building permit 'OW TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: SEP-0583-2018
Tax Map No: 239.17-1-11
Permission is hereby granted to: Marjorie Pflaum
For property located at: 37 ANTIGUA 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
Owner Name: Marjorie Pflaum Septic Disposal-Residential $0.00
Owner Address: 37 Antigua RD Total Value $0.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Septic Alteration
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, September 18,2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury befor the expira 'o dr e.)
Dated at the To of Q sbu4
-/4 , September 18,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement -