2014-200 TOWN OF QUEENSBURY
` � 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140200 Application Number: A20140200
Tax Map No: 523400-302-014-0001-070-000-0000
Permission is hereby granted to: ROBERT MIKSCH SR
For property located at: 30 PERSHING 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 Value
Owner Address: ROBERT MIKSCH SR
30 PERSHING Rd Septic Alteration Residential
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
SANITARY SEWER
GEORGE DRELLOS 792-7257
PO BOX 224
GLENS FALLS NY
Plans&Specifications
2014-200
Res. Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 02, 2015
(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 ueenskury; Ion, . , ;y,_ • .!2, 2014
L f//j �V/
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement