2009-344 TOWN OF QUEENSBURY
742 Bay Road,Queensbun NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CE]"N"THM CATE CIF OCCUPANCN-N
Permit Number: P20090344 Date Issued: Friday, November 13, 2009
This is to certify that work requested to be done as shown by Permit Number P20090344
has been completed.
Location: 1104 RIDGE Rd
Tax Map Number: 523400-290-006-0001-068-000-0000
Owner: JEFFREY COWLES
Applicant: JEFFREY COWLES
This structure may be occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
,f
Issuance of this Certificate of Occupancy DUES 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: P20090344 Application Number. A20090344
Tax Map No: 523400-290-006-0001-068-000-0000
Permission is hereby granted to: JEFFREY COWLES
For property located at: 1104 RIDGE 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 Value
Owner Address: JEFFREY COWLES
1104 RIDGE Rd Residential Addition $40,000.00
QUEENSBURY,NY 12804-0000 Total value $40,000.00
Contractor or Builders Name/Address Electrical Inspection Agency
KEVIN MAYNARD
NY 12804-0000
Plans &Specifications
2009-344
952 SQ FT ADDITION
$114.24 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,July 31, 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 the Town of Queeips.buly, ` r' a my 31, 2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement