2012-036 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: P20120036 Date Issued: Tuesday, April 10, 2012
This is to certify that work requested to be done as shown by Permit Number P20120036
has been completed.
Location: 200 LUZERNE Rd
Tax Map Number: 523400-309-009-0002-001-000-0000
Owner: HOMESTEAD VILLAGE L P
Applicant: HOMESTEAD VILLAGE L P
This structure may be occupied as a:
Mobile Home In Park By Order of Town Board
�7 � :1� TOWN OF QUEENSBURY l�p � 1,
Issuance of this Certificate of Occupancy DOES NOT relieve the property Djw
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"knforce'lilent
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: P20120036 Application Number: A20120036
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: HOMESTEAD VILLAGE L P
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. Tvoe of Construction Value
Owner Address: HOMESTEAD VILLAGE L P Mobile Home In Park $26,000.00
4294 ROUTE 5 Total Value $26,000.00
CALEDONIA,NY 14423
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
r
36
ft mobile home in park- 67 Alpine Ave
$111.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,February 02,2013
(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 Towp of QWensbup9 Tbosj�ay,February 02,2012
SIGNED BY ` �� (! f for the Town of Queensbury.
Director of Building&Code En orcement