building permit TOWN OF QUEENSBURY
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1 • -ot Y' 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
, Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: SEP-0177-2018
Tax Map No: 289.10-1-32
Permission is hereby granted to: George Wolfe
For property located at: 10 HEMLOCK 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: Carol Bodette Septic Disposal-Residential $0.00
Owner Address: 10 HEMLOCK RD Total Value $0.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
George Wolfe
Plans&Specifications
Residential Septic Alteration
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,April 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 before the expiration dat-.)
Dated at the Town of ueens j4ved,e.4
Y'j ,pril 18,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement