2012-599 TOWN OF QUEENSBURY
742 Bay Road,Qum-nsbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120599 Application Number: A20120599
Tax Map No: 523400-301-019-0001-019-000-0000
Permission is hereby granted to: STEVEN & BERTHA SUMNER
For property located at: 28 PASCO Ave
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: STEVEN & BERTHA SUMNER Mobile Home Out of Park $10,000.00
28 PASCO Ave Total value
QUEENSBURY,NY 12804 $Io,oOo.00
Contractor or Builder's Name/Address Electrical Inspection Agency
D J MABB
23 PASCO Ave
OUEENSBURY.NY 12804-0000
Plans&Specifications
2012-599 HOLD scheduled for ZBA Area Variance review 9/25/2013 meeting
Mobile Home outside of Park 14'x 70'
Serial #221841470 Holly Park Homes 1989
$117.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,January 03,2014
(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; Thursday,January 03,2013
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement