2012-303 4?t
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building& Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120303-38989 Date Issued: Friday, January 5, 2018
This is to certify that work requested to be done as shown by Permit Number P20120303-38989
has been completed.
Tax Map Number: 308.7-1-22
Location: 20 WESTBERRY WAY
Owner: Christine Bushey
Applicant: Thomas Bushey
This structure may be occupied as a: Shed 256 s.f.
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, Y
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120303 Application Number: A20120303
Tax Map No: 523400-308-007-0001-022-000-0000
Permission is hereby granted to: THOMAS BUSHEY
For property located at: 20 WESTBERRY Way
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. Tvpe of Construction Value
Owner Address: THOMAS BUSHEY Shed/Storage Sheds $2,000.00
CHRISTINE BUSHEY Total Value
20 WESTBERRY Way $2,000.00
QUEENSBURY NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-303
Shed 256 sq ft
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 06,2013
(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 ueen ury; /7 Id , 2012
SIGNED BY for theTown of Queensbury.
V
Director of Building&Code Enforcement
MAP REFERENCE:
SUBDIVISION PLAN
RICHARD P. SCHERMERHORN
DATED: FEBRUARY 11, 2003
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(518) 792-8474 New York Lie. No. 50135
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