building permit 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-0656-2018
Tax Map No: 239.7-1-29
Permission is hereby granted to: Richard Kukuk
For property located at: 155 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: Richard Kukuk Single Family-New $625,000.00
Owner Address: 6 Bradbury ST Total Value $625,000.00
Clifton Park,NY 12065
Contractor or Builder's Name/Address Electrical Inspection Agency
Quality Builders
26 Squire CIR
Lake Luzerne,NY 12846
Plans&Specifications
Single Family Dwelling w/gas FP 2400 s.f.
Cross Ref.AV 75-2017 approved 11/15/2017
$ 835.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, October 23,2019
(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 expira 4 tion d te.
Dated at the Town f Quee ury; Tu s c ober 23, 2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement