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2006-103 i i i TOWN OF QUEENSBURY i 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 j Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20060103 Date Issued: Friday, March 10, 2006 This is to certify that work requested to be done as shown by Permit Number P20060103 has been completed. Tax Map Number: 523400-301-012-0002-038-000-0000 Location: 408 DIXON Rd Owner: JULIUS & MARGARET KAPLAN Applicant: JULIUS & MARGARET KAPLAN 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 property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the r: Director of Building&Code En orcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY (2t 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060103 Application Number: A20060103 Tax 1\7ap No: 523400-301-012-0002-038-000-0000 Permission is hereby granted to: JIJI,TITS & MARGARET KAPLAN For property located at: 408 DIXON 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: JULIUS & MARGARET KAPLAN 408 DIXON Rd Septic Alteration Residential Total Value QUEENSBURY, NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency T.B.S. SEPTIC 2 LOWER WARREN STREET OITEENSBITRY. NY Plans&Specifications 2006-103 SEPTIC ALTERATION $25.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, March 08, 2007 (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 o eens d sday, March 08, 2006 SIGNED BY for the Town of Queensbury. Director of Building&Code nforcement