2006-408 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060408 Application Number: A20060408
Tax Map No: 523400-266-001-0001-034-000-0000
Permission is hereby granted to: THOMAD & TERRI KUBRICKY
For property located at: FOX 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: THOMAD & TERRI KUBRICKY
80 OAK VALLEY Way Single Family Dwelling $250,000.00
QUEENSBURY, NY 12804-0000 Total value $250,000.00
Contractor or Builder's Name / Address Electrical Inspection Agency
CHANDLER HOMES
925 MAIN St
CLIFTON PARK. NY 00000-0000
Plans&Specifications
2006-408
2440 SQ FT SINGLE FAMILY DWELLING
$292.80 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, July 03, 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 p Quissb Mo a Jul 03, 2006
W
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 OCCUPANCY
Permit Number. P20060408 Date Issued: Friday, April 20, 2007
This is to certify that work requested to be done as shown by Permit Number P20060408
has been completed.
Tax Map Number 523400-266-001-0001-034-000-0000
Location: FOX Rd
Owner. CHANDLER HOMES, LLC
Applicant: CHANDLER HOMES
This structure may be occupied as a:
Single Family Dwelling 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 EfforceiNnt
Planning Board or Zoning Board of Appeals.