2009-385 TOWN OF QUEENSBUR'Y
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building& Codes (518) 761-8256
CER'vL IFICAI'E OF OCCUP-A--N- C'Y
Permit Number: P20090385 Date Issued: Thursday, September 10, 2009
This is to certify that work requested to be done as shown by Permit Number P20090385
has been completed.
Location: PETRIE Ln
Tax Map Number: 523400-308-006-0001-061-000-0000
Owner: SAMUEL & VIOLA WAHNON
Applicant: SHIRLEY ANN FORTH
This structure may be occupied as a:
Mobile Home In Park By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
L;
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enf6rcetngft
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: P20090385 Application Number. A20090385
Tax Map No: 523400-308-006-0001-061-000-0000
Permission is hereby granted to: SAMUEL&VIOLA WAHNON
For property located at: PETRIE Ln
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. Tyne of Construction Value
Owner Address: SAMUEL&VIOLA WAHNON
39 SARATOGA ROAD Mobile Home In Park $48,000.00
GANSEVOORT,NY 12831 Total vane $48,000.00
Contractor or Builders Name/ Address Electrical Inspection Agency
Plans &Specifications
2009-385
1120 SQ FT MOBILE HOME IN PARK
$67.20 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,August 21, 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 T7C :
f Queens rye ri gust 21,2009
SIGNED BY t' for the Town of Queensbury.
Director of Building&Code Enforcement