building permit 1� TOWN OF QUEENSBURY
0,411
vivo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040670 Application Number. A20040670
Tax Map No: 523400-296-005-0001-015-000-0000
Permission is hereby granted to: GUIDO PASSARELLI
For property located at: 15 BIRDSALL 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 Value
Owner Address: GUIDO PASSARELLI
465 LAKE Ave Fireplace
LAKE LUZERNE, NY 12846-0000 Garage-2 Cars Attached
Single Family Dwelling $200,000.00
Total Value $200,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2004-670 Lot 8 , House 15 Birdsall Road
2374 SQ FT SINGLE FAMILY DWELLING
$333.28 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 07, 2005
(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 Torfeens �V , eptember 07, 2004
SIGNED BY _ for the Town of Queensbury.
Director of Building&Code Enforcement