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2006-531 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060531 Application Number. A20060531 Tax Map No: 523 400-3 09-009-0002-00 1-000-0000 Permission is hereby granted to: HOMESTEAD VILLAGE L P For property located at: 200 LUZERNE 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: HOMESTEAD VILLAGE L P 4294 ROUTE 5 Septic Alteration Residential CALEDONIA, NY 14423 Total value Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2006-531 LOT 120 SEPTIC TANK REPLACEMENT $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,July 28, 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 of Qu nsbu W ;zp 28,2006 SIGNED BY for the Town of Queensbury. Director of Building&&de E rcement 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. P20060531 Date Issued: Monday, July 31, 2006 This is to certify that work requested to be done as shown by Permit Number P20060531 has been completed. Tax Map Number: 523400-309-009-0002-00 1-000-0000 Location: 200 LUZERNE Rd Owner. HOMESTEAD VILLAGE L P Applicant: HOMESTEAD VILLAGE L P This structure maybe 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, �d 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.