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building permit 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-0226-2019 Tax Map No: 301.7-1-45 Permission is hereby granted to: David Berry For property located at: 16 BUENA VISTA 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: David Berry Septic Disposal-Residential $0.00 Owner Address: 16 Buena Vista AVE Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency IB S Septic 2 WARREN S T Glens Falls,NY 12801 Plans& Specifications Residential Septic Alteration $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 22, 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,April 23, 2019 SIGNED BY. � ;r, .w for the Town of Queensbury. Director of Building&Code Enforcement