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SEP-0121-2018 i TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 III -- Community Development-Building& Codes (518) 761-8256 'I CERTIFICATE OF COMPLIANCE Permit Number: SEP-0121-2018 Date Issued: Friday, April 6, 2018 This is to certify that work requested to be done as shown by Permit Number SEP-0121-2019 has been completed. Tax Map Number: 309.13-1-57 Location: 18 OHIO AVE Owner: WILLIAM DRESSER Applicant: Sanitary Sewer Service i This structure may be occupied as a: Residential Septic Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the (0 4 property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. _ T TOWN OF QUEENSBURY if d 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 ` _. -- Community Development-Building& Codes (518) 761-8256 -- — 71 BUILDING PERMIT Permit Number: SEP-0121-2018 Tax Map No: 309.13-1-57 Permission is hereby granted to: Sanitary Sewer Service For property located at: 18 OHIO AVE 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: WILLIAM DRESSER Septic Disposal-Residential $0.00 Owner Address: 18 Ohio AVE Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Sanitary Sewer Service PO Box 224 Glens Falls,NY 12801 Plans&Specifications Residential Septic Alteration $ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,March 29,2019 (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 the expiration date.) Dated at the Town Queen ury; Th s c 29,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement