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2009-493 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,Nor 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 CE""IFICA.M .tTE OF OCCUPANCY Permit Number: P20090493 Date Issued: Friday, September 30, 2011 This is to certify that work requested to be done as shown by Permit Number P20090493 has been completed. Location: 15 STONEGATE Dr Tax Map Number: 523400-289-008-0001-063-000-0000 Owner: ROGER&DONNA BROWN JR Applicant: ROGER&DONNA BROWN JR This structure may be occupied as a: Residential Alteration By Order of Town Board TOWN OF QUEENSBURY a Issuance of this Certificate of Occupancy DOES NOT relieve the �5 =° s FIa J 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: P20090493 Application Number. A20090493 Tax Map No: 523400-289-008-0001-063-000-0000 Permission is herebygranted to: ROGER&DONNA BROWN JR For property located at: 15 STONEGATE 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: ROGER&DONNA BROWN JR 15 STONEGATE Dr Residential Alteration $12,000.00 QUEENSBURY, NY 12804 Total Value $12,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency FULLER CONSRUCTION CO. Plans &Specifications 2009-493 624 sq ft residential alteration $62.40 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, October 26, 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 To of ZP4 ay, October 26, 2009 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement