2006-578 TOWN OF QUEENSBURY
742 Bay Road,Qwensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060578 Application Number. A20060578
Tax Map No: 523400-301-013-0001-040-000-0000
Permission is hereby granted to: CORNELIUS &KIMBERLY TAVARRES
For property located at: 11 PEGGY ANN 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 Unifonn Building Codes and the Queens bury Zoning
Ordinance.
Owner Address: CORNELIUS &KIMBERLY TAVA Type of Construction Value
11 PEGGY ANN Rd Above Ground Pool
QUEENSBURY, NY 12804-0000 Total value
Contractor or Builders Name/Address Electrical Inspection Agency
Plans &Specifications
2006-578
ABOVE GROUND POOL(ALREADY INSTALLED WITHOUT PERMIT)
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,August 25, 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 of ensb oFa*August 25, 2006
SIGNED BY f
or the Town of Queensbury.
Director of Building& Enforcement
TOVN OF QUEENSBURY
4EIL 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20060578 Date Issued: Monday, September 11, 2006
This is to certify that work requested to be done as shown by Permit Number P20060578
has been completed.
Tax Map Number. 523400-301-013-0001-040-000-0000
Location: 11 PEGGY ANN Rd
Owner. CORNELIUS & KIMBERLY TAVARRES
Applicant: CORNELIUS & KIMBERLY TAVARRES
This structure may be occupied as a:
Above Ground Pool
By Older of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance 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
Planning Board or Zoning Board of Appeals. Director of Building&Code Enf7
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