building permit TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518) 761-8201
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Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: SEP-0323-2019
Tax Map No: 278.-1-51
Permission is hereby granted to: ANNE MARIE LOCKHART
For property located at: 1251 BAY 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: ANNE MARIE LOCKHART Septic Disposal-Residential $0.00
Owner Address: 1251 Bay RD Total Value $0.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Bruce Stevenson
Plans&Specifications
Repair to leech fields only
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, May 21, 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; Wednesday, May 22, 2019
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement