2009-493 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,Nor 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
CE""IFICA.M .tTE OF OCCUPANCY
Permit Number: P20090493 Date Issued: Friday, September 30, 2011
This is to certify that work requested to be done as shown by Permit Number P20090493
has been completed.
Location: 15 STONEGATE Dr
Tax Map Number: 523400-289-008-0001-063-000-0000
Owner: ROGER&DONNA BROWN JR
Applicant: ROGER&DONNA BROWN JR
This structure may be occupied as a:
Residential Alteration By Order of Town Board
TOWN OF QUEENSBURY
a
Issuance of this Certificate of Occupancy DOES NOT relieve the �5 =° s FIa J
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: P20090493 Application Number. A20090493
Tax Map No: 523400-289-008-0001-063-000-0000
Permission is herebygranted to: ROGER&DONNA BROWN JR
For property located at: 15 STONEGATE 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: ROGER&DONNA BROWN JR
15 STONEGATE Dr Residential Alteration $12,000.00
QUEENSBURY, NY 12804 Total Value $12,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
FULLER CONSRUCTION CO.
Plans &Specifications
2009-493
624 sq ft residential alteration
$62.40 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, October 26, 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 of ZP4 ay, October 26, 2009
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement