2002-043 TOWN OF QUEENSBURY
742 Bay Road,Queensbuty,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020043 Application Number: A20020043
Tax Map No: 523400-266-003-0001-081-000-0000
Permission is,hereby granted to: NORTH COUNTRY CAFE'
For property located at: 1019 STATE ROUTE 149
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. 1
Type of Construction Value
Owner Address: STEPHEN& CAROL MANLEY Certificate of Occupancy(COM)
139 DUBES Rd Total Value
HUDSON FALLS,NY 12839
Contractor or Builder's Name Address Electrical Inspection Agency
Plans &Specifications
2002-043 NORTH COUNTRY CAFE'
CERTIFICATE OF OCCUPANCY ONLY.NO STRUCTUAL WORK TO BE DONE
$0.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,January 25,2003
(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 T fQ bury F iday,January 25,2002
SIGNED By .77,77a for the Town of Queensbury.
Director of Buildin0o"Ce Enforcement
BP File#t
Ne�z BusslieSS
.Dept. of Community Development
Town of Queensbury �. �,�,�
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
For occupancy only, with no work requREMVEDojee required for this permit.
JAN-1 8 2002
ell
TOWN OF QUEENSBURY dw
BUILD ING AND CODE t
Name of Business: to -
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Address: lO /
Person in Charge or Manager: 0
Business Phone Number: '
Type{ us mess: (Lei mercantile,restaurant,hobby shop,plumbing store):
T
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Owner of Property: -
Address: 0 b, c.5 pop QL d J1 / 1
Phone Number: d
Please provide an accurate layout of your store showing all walls, exits, stockrooms, rest rooms,
counters and fixture layout on a arate sheet of paper
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Signature: 41A Date: lJ G r Q
of person submitting this form: ,
S
Property Tax Map No. a1 3 1
Notes/Comments:
FIRE hlIARShiAL
-r<:>VVr'-J (::>I= ClUaIE",<3E3UF;ZY
CaUl=-a"4SE3UF;Z M I P-804
(518) 761-8205
FIRE MARSHAL INSPECTION REPOI::;,"T
REQUEST RECEIVED I JiO JOZ, PERMIT :0
I
NAME r--)rt--x C-61
LOCATION V_7t::, )9-+"
SCHEDULE INSPECTION ON
' AM O-M-'IANYTiME
N-----Op i
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APPROVED
N/A YES I NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LI(DHTINC3
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER. SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE-TO HEATING UNITS
REQUIRED SIC3NAC3E
CHIMNEY
WOOD STOVE
FIREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: OK TO THIS DATE
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