2006-223 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060223 Application Number: A20060223
Tax Ivtap No: 523400-295-014-0001-039-000-0000
Permission is hereby granted to: THOMAS & LORI WARNER
For property located at: 4 QUEEN DIANA Ln
in the'Town of Queensbury,to constrict 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: THOMAS & LORI WARNER
4 QUEEN DIANA Ln Septic Alteration Residential
Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
SIGNORELLT & SON
.589 WEST MOI7NTAIN ROAD
Oi JEENSBITRY_ NY
plans& Specifications
2006-223
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, April 25, 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 Town} eensb T d , April 25, 2006
7
SIGNED BY for the Town of Queensbury.
Director of Building&Code En orcement
I
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
i
CERTIFICATE OF COMPLIANCE
Permit Number: P20060223 Date Issued: Wednesday, April 26, 2006
This is to certify that work requested to be done as shown by Permit Number P20060223
has been completed.
Tax Map Number: 523400-295-014-0001-039-000-0000
Location: 4 QUEEN DIANA Ln
Owner: THOMAS & LORI WARNER
Applicant: THOMAS & LORI WARNER
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 Director of Building&Code Enf ceme
Planning Board or Zoning Board of Appeals.