building permit TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0041-2019
Tax Map No: 301.14-1-75
Permission is hereby granted to: Vance Cohen
For property located at: 5 LADY SLIPPER DR
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: Vance Cohen Single Family-Alteration $40,000.00
Owner Address: 5 Lady Slipper DR Total Value $40,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Collette Construction Inc.
38 Collette LN
Hudson Falls,NY 12839
Plans&Specifications
Residential Alterations 450 s.f.
(patio door and 2 egress windows)
$ 200.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,February 5,2020
(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 of Queensbury;P /J Tuesday,February 5, 2019
(7)SIGNED BY: /d for the Town of Queensbury.
Director of Building&Code Enforcement