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2009-047 TOWN OF QUEENSBURY 742 Bay Road,Qwensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20090047 Application Number. A20090047 Tax Map No: 523400-296-017-0001-05 1-000-0000 Permission is hereby granted to: ALEXANDER POTENZA For property located at: 870 STATE ROUTE 9 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: ALEXANDER POTENZA Certificate of Occupancy(COM) FRANK BORK 403 GLEN St Total value GLENS FALLS,NY 12801 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-047 C/O only Tedisco for Congress $0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, February 20, 2010 (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 Tp o ee rye 4itllebruary 20, 2009 ll ,�, SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement