2007-351 A '''
TOWNOFQUEENSBURYi
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lihrell 742 Bay Road, ueensb NY 12804-5902 518 761-8201
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Community Development-Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20070351 Date Issued: Tuesday, August 07, 2007
This is to certify that work requested to be done as shown by Permit Number P20070351
has been completed.
• Tax Map Number: 523400-289-009-0001-018-000-0000
Location: 29 SULLIVAN Rd
Owner: PAUL& THERESA SHAMBO II
Applicant: PAUL&THERESA SHAMBO II
This structure may be occupied as a:
Demolition
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, V "''"•
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board 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: P20070351 Application Number. A20070351
Tax Map No: 523400-289-009-0001-018-000-0000
Permission is hereby granted to: PAUL&THERESA SHAMBO II
For property located at: 29 SULLIVAN 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: PAUL&THERESA SHAMBO II
31 SULLIVAN Rd Demolition
LAKE GEORGE, NY 12845-0000 Total Value
Contractor or Builders Name/ Address Electrical Inspection Agency
Plans &Specifications
2007-351 Demolition of residence
structure will not be replaced
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,June 18, 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 the expiration date.)
Dated at the To eensb did ,June 18, 2007
SIGNED BY T Vi for the Town of Queensbury.
Director of Building&Code Eorcement