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2012-307 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120307-39001 Date Issued: Monday, February 12, 2018 This is to certify that work requested to be done as shown by Permit Number P20120307-39001 has been completed. Tax Map Number: 301.9-1-35 Location: 18 WESTERN RESERVE TRL Owner: Melony Reynolds, Ken Reynolds Applicant: Ken Reynolds This structure may be occupied as a: Residential Addition 156 s.f. Mudroom 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 Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY CL 742 Ray Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20120307 Application Number. A20120307 Tax Map No: 523400-301-009-0001-035-000-0000 Permission is hereby granted to: KENNETH & MELONY REYNOLDS For property located at. 18 WESTERN RESERVE Trl 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 Queensburp Zoning Ordinance. Tvne of Construction Value Owner Address: KENNETH& MELONY REYNOLD! Residential Addition 18 WESTERN RESERVE Trl Total Value QUEENSBURY,NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2012-307 Res. Addition - 156 sq fr Mudroom $100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,July 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,July 10, 2012 SIGNED BY _ F r the Town of Queensbury. Director of Budding&Code Enforcement