCCUPANCY ONLY office use on1v
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P:518-761-8206orSIS-761-8205 www.cluew�lri.nht .0;
TOV',INI OF Q-1,JEEN-3 BURY
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CONTACT INFORMATION.
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• Applicant:
Name(s): tiEPMidif A�aLq NkAols /Pf6e19-41'V
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Mailing Address, C/S/Z: / 0 Sob-,-ff Nism)2tJ "e-- i-,) 10
Cell Phone: (SI I? ) 711 T - Y1 Land Line:
Email: 0)PeA6 sD N 72/(,,7 0 in,ym t�)L . f,cwi,-
• Business Owner(s):
Contact Name(s): Pa- mof rt;xedl J t"O-m I A-d- ?At
Mailing Address, C/S/Z: /j) 'YIY02� /A)4N7Zr-4J A)aWC9\04, r7f 64
Cell Phone: ( VC Land Line:
Email: Acw<ex4 72 M-7,406-iMM L _ "A,
• Manager:
Contact Name(s):
Mailing Address,C/Syz: J0 s-e'Li-, L-jk—'r1?'j AVt M I I Z re 0
Cell Phone: ( S19 WS'- - ')2 Land Line:
Email: kn i r,:7a-)j,610ty*.jPae--Ji-11A-
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•
Property Owner(s):
Business Name: MiKE- PlAfms
Contact Name(s): Mwic R)w6;
Mailing Address;C/S/Z: /0 so-i-'A- W e'-A-)-C4 Q k,.� A-�iL Qmrk-�&5L.14. W I -Z-96Y
Cell Phone: ( 611F ) 361 - 6,9�-7— Land Line:
Email:
Contact Person for Building& Code Compliance: Ltv
Cell Phone: ( Sit q7Sj Land Line:
Email: A-nj Yn 0-i L. eZvU
Certificate of Occupancy Only Revised December 2017