2014-589 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140589 Application Number: A20140589
Tax Map No: 523400-239-012-0002-064-000-0000
Permission is hereby granted to: WILLIAM &PAMELA ROBERTS
For property located at: 4 HOLLY Ln
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: WILLIAM & PAMELA ROBERTS Single Family Dwelling $176,885.00
354 COUNTY ROUTE 45 Total Value
ARGYLE,NY 12809 $176,885.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2014-589 guest cottage
SFD 1st Flr 806; 2nd Fir 215 sq.ft.
$204.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 26,2015
(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 Townsbuty We és :y, November 26,2014
SIGNED BY t / a for the Town of Queensbury.
Director of Building& Code Enforcement