2009-340 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
k..,EXV .L IFICATE C)"F" OCCUP-A-N- CY
Pennit Number. P20090340 Date Issued: Monday, November 15, 2010
This is to certify that work requested to be done as shown by Permit Number P20090340
has been completed.
Location: 4 SULLIVAN Rd
Tax Map Number: 523400-289-009-0001-030-000-0000
Owner. SEAN& DEBORAH QUILLINAN
Applicant: SEAN & DEBORAH QUILLINAN
This structure may be occupied as a:
Garage Attached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy 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 Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090340 Application Number. A20090340
Tax Map No: 523400-289-009-0001-030-000-0000
Permission is hereby granted to: SEAN & DOROTH UILLINAN
For property located at: 4 SULLIVAN d
in the Town of Queensbury,to construct or place
at the above location in accordance with application together h plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform B 'din Codes and the Queensbury Zoning
Ordinance. a of Construction Value
Owner Address: SEAN &DOROTHY LIN N --'
4 SULLIVAN Rd )Garage ched
LAKE GEORGE,NY 1284 -0000 Singl amily Dwelling $300,000.00
T Value $300,000.00
Contrac r or Buil er's Name/Addres Electrical Inspection Agency
r
0
Plans &Specificatio
2009-340
2237 sq ft single famil welling with 640 sq ft garage
$332.44 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,August 04,2011
(If a longer period is required,an application f6r an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T o ee u ,August 04, 2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement