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2012-052 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: P20120052 Date Issued: Friday, February 01, 2013 This is to certify that work requested to be done as shown by Permit Number P20120052 has been completed. Location: 314 WEST MOUNTAIN Rd Tax Map Number: 523400-308-009-0001-029-000-0000 Owner: ERIN DICKENSON Applicant: ERIN DICKENSON This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property f/ owner of the responsibility for compliance with Site Plan, Variance, or ���///CCtvCt vaa�YYY / `l 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: P20120052 Application Number: A20120052 Tax Map No: 523400-308-009-0001-029-000-0000 Permission is hereby granted to: ERIN DICKENSON For property located at 314 WEST MOUNTAIN 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. Tvne of Construction Value Owner Address: ERIN DICKENSON Single Family Dwelling $238,000.00 CRAIG DICKENSON Total Value $238,000.00 WEST MOUNTAIN Rd QUEENSBURY NY 12804-0000 Contractor or Builders Name /Address Electrical Inspection Agency Plans&Specifications 2012-052 2609 sq ft single family dwelling $521.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, February 28,2013 (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 T)dwn otQueenA V / uesd'February 28,2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement