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2006-128TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060128 Tax Map No: Application Number. 523400-301-008-0001-031-000-0000 Permission is hereby granted to: For property located at: MOUNTAIN LAKES EMS COUNCIL 333 AVIATION Rd A20060128 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: EXECUTIVE PARK WEST LLC 395 BAY Rd Commercial Alteration $350,000.00 Total Value QUEENSBURY, NY 12804-0000 Contractor or Builder's Name / Address ROZELL INDUSTRIES 145 PARK ROAD OUEENSBURY._ NY 12804 Plans & Specifications Electrical Inspection Agency $350,000.00 2006-128 MOUNTAIN LAKES EMS COUNCIL 2700 SQ FT COMMERCIAL INTERIOR ALTERATION $50.00 PERMIT FEE PMD - THIS PERMIT EXPIRES: Tuesday, June 12, 2007 (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 SIGNED BY 12, 2006 Director of Building & Code Enforcement for the Town of Queensbury.