2006-137TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060137
"1" ax Map No:
Application Number: A20060137
523400-308-006-0001-061-000-0000
Permission is hereby granted to: RONAI,D DTJSSAIJT,T
For property located at:
PETRIE 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: SAMUEL & VIOLA WAHNON Mobile Home In Park $70,000.00
39 SARATOGA ROAD Total Value
GANSEVOORT, NY 12831
Contractor or Builder's Name / Address
Plans & Specifications
Electrical Inspection Agency
$70,000.00
2006-137 LOT 39 PETRIE LANE RONALD DUSSAULT
1680 SQ FT DOUBLE WIDE MOBILE HOME
$75.80 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday, April 14, 2007
(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
SIGNED BY
F a� April 14, 2006
Director of Building & Code Enforcement
for the Town of Queensbury.