2014-026 TOWN OF QUEENSBURY
;ay 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140026 Application Number: A20140026
Tax Map No: 523400-288-016-0001-015-000-0000
Permission is hereby granted to: MITCHELL& LYN DERWAY
For property located at: 66 COURTHOUSE Dr
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: MITCHELL& LYN DERWAY Garage Attached
66 COURTHOUSE Dr Residential Addition $40,000.00
LAKE GEORGE,NY 12845-0000 Total Value $40,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
HEARTWOOD CRAFTERS
KENT CHARLES 796-3639
33 SWEETBRIAR Ln
OUEENSBURY NY 12804-0000
Plans&Specifications
2014-026
Res. Addition 576 sq ft(2nd flr over garage)
Garage additon 576 sq ft.
$201.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,March 28,2015
(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 sbury A Fri• . , t' ar i 28,2014
SIGNED BY IN , for the Town of Queensbury.
Director of Building&Code Enforcement