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2006-556 i i TOWN OF QUEENSBURY 3 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 low Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20060556 Date Issued: Tuesday, January 23, 2007 This is to certify that work requested to be done as shown by Permit Number P20060556 has been completed. Tax Map Number: 523400-309-009-0002-00 1-000-0000 Location: 200 LUZERNE Rd Owner. HOMESTEAD VILLAGE L P Applicant: HOMESTEAD VILLAGE L P This structure maybe occupies-NI&Y PASCO Mobile Home In Park By Odder 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: P20060556 Application Number. A20060556 Tax Map No: 523400-3 09-009-0002-001-000-0000 Permission is hereby granted to: LARRY PASCO HOMESTEAD VILLAGE L P For property located at: 200 LUZERNE 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. Tyne of Construction Value Owner Address: HOMESTEAD VILLAGE L P Mobile Home In Park $2,000.00 4294 ROUTE 5 Total Value CALEDONIA,NY 14423 $2,000.00 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2006-556 980 SQ FT MOBILE HOME/EXISTING SEPTIC 114 ADIRONDACK ST $33.80 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,August 21,2007 (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 Towr nsbu q d �7ust 21, 2006 SIGNED BY ! < for the Town of Queensbury. Director of Building&Code Enforcement