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2006-545 TOWN OF QUEENSBURY 742 Bay Road,Qmensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060545 Application Number. A20060545 Tax Map No: 523400-302-014-0001-040-000-0000 Permission is hereby granted to: SUSAN BICKNELL For property located at: 54 DIXON 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: SUSAN BICKNELL 54 DIXON Rd Septic Alteration Residential QUEENSBURY,NY 12804-0000 Total value Contractor or Builder's Name/Address Electrical Inspection Agency SANITARY SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans &Specifications 2006-545 RESIDENTIAL SEPTIC ALTERATION $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, August 04, 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 F a st 04,2006 for the Town of Queensbury. SIGNED BY Qu urY Director of Building&Code Enforcement TOVN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLI-ANCE Pen-nit Number. P20060545 Date Issued: Thursday, August 10, 2006 This is to certify that work requested to be done as shown by Permit Number P20060545 has been completed. Tax Map Number. 523400-302-014-0001-040-000-0000 Location: 54 DIXON Rd Owner. SUSAN BICKNELL Applicant: SUSAN BICKNELL 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 Enforcement Planning Board or Zoning Board of Appeals.