building permitTOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development -Building &Codes (518)761-8256
BUILDING PERMIT
Permit Number:—P20120153 Application Number:A20120153
“Tax Map No:523400-239-016-0001-002-000-0000
Permission is hereby granted to:DIANE H MATTHEWS
For property located at:DUNHAMS BAY
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:DIANE H MATTHEWS
18 CEDAR POINT Peek value ——LAKE GEORGE,NY 12845-0000 :
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans &Specifications
[BP 2012-153 Diane Matthews -Grey Ledges Drive
140 sq.ft.dock (with SUP 6-2012)
14 f.by 35 ft.dock 2 inches above water
$80.00 PERMIT FEE PAID -THIS PERMIT EXPIRES:Thursday,April 25,2013
(Ifa 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!(empeny)Ath April 25,2012
sIGNEDBY ___*“"""#"_
TNF£
for the Town of Queensbury.
Director of Building&Code Enforcement