AST-000783-2016 VOID TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804.5904 (518)761-8201
QL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: AST-000783-2016
Tax Map No: 290.14-1-20
Permission is hereby granted to: James Conklin
For property located at: 43 MARTELL 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: Derek Swift Carport $1,000.00
Owner Address: 164 Ference RD Total Value $1,000.00
Ashford,CT 06278
Contractor or Builders Name/Address Electrical Inspection Agency
Howard Raymond
1096 Vaughn RD
Hudson Falls,NY 12839
Plans&Specifications
Carport 264 sq.0.attached to existing detached garage
$50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,November 16,2017
(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 qI�ensbu] l / / 4en tvember l6,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement