2006-622 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060622 Application Number. A20060622
Tax Map No: 523400-302-017-0002-080-000-0000
Permission is hereby granted to: PETER& SHARON DYKSHOORN
For property located at: 40 CLARK St
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: PETER& SHARON DYKSHOORN
40 CLARK St Septic Alteration Residential
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-622
septic alteration residential
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 07, 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 f Que bu Th d ,!tember 07, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensburp,NY 12804-5902 (518) 761-8201
4z Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20060622 Date Issued: Wednesday, September 13, 2006
This is to certify that work requested to be done as shown by Permit Number P20060622
has been completed.
Tax Map Number: 523400-302-017-0002-080-000-0000
Location: 40 CLARK St
Owner: PETER & SHARON DYKSHOORN
Applicant: PETER & SHARON DYKSHOORN
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.
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