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2006-391 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060391 Application Number. A20060391 Tax Map No: 523400-301-009-0001-018-002-0000 Permission is hereby granted to: STEPHEN&JOANN BORGOS For property located at: 289 POTTER 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: STEPHEN &JOANN BORGOS 286 BUTLER POND Rd Garage-2 Cars Attached QUEENSBURY, NY 12804-0000 Single Family Dwelling $400,000.00 Total Value $400,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2006-391 3755 SQ FT SINGLE FAMILY DWELLING $531.80 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,June 16, 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 of Queensbury-, Friday,June 16, 2006 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCLTANCy Permit Number. P20060391 Date Issued: Monday, January 22, 2007 This is to certify that work requested to be done as shown by Permit Number P20060391 has been completed. Tax Map Number. 523400-301-009-0001-018-002-0000 Location: 289 POTTER Rd Owner STEPHEN & JOANN BORGOS Applicant: STEPHEN & JOANN BORGOS This structure may be occupied as a: Garage - 2 Cars Attached By Order of Town Board Single Family Dwelling 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 Planning Board or Zoning Board of Appeals. Director of Building&Cod Enfo ment