building permit f
ry
TOWN OF QUEENSBURY
41,%, 4_ , I 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
-.-L4041'
-,. Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: AST-0192-2018
Tax Map No: 290.-1-92
Permission is hereby granted to: Sarah Hagelin
For property located at: 794 RIDGE 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
Type of Construction
Owner Name: Sarah Hagelin Pavilion $6,300.00
Owner Address: 794 RIDGE RD Total Value $6,300.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
John Kern
794 Ridge RD
Queensbury,NY 12804
Plans&Specifications
Pavilion 168 s.f.
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,May 4,2019
(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 •,' •uee .,ury; 4FriZ42018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement