2009-043 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090043 Application Number. A20090043
Tax Map No: 523400-289-009-0001-030-000-0000
Permission is hereby granted to: SEAN & DOROTHY QUILLINAN
For property located at: 4 SULLIVAN 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 Constriction Value
Owner Address: SEAN &DOROTHY QUILLINAN
4 SULLIVAN Rd Demolition
LAKE GEORGE,NY 12845-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-043
demolition of a 28' x 45'house
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, February 17, 2010
(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 of nsbury,/ ue ay, February 17,2009
SIGNED B4 for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
(zt Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Pernut Number. P20090043 Date Issued: Monday, August 02, 2010
This is to certify that work requested to be done as shown by Permit Number P20090043
has been completed.
Tax Map Number. 523400-289-009-0001-030-000-0000
Location: 4 SULLIVAN Rd
Owner. SEAN & DOROTHY QUILLINAN
Applicant: SEAN & DOROTHY QUILLINAN
This structure maybe occupied as a:
Demolition
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,
Variance, or other issues and conditions as a result of approvals by the for o wilding a oreement
Planning Board or Zoning Board of Appeals.