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2009-472 TOWN OF QUEENSBURY 742 Bay Road Queensbury,NY 12804-5902 (518)7b1-8201 Community Development- Building &Codes (518) 761-8256 kER TIF'ICATE OWU OCCUP-A-N- CY Permit Number. P20090472 Date Issued: Friday, May 07, 2010 This is to certify that work requested to be done as shown by Permit Number P20090472 has been completed. Location: 32 SULLIVAN Dr Tax Map Number. 523400-289-009-0001-044-000-0000 Owner: LORI DICKINSON Applicant: LORI DICK.INSON This structure may be occupied as a: Residential Addition 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, 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: P20090472 Application Number. A20090472 Tax Map No: 523400-289-009-0001-044-000-0000 Permission is hereby granted to: LORI DICKINSON For property located at: 32 SULLIVAN Dr 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: LORI DICKINSON JEANNE FREVOLA Residential Addition $150,000.00 32 SULLIVAN Dr Total value $150,000.00 LAKE GEORGE,NY 12845 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-472 1008 sq ft residential addition $120.96 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, October 01,2010 (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 To o'f ueens Y',1" #UA October 01,2009 SIGNED BY a,° , for the Town of Queensbury. Director of Building&Code Enforcement r E 4 we,t I Lards nowor f o' r-mcAk +lobe ri J. Sc..r I I i vQ In 5G3/ 4-7 4� Hou,-Y,- Lund s now or Porme-H' Waller K. end f-1Q ncc� 5• Q�.ti 1 ti non P ,al r 1 (.5 80/ 48D) s `0 0 G Lands nc>w or Grmcr-!y off' He n I-4-/ I. and H i l de o rd prat (G 2a / ► 0 2 (D) Sullivan A-ojccj s, Sc.cllivon ~• -f ` wood � Sullivan v Drive (Ba-LDS � Ci�lO•CC� J I � � N Al A �, - Tesf i C, z- (ran pi pe foc1 nd ' ��©coo 94(.� ,� Prr,, sed Ti le F(cd ' • _ 4 11ne5 e 4� - - - - • % Gabi n 60 bc,- rc Tax Mop R&erenc Town of ouccn5bury Sec Ti o n 36 B(ocK 2 I a rce ( 3 0 e(-::-d RePcrencc Mae Vc Car t-hy Eu I l i von Ey,ecu f ri x c4-' FrcdcricK G. Suitrvon f0 FredericK G. Sul(ivon, Jr-. and Mary Ednq 5u111'von dated ' 22 5epf cmbcr I E82 b03K G48 , %ge i0r o - Tesf 'P f fQ _ Ar a = , ' 24 c�cr-ems ' --- � loom cyclbwist-N) • \` , , l �.'• 4 .. . -'- ° _ _ 2`" -8`0" Inc, fo n�ediursl 5ono(y foc3m y r .' n> motf (i no bcdruc \3U d I :x i i 1 \ , �voe t .- , ,, . ` (�• : / COI GUIN" FALLS DISTst ^T t FICE hLTN cv l (cam '. `•�` (l _, ; � L'i'`�_._ _p��,����i_ ` fo ,' r. y 1 OF 0 d cC lC�fl S For 'ed by I jo cofic n Map - wolf I`= 000R . Z©n l nSC -- VAR - / A L9Cf (cxtcK5 Fronf - 30 P. 'Rea r- - 20 P. Side - side yc> d fo%�ct (= 5OF'f minimumOt 2 3t-f. Inr of Health -• - � _ _ __ �.O sod wel ( I f ion nde w tl at( be 5i fucf� �n - -� on ; 5e a nd -ou n' -Town off' C c_ree n s bc. Cou n or Vt�c� rre p o be c � ��a.c nd 5idc cr r)e_ w y0rK �:ftlifc� `tile --rs TOWN O� UEENSBURY — mwN a QuEENseu*Mw twwwff F QUEENSBURY Ulct t d BU f LD1 �' o j E •PT.: e.>»a...r�I.Qw... o REVIEVVED DATE / D i Zoning Administrator Date Lad • J _ :� O T S (e• a of fe c FT)OPPIrS IG Au t- sf 1�585 FILECOPY TOWN OF QUEENSBURY 5urve(�e M p RECEIVED MAR 0 5 1990 FILE COPY -r(_ bLDG. $ CODE DEPT. '� J sur�Or5 to Ineer,5 3 LAKE GEOREM- T �Ew �/aR FILE COPY DATE OF PRINTING 5 MAR 1990 Lands nc>w or Grmcr-!y off' He n I-4-/ I. and H i l de o rd prat (G 2a / ► 0 2 (D) Sullivan A-ojccj s, Sc.cllivon ~• -f ` wood � Sullivan v Drive (Ba-LDS � Ci�lO•CC� J I � � N Al A �, - Tesf i C, z- (ran pi pe foc1 nd ' ��©coo 94(.� ,� Prr,, sed Ti le F(cd ' • _ 4 11ne5 e 4� - - - - • % Gabi n 60 bc,- rc Tax Mop R&erenc Town of ouccn5bury Sec Ti o n 36 B(ocK 2 I a rce ( 3 0 e(-::-d RePcrencc Mae Vc Car t-hy Eu I l i von Ey,ecu f ri x c4-' FrcdcricK G. Suitrvon f0 FredericK G. Sul(ivon, Jr-. and Mary Ednq 5u111'von dated ' 22 5epf cmbcr I E82 b03K G48 , %ge i0r o - Tesf 'P f fQ _ Ar a = , ' 24 c�cr-ems ' --- � loom cyclbwist-N) • \` , , l �.'• 4 .. . -'- ° _ _ 2`" -8`0" Inc, fo n�ediursl 5ono(y foc3m y r .' n> motf (i no bcdruc \3U d I :x i i 1 \ , �voe t .- , ,, . ` (�• : / COI GUIN" FALLS DISTst ^T t FICE hLTN cv l (cam '. `•�` (l _, ; � L'i'`�_._ _p��,����i_ ` fo ,' r. y 1 OF 0 d cC lC�fl S For 'ed by I jo cofic n Map - wolf I`= 000R . Z©n l nSC -- VAR - / A L9Cf (cxtcK5 Fronf - 30 P. 'Rea r- - 20 P. Side - side yc> d fo%�ct (= 5OF'f minimumOt 2 3t-f. Inr of Health -• - � _ _ __ �.O sod wel ( I f ion nde w tl at( be 5i fucf� �n - -� on ; 5e a nd -ou n' -Town off' C c_ree n s bc. Cou n or Vt�c� rre p o be c � ��a.c nd 5idc cr r)e_ w y0rK �:ftlifc� `tile --rs TOWN O� UEENSBURY — mwN a QuEENseu*Mw twwwff F QUEENSBURY Ulct t d BU f LD1 �' o j E •PT.: e.>»a...r�I.Qw... o REVIEVVED DATE / D i Zoning Administrator Date Lad • J _ :� O T S (e• a of fe c FT)OPPIrS IG Au t- sf 1�585 FILECOPY TOWN OF QUEENSBURY 5urve(�e M p RECEIVED MAR 0 5 1990 FILE COPY -r(_ bLDG. $ CODE DEPT. '� J sur�Or5 to Ineer,5 3 LAKE GEOREM- T �Ew �/aR FILE COPY DATE OF PRINTING 5 MAR 1990