2006-396 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060396 Application Number. A20060396
Tax Map No: 523400-296-013-0001-057-002-0000
Permission is hereby granted to: KOUBA, GEORGE E.
For property located at: 159 MONTRAY Rd
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. Tyne of Construction Value
Owner Address: RUTH KOUBA Fireplace
165 MONTRAY Rd Garage- 1 Car Attached
QUEENSBURY,NY 12804-0000 Single Family Dwelling $140,000.00
Total Value $140,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-396
1259 SQ FT SINGLE FAMILY RESIDENCE 309 SQ FT ATTACHED GARAGE &FIREPLACE
$181.98 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,June 29, 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 Town o bury; JThu Th ay,June 29,2006
SIGNED BY for the Town of Queensbury.
Director of Building&Co dNement
TOWN OF QUEENSBURY FILE
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
low
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20060396 Date Issued: Monday, September 25, 2006
This is to certify that work requested to be done as shown by Permit Number P20060396
has been completed.
Tax Map Number: 523400-296-013-0001-057-002-0000
Location: 159 MONTRAY Rd
Owner: RUTH KOUBA
Applicant: RUTH KOUBA
This structure may be occupied as a:
Fireplace By Order of Town Board
Garage - 1 Car Attached TOWN OF QUEENSBURY
Single Family Dwelling
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.