2006-068 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE 0- F OCCUPANCY
Permit Number. P20060068 Date Issued: Tuesday, March 20, 2007
This is to certify that work requested to be done as shown by Permit Number P20060068
has been completed.
Tax Map Number. 523400-278-000-0001-029-000-0000
Location: 511 STATE ROUTE 149
Owner. THOMAS KOCZWARA
Applicant: THOMS & YVONNE KOCZWARA
This structure maybe occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the l..
property owner of the responsibility for compliance with Site Plan, `� "V
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: P20060068 Application Number: A20060068
Tax Nlap No: 523400-278-000-0001-029-000-0000
Permission is hereby granted to: TFIOMS & YVONNF.KOCZ,WARA
For property located at: 511 STATE ROUTE 149
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
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Owner Address: THOMS & YVONNE KOCZWARA Residential Alteration $10,000.00
511 STATE ROUTE 149 Total Value $10,000.00
LAKE GEORGE, NY 12845-0000
Contractor or Builder's Name / Address Electrical Inspection Agency
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NSTANTINE BUILDERS
LOCUST AveSTERDAM_ NY 12010-0000
Plans& Specifications
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6-068 sq. ft. residential roof alteration due to storm damage
$40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, March 06, 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 n of eens n y, March 06, 2006
tiIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement