2006-017 TOWN OF QUEENSBURY
742 Bav Road,Queensburv,NY 12804-5902 (518) 761-8201
i
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20060017 Date Issued: Thursday, January 19, 2006
This is to certify that work requested to be done as shown by Permit Number P20060017
has been completed.
Tax Map Number: 523400-309-005-0001-040-000-0000
Location: 9 ARBUTUS Dr
Owner: JAMES & CYNTHIA FLANSBURG
Applicant: JAMES & CYNTHIA FLANSBURG
This structure may be occupied as a:
Septic Alteration Residential
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060017 Application Number: A20060017
Tax Map No: 523400-309-005-0001-040-000-0000
Permission is hereby granted to: DAMES & CYNTHIA FLANSBURG
F4or property located at: 9 ARBUTUS Dr
in the"Town of Queensbury,to constrict or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and ui compliance with the NYS Uniform Building Codes and the Queensbury Zoning
(.)rdinance. Type of Construction Value
Owner Address: JAMES & CYNTHIA FLANSBURG Septic Alteration Residential
9 ARBUTUS Dr Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name / Address Electrical Inspection Agency
FRED SMITH
23 VERMONT Ave
QUEENSBURY, NY 12804-0000
Plans&Specifications
2006-017 SEPTIC ALTERATION
$25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, January 18, 2007
(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 o Que2e �- eZ sA nuary 18, 2006
SIGNEM BY for the Town of Queensbury.
Director of Building&Code Enforcement