building permit TOWN OF QUEENSBURY
:
K,
' 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
=' Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: SEP-0717-2018
Tax Map No: 227.13-2-30
Permission is hereby granted to: MARY MCCOSLIN
For property located at: 65 ROCKHURST 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: MARY MCCOSLIN Septic Disposal-Residential $0.00
Owner Address: PO Box 4580 Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Crandall Excavating
63 WOODCHUCK HILL RD
Lake George,NY 12845
Plans&Specifications
Septic Variance
Septic Alteration
$ 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday,December 16, 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 dati.)
Dated at the Town of ueens , rid., - /m.er 14, 2018
amp
SIGNED BY: 1 for the Town of Queensbury.
Director of Building&Code Enforcement