2012-047 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120047 Application Number. A20120047
Tax Map No: 523400-301-019-0001-041-000-0000
Permission is hereby granted to: MICHAEL RIOS
For property located at: 20 HAWTON Ct
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 Value
Owner Address: MICHAEL RIO$
CYNTHIA MACEY Septic Alteration Residential
20 HAMPTON Ct Total value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-047
septic alteration residential
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,February 08, 2013
(If a longer period is required,an application for an extension most be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To eensb ; Wednesday,February 08,2012
SIGNED BY / t r ! i for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120047 Date Issued: Friday, February 10, 2012
This is to certify that work requested to be done as shown by Permit Number P20120047
has been completed.
Tax Map Number: 523400-301-019-0001-041-000-0000
Location: 20 HAMPTON Ct
Owner: MICHAEL RIOS
Applicant: MICHAEL RIOS
This structure may be occupied as a:
Septic Alteration Residential By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the p `!/�) w _
property owner of the responsibility for compliance with Site Plan, w ,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.