2006-522 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20060522 Date Issued: Monday, July 31, 2006
This is to certify that work requested to be done as shown by Permit Number P20060522
has been completed.
Tax Map Number. 523400-308-017-0001-054-000-0000
Location: 126 WEST MT. Rd
Owner. EVELYN ROBICHAUD LIFE USE
Applicant: EVELYN ROBICHAUD LIFE USE
This structure may be occupied as a:
Septic Alteration Residential
By Oder of Town Board
TOWN OF QUEENSBURY
A !
Issuance of this Certificate of Compliance DOES NOT relieve the �1
property owner of the responsibility for compliance with Site Plan, V
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
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: P20060522 Application Number. A20060522
Tax Map No: 523400-308-017-0001-054-000-0000
Permission is hereby granted to: EVELYN ROBICHAUD LIFE USE
For property located at: 126 WEST MT. 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: EVELYN ROBICHAUD LIFE USE
Septic Alteration Residential
NANCY & LUKE ARMSTRONG
126 WEST MT. Rd Total value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
SANITARY SEWER
DAN DRELLOS
PO BOX 224
GLENS FALLS NY
Plans &Specifications
2006-522
RESIDENTIAL SEPTIC ALTERATION
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,July 25, 2007
(If a longerperiod is required,an application loran extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow(
o of nsb y 25, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement