2011-000 TOWN OF QUEENSBURY
742 Ba RwA Queembary.M usa-59M (510 761-Ml
Community Development-Building 8c Codes (518) 761-826
BUILDING PERMIT
Permit Number: P20110000 Application Number. A20110000
Tax Map No: 523400-301-020-0002-054-000-0000
Pecmitaion is hetebygentedto: OUEEN VICTORIA GRANT HOMEOWNERS ASS
For property located at: QUEEN MARY Dr H.O.A
in the Town to Qon in accordance
d conwnce vAct� P P�at the above location in accordance with with lot gad other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Qteembury Zoning
Tvne of Comtrucdon YAW
Owner Addras: QUEEN VICTORIA GRANT HOME Sept Alteration Commercial
C/O JANET MONROE Total Value
28 MARGARET Dr
QUEENSBURY,NY 12804-M
Com rotor or Builder's Name/Addrms Electrical Impecwn Agency
COOKS SEPTIC
NY 12804-M
Plana r)c Spec&wom
2011-OW
septic alteration for 38,40,42,44,46, &48 Margaret Drive
$75.00 PEST FEE PAID- THIS PERMIT EXPIRES: Tuesday,January 10,2012
(If a louaerpedod is ngabsd,an a don foran ezvolon nwstbe made to the code Eafaccemeot 083cer
of do Town of Queembuey befog sbs c*mdon date.)
Dated at the Town of osbtrry; Z0 l y angry 10,2011
SIGNED BY M— for the Town of Queeasbury.
Diremr of Building&CoWinfAcinew
TOWN OF QUEENSBURY
742 BayFw4 Q=wAbu74 W=4-"M (518)761-Ml
Community Development�- Building&Codes (59) 761-8256
CERTIFICATE OF COMPLIANCE
Pem*N=dxr. P20110000 Date Issued: Monday, January 10, 2011
This is to cery that wodk requested to be done as shown by Permit Number P20110000
has been completed.
Ta:Map Number 523400-301-020-0002-054400-0000
Location: QUEEN MARY Dr H.OA
Owner QUEEN VICTORIA GRANT HOMEOWNERS ASSOC.
APPficant: QUEEN VICTORIA GRANT HOMEOWNERS ASSOC.
This structure maybe occupied as a:
Septic Alteration Commercial ByoWwof awnBamd
T0fWN ap QUEENSBURY
Issuance of this Cvffleate of Comptiaace DOES NOT relieve the �"'"r 4
properly wwaw of the ram'for Compliance with Site Plan, �L��//�
Varimee,or o&w hsaes and eondkiew as a result of approvah by the Dh=lnr0,tl�� (bde Eafoicemmt
phmniog Board or Zonlog Board of Appeab.