2007-311 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20070311 Date Issued: Thursday, February 02, 2012
This is to certify that work requested to be done as shown by Permit Number P20070311
has been completed.
Location: 420 BIG BOOM Rd
Tax Map Number: 523400-316-018-0001-006-000-0000
Owner: KEVIN & LORRIE MATUSZAK
Applicant: KEVIN & LORRIE MATUSZAK
This structure may be occupied as a:
Garage - 2 Cars Detached By Order of Town Board
TOWN OF QUEENSBURY
41
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Issuance of this Certificate of Occupancy DOES NOT relieve the property , ' --
owner of the responsibility for compliance with Site Plan,Variance, or
other issues and conditions as a result of approvals by the Planning Board
Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070311 Application Number. A20070311
Tax Map No: 523400-316-018-0001-006-000-0000
Permission is hereby granted to: KEVIN &LORRIE MATUSZAK
For property located at: 420 BIG BOOM 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: KEVIN&LORRIE MATUSZAK
420 BIG BOOM Rd Garage-2 Cars Detached $19,000.00
QUEENSBURY,NY 12804-0000 Total value $19,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
PLINEY TUCKER
41 DIVISION Rd
QUEENSBURY, NY 12804-0000
Plans &Specifications
2007-311
896 sq ft detached garage
$89.60 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,June 11, 2008
(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 time expiration date.)
Dated at the Town of eensb j TVrl, 2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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I hereby certify that this mi.ap wa, prepared from an
actual field survey. This certification shall run only
to the persons for whose this fiur-vey was prepared, and on
his behalf to the Title Company, Governmental Agency and
Lending Institution listed hereon. Certifications are
not transferable to additional institutions or
subsequent owners.
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First ;nericar gb,�°�'nsur3nCe
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"UNAUTHORIZED ALTERATION OR ADDITION
TO A SURVL"Y BEARING A LICENSED LAND
SURVEYORS SEAL, IS A VIOLATION OF
SECTION 7299, SUB-DIVISION 2, OF THE
NEW YORK STA."E EDUCATION LAW. "
.ONLY COPIES FROM THE ORIGINAL, OF
THIS SUR Y XAJUrXD WITH AM ORIGINAL OF
THE LANDS SURVEYORS SEAT. SHALL BE
CONSIDERED TO BE VALID TRUE COPIES.
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I hereby certify that this mi.ap wa, prepared from an
actual field survey. This certification shall run only
to the persons for whose this fiur-vey was prepared, and on
his behalf to the Title Company, Governmental Agency and
Lending Institution listed hereon. Certifications are
not transferable to additional institutions or
subsequent owners.
Certified To: Lorrio L Fi 't
First ;nericar gb,�°�'nsur3nCe
Company ®° t :. ` .4. 1y
ok �.
. � .
ta`Cil5 tA, ct ,T ��++
r Aj6� Ati,o T Cy .
0
TS Sic ms's —>x6 ? '
t, ,A.2 AF.�� -r y `. c�. maw'_v' ti- P®E•,� C2
Certified By: 0 k
Leon F4. t1ve is 3552.7M
® = .7S617
Date: June 9.. r G�
0°•°e®Sea
"UNAUTHORIZED ALTERATION OR ADDITION
TO A SURVL"Y BEARING A LICENSED LAND
SURVEYORS SEAL, IS A VIOLATION OF
SECTION 7299, SUB-DIVISION 2, OF THE
NEW YORK STA."E EDUCATION LAW. "
.ONLY COPIES FROM THE ORIGINAL, OF
THIS SUR Y XAJUrXD WITH AM ORIGINAL OF
THE LANDS SURVEYORS SEAT. SHALL BE
CONSIDERED TO BE VALID TRUE COPIES.
` e oe a, Et7
' e n)TD tkc t..'A 7-00V\ 10
vbelievel saw evidence Of,
or Obser wells,treks,fences, etc..
' e �e
ail objects such as houses,
resent that 1 have
istances Net forth on the daagrao�
shown On thi�dOC f the also rep ,
N0 C - - C
is
I ivy
r(A Y ,,
MAP OF. A SURVEY MADE FOR
F-.
L o i C i_ _ v S )4
TOV.N OF AfL2 COUNTY N `f
SCALE t l" t c ' DATE 9 5 5
er , �c Steves
LAN-- SURVEYORS,GLENS FALLS,NEV YORK
c-ft. Co 41C"Le r" M_'.jU'-f4�T
N.Y. STATE 1-1C. <'u, 35697 ew:::u y '
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