2003-075 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030075 Application Number: A20030075
Tax Map No: 523400-302-006-0001-064-000-0000
Permission is hereby granted to: . LAKE GEORGE/ADIRONDACK REGIONAL CVB
For property located at: 54 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. Tne of Construction Value
Owner Address: BNG INTERIM BANK N.A.
Certificate of Occupancy(COWC/O CB RICHARD ELLIS
BOULOS PROPERTY MANAGEME Total value
ONE CANAL PLAZA
PORTLAND, ME 04101-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-075 LAKE GEORGE/ADIRONDACK REGIONAL CVB
CERTIFICATE OF OCCUPANCY ONLY.NO STRUCTUAL WORK TO BE DONE
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 27,2004
(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 Queensbury; Thursday,March 27,2003
SIGNET�BY 1 for the Town of Queensbury.
IV.. ..
Director of g Code Enforcement
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Dept. of Community Development Certificate of
Town of Queensbury OccupaYicy Perl�
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
For occupancy only, with no work requiring building permit: no fee required for this permit.
RECEIVED
MAR 14 2003
T 3,v^�ocTMN OF QUEENSBURY
Name of Business: 16a L tce <�earu /Az!trr d c�r� Rex hwAl C V BUILDING AND CODE
fuallrtq: 17S Sroc-d GtevtS. F-rjjs� N14 XUo I -
liddress: Pk�srs.P : S�(=Q u n U o� RA 2'^d SLR.
Person in Charge or Manager: `TcA-BwN SkcvrvA i e,-c c-kfik
Business Phone Number: S 1 g-7 y ?-8-4 3 5—
Type of Business: (i.e.,mercantile,restaurant, hobby shop,plumbing store):
DvU�i-� (MOvrri ys � lo ASSOGlC Jn ��
Owner of Property: _rtV, tc Eve"ryev, Dkki e
Address: 23 7 64eo �'�Y f� LPL s //s� /V Y /Z f-0 /
Phone Number: <S/Y-
Please provide an accurate layout of your store showing all walls, exits_, stockrooms, rest rooms,
countess andrudure layout on a separate sheet ofpaper.
Signature. Date: /o b
;,;fp�ers,,submitting this form:
Property Tax Map No.�)o�
Notes/Comments: