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2006-420 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060420 Application Number. A20060420 Tax Map No: 523400-302-018-0002-078-000-0000 Permission is hereby granted to: STEPHEN LUBIN For property located at: 19 HUGHES Ct 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 QueensburyZoning Ordinance. Type of Construction Value Owner Address: STEPHEN LUBIN 19 HUGHES Ct Septic Alteration Residential Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency IVAN BELL 38 ORCHARD St GLENS FALLS.NY 12801-0000 Plans &Specifications 2006-420 RESIDENTIAL SEPTIC ALTERATION $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, June 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 Que buTh r d e 15, 2006 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 4EL Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20060420 Date Issued: Tuesday, June 20, 2006 This is to certify that work requested to be done as shown by Permit Number P20060420 has been completed. Tax Map Number. 523400-302-018-0002-078-000-0000 Location: 19 HUGHES Ct Owner STEPHEN LUBIN Applicant: STEPHEN LUBIN This structure may be occupied as a: Septic Alteration Residential By Oder 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 E or`ement Planning Board or Zoning Board of Appeals. i