2009-062 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
(zt Community Development- Building &Codes (518) 761-8256
C;:E RT I F I CAT E '(D.AF OCCUP-A-N- CY
Permit Number: P20090062 Date Issued: Thursday, April 22, 2010
This is to certify that work requested to be done as shown by Permit Number P20090062
has been completed.
Location: 11 AZURE Dr
Tax Map Number. 523400-279-015-0001-025-000-0000
Owner. JOHN & DANIELLE SARGENT
.Applicant: JOHN & DANIELLE SARGENT
This structure may be occupied as a:
Residential Addition 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,
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: P20090062 Application Number A20090062
Tax Map No: 523400-279-015-0001-025-000-0000
Permission is hereby granted to: JOHN &DANIELLE SARGENT
For property located at: I I AZURE Dr
in the Town of Queensbury,to construct or place
at the above location M* 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: JOHN&DANIELLE SARGENT Residential Addition $15,000.00
11 AZURE Dr Total Value $15,000.00
QUEENSBURY, NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-062
520 sq ft residential addition
$62.40 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,April 08,2010
(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 e of esday,April 08, 2009
SIGNED BY ,,7ns for the Town of Queensbury.
Director of Budding&Code Enforcement
MAP REFERENCE:
MAP OF A PROPOSED SUBDIVISION
MADE FOR H. RUSSELL HARRIS
BY VAN DUSEN & STEVES, LS
DATED NOVEMBER 7, 1991
LAST REVISED NOVEMBER 22, 1991
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I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.LOT 5 THIS FOR WHOM THE
_THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: John L do Danielle M. Sargent
LOT 8 Fleet Mortgage Corporation, Its successors
and/or assigns . .
United Genera A�,Company
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CERTIFIED BY:
MATTHEW N1W T ,50135
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37 Cheater Street Glens Falls, New York 12801 "°`""""'°`�'°"°M6A1""°"`�"°'�`°""° Town of Queensbury, Warren County, New York
'°"E""°`�`°""�`n'°"°"`A""p"' 1 8-3-98 DRIVEWAY LOCATION
(518) 792-8474 New York lAc. No. 35617 & 50135 N0. I DATE DESCRIPTION DWG. No. 89058—6