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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