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2006-295 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060295 Application Number: A20060295 Tax Map No: 523400-301-008-0002-065-000-0000 Permission is hereby granted to: SAM HAP WAH & CATHERINE LING For property located at: 4 MIDNIGHT 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: SAM HAP WAH & CATHERINE L 4 MIDNIGHT Dr Septic Alteration Residential QUEENSBURY, NY 12804 Total value Contractor or Builder's Name / Address Electrical Inspection Agency SANITARY SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans&Specifications 2006-295 Septic System Alteration - Residential $25.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, May 15, 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 of ueens lon , , 2006 SIGNED BY for the Town of Queensbury. Director of Building& Code Enforcement I TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20060295 Date Issued: Tuesday, May 16, 2006 This is to certify that work requested to be done as shown by Permit Number P20060295 has been completed. Tax Map Number: 523400-301-008-0002-065-000-0000 Location: 4 MIDNIGHT Dr Owner: SAM HAP WAH & CATHERINE LING Applicant: SAM HAP WAH & CATHERINE LING 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, OG' 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.