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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