building permit TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
qL Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000428-2015
Tax Map No: 302.14-3-12
Permission is hereby granted to: Sanitary Sewer Service
For property located at: 30 PARK VIEW AVE
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: Susan Dean Septic Disposal $0.00
Owner Address: 30 Park View AVE Total Value $0.00
Queensbury,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
Sanitary Sewer Service
PO Box 224
Glens Falls,NY 12801
Plans&Specifications
Residential Septic Alteration
$40.00 PERMIT FEE PAID-TIES PERMIT EXPIRES: Sunday,December 11,2016
(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 of Qyoa ury; hurs a ,D ember t 7,2015
SIGNED BY: C for the Town of Queensbury.
Director of Building&Code En orcement