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2012-468 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20120468-39271 Date Issued: Friday, January 5, 2018 This is to certify that work requested to be done as shown by Permit Number P20120468-39271 has been completed. Tax Map Number: 308.10-2-54 Location: 15 NICOLE DR Owner: Jay Sheerer, Angelia Sheerer Applicant: Jay Sheerer This structure may be occupied as a: Gazebo 324 s.f. Garden Time By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, 4t 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120468 Application Number: A20120468 Tax Map No: 523400-308-010-0002-054-000-0000 Permission is hereby granted to: JAY&ANGELIA SHEERER For property located at: 15 NICOLE Dr 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: JAY& ANGELIA SHEERER 15 NICOLE Dr Shed/Storage Sheds $10,000.00 QUEENSBURY,NY 12804 Total value $10,000.00 Contractor or Builders Name /Address Electrical Inspection Agency Plans&Specifications 2012-468 18'x 18' Gazebo $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, October 01,2013 (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 ensbu q Mo a , October 01,2012 SIGNED BY for the Town of Queensbury. Director of Building&CC En rcement