FMSP-000421-2016 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: FMSP-000421-2016
Tax Map No: 316.9-1-27.1
Permission is hereby granted to: Beth Portuese
For property located at: 271 BIG BAY 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
Owner Name: Beth Portuese Other-New $0.00
Owner Address: 271 BIG BAY RD Total Value 50.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans& Specifications
Underground installation of 1000 gallon propane tank
$ 0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES:
(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 TownfQ�ueDenury; 4Fri 16
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
FRE MARSHAL'S OFFICE
Town of Qllee sbury
742 Bay Road, Qtleenshury, NY 12804
" Home of N(? frrral Peelfrli/ ... ' Good I'lrgi° to 2. iae "
FIRE MARSHAL SPECIAL PERMIT APPLICATION
APPLICATION TO BE SUBMI`I TED BEFORE BEGINNING WORK, FOR REVIEW BY TI-IIS
OFFICE. AN OPERATING PERMIT WILL BE ISSUED UPON COMPLETION.
Btsincss Name: 5
Property Owner: S tee. JUL
Mailing Address:
Contact Number: 'Vil C
Tax map Number: Section '3 t L• �Block Lot _
Description of scope of work-. A a-c, vr+ dpi a 4~D✓r ch1 dra�fCxA.IZ �nkC
PLEASE PROVIDE A SKETCH SHOWING LOCATION OF PROPOSED WORK ON THE PROPERTY
Provide Information Indicating person(s) responsible for the work,
Contractor Name: e t f e- g as
Contact Number: `�6 a. — J "1-S 1'l
Foreman or Supervisor Name: -fi_'e be +'.¢.-�--frA, e
Contact Number:
ba _q '� 1-7
Owner/ Contractor shall verify with the local Code Enforcement Official and / or
Fire Marshal any hold points required so proper inspections may be completed.
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