2012-526 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,N1'12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120526 Application Number: A20120526
Tax Map No: 523400-341-005-0001-047-000-0000
Permission is hereby granted to: ROBERT S PRATT
For property located at: 17 QUEENS Ln
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. Tyke of Construction Value
Owner Address: ROBERT S PRATT
17 QUEENS Ln Residential Addition $30,000.00
QUEENSBURY,NY 12804 Total value $30,000.00
Contractor or Builder's Name/Address Electrical Inspection agency
Plans&Specifications
2012-526
Res. Addition - 864 sq ft
$172.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 14,2013
(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; Wednesday,November 14,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement