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2006-411 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20060411 Date Issued: Thursday, June 15, 2006 This is to certify that work requested to be done as shown by Permit Number P20060411 has been completed. Tax Map Number. 523400-302-014-0001-077-000-0000 Location: 6 BENTLEY P1 Owner. RUTH SHAPIRO Applicant: This structure may be occupied as a: Septic Alteration Residential i 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 Planning Board or Zoning Board of Appeals. Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060411 Application Number. A20060411 Tax Map No: 523400-302-014-0001-077-000-0000 Permission is hereby granted to: For property located at: 6 B ENTLEY PI 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 QueensburyZoning Ordinance. Owner Address: RUTH SHAPIRO Type of Construction Value 6 BENTLEY PI Septic Alteration Residential QUEENSBURY, NY 12804-0000 Total value Contractor or Builder's Name/Address Electrical Inspection Agency IBS SEPTIC IVAN BELL 2 LOWER WARREN STREET OUEENSBURY. NEW YORK Plans &Specifications 2006-411 SEPTIC ALTERATION RESIDENTIAL $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, June 14, 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 Quee bury e !.-June 14,2006 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement