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2009-498 �~ TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 CER TIFICATE F COMPLIAN- CE Permit Number, P20090498 Date Issued: Monday, November 09, 2009 This is to certify that work requested to be done as shown by Permit Number P20090498 has been completed. Tax Map Number. 523400-295-018-0001-063-000-0000 Location: 13 K.ILEY Ln Owner. CARL &HELEN VIELE Applicant: CARL & HELEN VIELE This structure maybe occupied as a: Septic Alteration Residential By Order of Town Bowl TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, W //W Variance,or other issues and conditions as a result of approvals by the Director of Building&CoWnfol4ment 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: P20090498 Application Number. A20090498 Tax Map No: 523400-295-018-0001-063-000-0000 Permission is hereby granted to: CARL&HELEN VIELE For property located at: 13 KILEY Ln 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: CARL&HELEN VIELE 13 KILEY Ln Septic Alteration Residential QUEENSBURY,NY 12804 Total value Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2009-498 septic alteration residential $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, October 15, 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 Queergbury; Thgrsday, October 15,2009 SIGNED BY a for the Town of Queensbury. Director of Building&Code Enforcement