2009-349 -�- TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
`E R TIFICATE 0.1r' COMPLI-A-N- C'Tr
Permit Number. P20090349 Date Issued: Friday, July 31, 2009
This is to certify that work requested to be done as shown by Permit Number P20090349
has been completed.
Tax Map Number: 523400-308-012-0002-046-000-0000
Location: 223 LUZERNE Rd
Owner: JOHN CARLO
Applicant: JOHN CARLO
This structure maybe occupied as a:
Septic Alteration Residential
By Order of Town Board
TOWN OF QUEENSBU'RY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
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: P20090349 Application Number. A20090349
Tax Map No: 523400-308-012-0002-046-000-0000
Permission is hereby granted to: JOHN CARLO
For property located at: 223 LUZERNE 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: JOHN CARLO
16 ANDERSEN Rd Septic Alteration Residential
DOVER PLAINS,NY 12522-0000 Total value
Contractor or Builder's Name/ Address Electrical Inspection Agency
IBS SEPTIC
IVAN BELL
2 LOWER WARREN STREET
QUEENSBURY, NEW YORK
Plans &Specifications
2009-349
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�7;f
Que bu , n ,July 27, 2009
SIGNED BY 4for the Town of Queensbury.
Director of Building&Code Enforcement