2009-347 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
CERTIFICATE F COMPLLMNCE
Permit Number. P20090347 .Date Issued: Friday, July 31, 2009
This is to certify that work requested to be done as shown by Permit Number P20090347
has been completed.
Tax Map Number. 523400-301-012-0001-033-000-0000
Location: 52 HELEN Dr
Owner. GERALD & KATHLEEN BROWN JR
Applicant: GERALD & KATHLEEN BROWN JR
This structure may be occupied as a:
Septic Alteration Residential
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DUES NOT relieve the 4
property owner of the responsibility for compliance with Site Plan, X t
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.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090347 Application Number. A20090347
Tax Map No: 523400-301-012-0001-033-000-0000
Permission is hereby granted to: GERALD &KATHLEEN BROWN JR
For property located at: 52 HELEN Dr
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: GERALD &KATHLEEN BROWN J
52 HELEN Dr Septic Alteration Residential
QUEENSBURY,NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-347
septic alteration residential
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,July 27, 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 To eensb Monday,July 27, 2009
o �
SIGNED BY �' r for the Town of Queensbury.
Director of Building de orcement