building permit TOWN OF QUEENSBURY
742 Bay Road,Queensbmy,NY 12804-5904 (518)761-8201
Idumn��Gy ' II
Community Development-Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: AST-0146-2019
Tax Map No: 296.13-1-14
Permission is hereby granted to: Melissa Freebern
For property located at: 928 State Rte 9
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
hpe of Construction
Owner Name: Melissa Freebern Porch-Open $8,000.00
Owner Address: 3037 State Route 8 Total Value $8,000.00
North Creek,NY 12853
Contractor or Builder's Name/Address Electrical Inspection Agency
Gereau Carpentry&Construction
142 Ottawa ST
Lake George,NY 12845
Plans& Specifications
Handicap Ramp 213 sq.ft.
Cross Ref. AV& SP
$125.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,April 3, 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; Thursday,April 4, 2019
SIGNED BY: �'�a� for the Town of Queensbury.
Director of Building&Code Enforcement