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2012-006 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: P20120006 Date Issued: Wednesday, February 22, 2012 This is to certify that work requested to be done as shown by Permit Number P20120006 has been completed. Location: 200 LUZERNE Rd Tax Map Number: 523400-309-009-0002-001-000-0000 Owner: HOMESTEAD VILLAGE L P Applicant: ELIZABETH MCDEVITT This structure may be occupied as a: Mobile Home In Park By Order of Town Board 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: P20120006 Application Number: A20120006 Tax Map No: 523400-309-009-0002-001-000-0000 Permission is hereby granted to: ELIZABETH MCDEVITT For property located at 200 LUZERNE 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: HOMESTEAD VILLAGE L P Mobile Home In Park $20,000.00 4294 ROUTE 5 Total Value $20,000.00 CALEDONIA,NY 14423 Contractor or Builders Name/Address Electrical Inspection Agency Plans& Specifications 2012-006 Elizabeth McDevitt - 1560 sq ft mobile home - 52 Windsong $187.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,January 10, 2013 (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, Tuesday,January 10, 2012 SIGNED BY for the Town of Queensbury Director of Building&Code Enforcement