2012-056 TOWN OF QUEENSBURY
A
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120056 Application Number. A20120056
Tag Map No: 523400-296-011-0001-052-000-0000
Permission is hereby granted to: NESS HOLDING COMPANY OF OUEENSBURY LI
For property located at: 4 FAIRFIELD Dr
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: NESS HOLDING COMPANY OF QU Sign
C/O NORTHEAST SURGICAL SPEC
1 BROAD St Total value
GLENS FALLS NY 12801-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-056
40 sq ft sign to read "NORTHEAST SURGICAL SPECIALISTS,PLLC"
$120.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,February 28, 2013
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queamirmy before the expiration date.)
Dated at the To 'bf Queensb Tuesday,jSbruary 28,2012
JIGNED BYy for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Nutnber: P20120056 Date Issued: Tuesday, February 28, 2012
This is to certify that work requested to be done as shown by Permit Number P20120056
has been completed.
Tax Map Number: 523400-296-011-0001-052-000-0000
Location: 4 FAIRFIELD Dr
Owner: NESS HOLDING COMPANY OF QUEENSBURY LLC
Applicant: NESS HOLDING COMPANY OF QUEENSBURY LLC
This structure may be occupied as a:
Sign
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve theI4r-
property owner of the responsibility for compliance with Site Plan, ✓ %V
Variance, or other issues and conditions as a result of approvals by the Director o[Building&Code Enforcement
Planning Board or Zoning Board of Appeals.