2000-417 BUFL-DING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 2000417
TAX MAP NO. 130.-3-22,23
STATE ONE AGENCY, CORP.
Permission is hereby granted to
Owner of property located at 13 MAIN ST.
in the Town of Queensbury,to construct or i place a CERTIFICATE OF OCCUPANCY
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 Orchnance.
Owner's Address:
13 MAIN, STREET
QUEENSBURY, NY - 12804,
Contractor or Builder's Name:
CAVAYERO,-.,K-EITW
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
,T.j4,<-CERT- ATE F_-OCCUPANCY.,.•-ONLY,
Plans and Specifications:
�'��.Q R,: .CERTIFICATE1�
NOkSTRUCTVAL"zWO K-,-.,,TO_,_BE.,D0NE.::_
Proposed Use:
ZERTIFICATE--OF_ OCC UPANqry,'
$ PERMIT FEE PAID-TfHS PERMIT EMPIRES
(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.)
OVX,
Dated at the To Queensbury this -Dii of, J un
I for the Towift of Queensbury
� A,
SIGNED BY
Code-Enf orcemeriMfficer
'tea .• - 7
$P F116#C2= -
1\Te'�Bzsine�ss
Dept. ofCommunityDevelopment �"""�r►tj "l c�,-
Town_ fury t]►�cr+cuaa��y +�ruzit
Queensbury, NY 12804
(518) 761-8256
Ct�C2G� ro�rl -Zo2i���D
For occupancy only, with no work requiring building permit: no fee required for this permit.
.• Yi.
Name of Business:
.Address: 1 Diu ; rr )�I -Z-.J-
Person in Charge or NfanagED
er: z e la /zo.o -- RECEIV
Business Phone Number. S/V-713 2 - Sk`pQ JUN 1 5 2000
Type of Business: (i.e.,mercantile,restaurant, hobby shop, plumbing store):-BUILD�� ' +
Owner of Properly: A_. .4w Co.,, 0-4, 40'k C:2
Address: - Z cG
Phone Number:/Si'" �
Please provide a layout of your store showing all walls, exits, stockrooms,-rest rooms, counters
and fracture layout on a separate sheet bf paper. -
Signature:
Date: (
, 6emon submitting zws formr:
Property Tax Map No.
Notes/Comments:
i
RIFORVE
JUN 15 2000
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