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2006-849 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060849 Application Number. A20060849 Tax Map No: 523400-3 09-009-0002-001-000-0000 Permission is hereby granted to: HOMESTEAD VILLAGE L P For property located at: 200 LUZERNE Rd 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: HOMESTEAD VILLAGE L P Septic Alteration Commercial 4294 ROUTE 5 Total value CALEDONIA,NY 14423 Contractor or Builders Name/Address Electrical Inspection Agency SANITARY SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans &Specifications 2006-849 SEPTIC ALTERATION COMMERCIAL $35.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,November 27,2007 (If a longer period is required,an application for an extension mustbe made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To of ensb d ,November 27, 2006 SIGNED BY for the Town of Queensbury. Director of Building& de E orcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Pen-nit Number. P20060849 Date Issued: Thursday, December 07, 2006 This is to certify that work requested to be done as shown by Permit Number P20060849 has been completed. Tax Map Number. 523400-309-009-0002-00 1-000-0000 Location: 200 LUZERNE Rd Owner. HOMESTEAD VILLAGE L P Applicant: HOMESTEAD VILLAGE L P This structure may be occupied as a: Septic Alteration Commercial By Ogler of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the 2)1 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.