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2009-006 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4z Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20090006 Date Issued: Friday, August 28, 2009 This is to certify that work requested to be done as shown by Permit Number P20090006 has been completed. Location: 7 ONONDAGA Dr Tax Map Number: 523400-239-008-0001-052-000-0000 Owner: ANNE S. MASON REVOCABLE TRUST Applicant: ANNE S. MASON REVOCABLE TRUST This structure may be occupied as a: Fireplace By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY 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: P20090006 Application Number. A20090006 Tax Map No: 523400-239-008-0001-052-000-0000 Permission is hereby granted to: ANNE S. MASON REVOCABLE TRUST For property located at: 7 ONONDDAGA 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 Value Owner Address: ANNE S. MASON REVOCABLE T ANNE S. MASON & ROBERT A. M Fireplace 400 MARTINDALE Rd Single Family Dwelling $200,000.00 SHELBURNE, VT 05482-0000 Total value $200,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-006 1515 SQ FT SINGLE FAMILY DWELLING & 1 FIREPLACE $181.80 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,January 22, 2010 (If a longerperiod 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�6�wn o1`Quee u1r�+/Q' / y,January 22,2009 Y SIGNED BY �''' 'by for the Town of Queensbury. Director of Building&Code Enforcement