building permit nn? 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-0098-2019
Tax Map No: 302.17-2-16
Permission is hereby granted to: Daniel Hamm
For property located at: 14 ARBUTUS DR
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: Daniel Hamm Septic Disposal-Residential $0.00
Owner Address: 14 ARBUTUS DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Bradley's Septic
47 Hack RD
Corinth,NY 12822
Plans&Specifications
Spetic Alteration(leach system only)
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday,March 11,2020
(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 Queensbury; Tuesday,March 12, 2019
SIGNED BY: 4 for the Town of Queensbury.
Director of Building&Code Enforcement