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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´┐Żensbu] l / / 4en tvember l6,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement