BuildingPermit003-12-24 095753TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: 2024-0118
Tax Map No: 226.12-1-55
Permission is hereby granted to: RU Holmes Engineers PLLC
For property located at: 371 Cleverdale 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.
Owner Name:
Owner Address:
Morris Family Irrevocable Trust
PO Box 211
Cleverdale, NY
Scope of Work
New 2000 gallon tank & D-Box
Estimated Cost of Construction: $0
$85 PERMIT FEE PAID THIS PERMIT EXPIRES: 03/12/2025
(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: 03/12/2024
SIGNED BY: ________________________________ for the Town of Queensbury.
Director of Building & Code Enforcement
Contractor or Builder's Name / Address
Crandall Excavating
63 Woodchuck Hill Rd
Lake George, NY 12845