2009-326 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
kE:I%,TIFIC.0AT E CIF COMPLIA-NkC-.%.E
Permit Number. P20090326 Date Issued: Thursday, July 16, 2009
This is to certify that work requested to be done as shown by Permit Number P20090326
has been completed,
Tax Map Number. 523400-301-020-0001-02 1-000-0000
Location: 36 LEO St
Owner: DAVID & DOROTHY POETTE
Applicant: DAVID & DOROTHY POETTE
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 t
property owner of the responsibility for compliance with Site Plan, �°
° G
7 ll�t
Variance, or other issues and conditions as a result of approvals by the Director of Building&Cod Enfo znent
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090326 Application Number. A20090326
Tax Map No: 523400-3 01-020-0001-02 1-000-0000
Permission is hereby granted to: DAVID &DOROTHY POETTE
For property located at: 36 LEO St
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: DAVID &DOROTHY POETTE
36 LEO St Septic Alteration Residential
QUEENSBURY,NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-326
SEPTIC ALTERATION RESIDENTIAL
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,July 14, 2010
(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 �.�wn o ee uxy ,7 1' July 14, 2009
SIGNED BY � �' for the Town of Queensbury.
Director of Building&Code Enforcement