2007-420 TOWN OF QUEENSBURY
742 BayFmd,Queensbury,NY 12804-5902 (518)761-8201
Community Development.-Building&Codes (518) 761-82%
BUILDING PERMIT
Permit Number: P20070420 Application Number. A20070420
Tax Map No: 523400-309-013-0001-072-000-0000
Permission is hereby granted to: JOHN&LINDA WINSLOW
For property located at: 4 INDIANA 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. Types of Construction Value
Owner Address: JOHN&LINDA WINSLOW
233 LUZERNE Rd Septic Alteration Residential
QUEENSBURY,NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2007-420
septic alteration residential
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,July 09,2008
(If a longerperiod 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 T Queens , o ay,July 09,2007
SIGNED BY for the Town of Queensbury.
Director of Building Code nforcement