2012-092 VOID TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Nor' 1
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120092 Application Number: A20120092
Tax Map No: 523400-278-019-0001-001-000-0000
Permission is hereby granted to: CHARLES & SUSAN MELLON SR
For property located at: 25 MARTINDALE 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. Type of Construction Value
Owner Address: CHARLES & SUSAN MELLON SR Shed/Storage Sheds
25 MARTINDALE Rd Total Value
LAKE GEORGE,NY 12845
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
160 sq ft shed
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, March 15,2013
(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 15,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement