building permit r "- TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0709-2018
Tax Map No: 226.19-2-2
Permission is hereby granted to: C.Raymond Davis& Sons
For property located at: 197 ASSEMBLY POINT 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
Owner Name: Lorraine Carbognin Single Family-Alteration $400,000.00
Owner Address: 197 ASSEMBLY POINT RD Total Value
$400,000.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
C.Raymond Davis&Sons
4591 Lakeshore DR
Bolton Landing,NY 12814
Plans&Specifications
Residential Interior Alterations 614 s.f.
(kitchen,dining room,laundry room,mud room)
$ 0.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,November 20,2019
(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 o eens j rues,a;,�4 .er 20,2018
SIGNED BY: 7 \ for the Town of Queensbury.
Director of Building&Code Enforcement