2009-482 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
C ERVIv I F I C.A.".VILE CIF COMPLIANCE
Permit Number: P20090482 Date Issued: Wednesday, March 30, 2011
This is to certify that work requested to be done as shown by Permit Number P20090482
has been completed.
Tax Map Number: 523400-302-018-0002-019-000-0000
Location: 138 GRANT Ave EXT
Owner: JOSEPH & LISA MANCINI
Applicant: SHERRIE MC LAUGHLIN
This structure may be occupied as a:
Septic Alteration Residential
Test Pit!Perc Test Review By Order of Town Board
TOWN OF QUEENSBURY
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&Cade 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: P20090482 Application Number. A20090482
Tax Map No: 523400-302-018-0002-019-000-0000
Permission is hereby granted to: SHERRIE MC LAUGHLIN
For property located at: 13 8 GRANT Ave EXT
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. Tyne of Construction Value
Owner Address: SHERRIE MC LAUGHLIN
138 GRANT Ave Septic Alteration Residential
QUEENSBURY,NY 12804-0000 Test Pit/Pere Test Review
Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-482
deep hole/perc test
$225.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, October 13, 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 Town.of_Queens T4ugday, October 15, 2009
for the Town of Queensbury.
SIGNED BY Qu urY
Director of Building de Lkorcement