2006-485 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Pernut Number. P20060485 Date Issued: Thursday, July 13, 2006
This is to certify that work requested to be done as shown by Permit Number P20060485
has been completed.
Tax Map Number. 523400-301-009-0001-007-000-0000
Location: 25 APPLEHOUSE Ln
Owner. THOMAS & ANNE DELCOURT
Applicant: THOMAS & ANNE DELCOURT
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&Codeknfoireent I
Planning Board or Zoning Board of Appeals.
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TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060485 Application Number. A20060485
Tax Map No: 523400-301-009-0001-007-000-0000
Permission is hereby granted to: THOMAS & ANNE DELCOURT
For property located at: 25 APPLEHOUSE 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: THOMAS &ANNE DELCOURT
25 APPLEHOUSE Ln Septic Alteration Residential
Total Value_
QUEENSBURY, NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-485
RESIDENTIAL SEPTIC ALTERATION
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,July 10, 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 o b on my 10, 2006
X
SIGNED BY for the Town of Queensbury.
Director of Building&Co e Enfo ment