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2006-564 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060564 Application Number. A20060564 Tax Map No: 523400-295-019-0002-009-000-0000 Permission is hereby granted to: LINDA KIRKER For property located at: 3 OWEN Ave 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: LINDA KIRKER 3 OWEN Ave Septic Alteration Residential QUEENSBURY,NY 12804-0000 Total value Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2006-564 RESIDENTIAL SEPTIC ALTERATION $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,August 15, 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 o ensbu Tue da ,August 15, 2006 SIGNED BY for the Town of Queensbury. Director of Building& de orcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4S Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number. P20060564 Date Issued: Monday, August 21, 2006 This is to certify that work requested to be done as shown by Permit Number P20060564 has been completed. Tax Map Number. 523400-295-019-0002-009-000-0000 Location: 3 OWEN Ave Owner. LINDA KIRKER Applicant: LINDA KIRKER 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 f d&Coe norce e nt Planning Board or Zoning Board of Appeals. Director of Building � i i