2012-055 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761.8201
Community Development-Building&Codes (518)76148256
BUILDING PERMIT
Permit Number: P20120055 Application Number: A20120055
Tax Map No: 523400-301-017-0003-054-000-0000
Permission is hereby granted to: GARY VAN HATTEN
For property located st 31 CAITLIN Dr
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plane and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tyne of Construction yahm
Owner Address: GARY VAN HATTEN Shed/Storage Sheds $5,000.00
DONNA VAN HATTEN Total Value
31 CAITLIN Dr K000
QUEENSBURY NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plane&Specifications
2012-055
216 sq ft shed
S40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,February 24,2013
(If a lonau period is required,an application for an exteaaion muse be made to the code Enforcement Officer
of the Town of Queessbury before the axpirstlon date.)
Dated at the N"o I us e ttey� m
bruary 24,2012
SIGNED BY �d for the Town of Queebury,
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Qaemsbury,NY 128045902 (518)761-Ml
Community Development-Building& Codes (518) 761-MM
CERTIFICATE OF COMPLIANCE
Permit Number. P20120055 Date Issued: Wednesday, February 06, 2013
This is to certify that work requested to be done as shown by Pernvt Number P20120055
has been completed.
Tax Map Number: 523400-301-017-0003-0544X*-0000
Location: 31 CAITLIN Dr
Owner. GARY VAN HATTEN
Applicant: GARY VAN HATTEN
This structure may be occupied as a:
Shed/Storage Sheds
By Order of Town Hoed
TOWN OF QUEEMBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plans, CC�v.Mwrs44 �d
Variance,or other issues and conditions as a result of approvals by the Mectm ofBm-admg&code E
Planning Board or Zoemg Board of Appeals.