2000-269 i
BU-I-LDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
�y ro aba.VA_,_,,,,County of Warren (518) 761-8256
VALUE $ 0 Building Permit No. 2000269
TAX .MAP NO. 105 . -1-38 . 1
Permission is hereby granted to AMERICAN WILDERNESS RESOURCES
Owner of property located at 138 QUAKER RD.
in the Town of Queensbury,to construct orplace a CERTIFICATE OF OCCUPANCY ONLY
at the above location in accordance to 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.
Owner's Address:
138 QUAKER ROAD
QUEENSBURY, NY 12804
Contractor or Builder's Name:
Contractor or Builder's Address.
Electrical Inspection Agency:
Type of Construction:
CERTIFICATE OF OCCUPANCY ONLY
Plans and Specifications:
CERTIFICATE OF OCCUPANCY ONLY. NO STRUCTUAL WORK TO BE DONE
Proposed Use:
CERTIFICATE OF OCCUPANCY ONLY
$ 0 May 10 2002
PERMIT FEE PAID--THIS PERMIT EXPIRES
(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 of Queensbury s 10 Day of May 2000
SIGNED BY ' for the Town of Queensbury
o Enforcement Officer
BP File# r
Dept. of Community Development CertiiGate Of
Town ofQueensbuiy
742 &y Rviid �['►�C:1�,p �1 C 1peli 231L at
Queensbury, AT 12804
(518) 761--8256
For o=4v c7'iinly, with no work requiring building permit: no fee:required for this permit.
Name of Business: W i fide Y1e ss.
Address: 159 _ _UOIkt Y`; Kd QUQ21r1''51 = :Y' t2$dy
Person in Charge or Manager.--
e-t
' 'WAY
Business Phone Number. 0 2000
{ TOWN OF
BUILDING
SBURY
Type of Business: (i., mercantile,:restaurant, hobby shop,plumbing store): G�4ND CpD�.
hand bey, 4S:&1eS
Owner of Pro e {SAX -�
Address: 139, 1�tDLke y LteUn5lu.tr �Zgl}
Phone Number.
Please provide a layout of your store showing all walls, exits, stockrooms, rest rooms, counters
and fixture layout on a separate sheet of paper,
Signature: _ nth Date: 5 1 DD
qfpamfWsubmiahW th s form:
Property Tax Map No. 05 /
Notes/Comments:.. rvv %ou�,I Y ., U CCtt p rac y i &Ae f 2
y
FIFUE MARS HA.L-
TOWN TiDIF
<:aUaalq-'3E3UF:;ZY, NN"r 12E304
(518) 7e1-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME
LOCATION - PERMIT #
-
SCHEDULE INSPECTION ON d -2for-20
P m
APPROVED
N/A YE- NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIC3HTINC3
(2�>IRE EXTINC3U[SHERS-VA-
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION_SYSTE
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO S, RJNKLERS
CLEARANCE TO EATING UNITS
REQUIRED S14GNA(3E
CHIMNEY
WOOD STOVE
FIREPLACE =MASO RY F-1 FACTORY BLT.
ROUGH-IN
FINAL
REMARKS: 0 OK TO THIS DATE
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