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: AST-0687-2018
Tax Map No: 227.13-2-29
Permission is hereby granted to: Dean Hambleton
For property located at: 63 ROCKHURST 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: Dean Hambleton Dock $15,000.00
Owner Address: 2266 McArthur DR Total Value $15,000.00
Hatfield,PA 19440
Contractor or Builder's Name/Address Electrical Inspection Agency
Lake George Docks LLC
57 Chapman ST
Ballston Spa,NY 12020
Plans&Specifications
Replacing Dock 256 s.f.
$ 100.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday,November 4,2019
(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 e ex irati' a a/.)
Dated at the To of ue b FIT- '� ovember1 Q � 2, 20 8
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement