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2006-650 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 1 CERTIFICATE OF COMPLIANCE Permit Number. P20060650 Date Issued: Monday, November 20, 2006 This is to certify that work requested to be done as shown by Permit Number P20060650 has been completed. Tax Map Number. 523400-309-009-0002-001-000-0000 Location: 200 LUZERNE Rd Owner. HOMESTEAD VILLAGE L P Applicant: HOMESTEAD VILLAGE L P This structure may be occupied as a: Septic Alteration Commercial 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&CokEnfo ment 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: P20060650 Application Number. a2006O650 Tax Map No: 523400-3 09-009-0002-001-000-0000 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 Septic Alteration Commercial 4294 ROUTE 5 Total value CALEDONIA, NY 14423 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2006-650 LOT 78 & 79 ALPINE AVE $35.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 19,2007 (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 7Town7nsbu Tues ay September 19, 2006 SIGNED BY for the Town of Queensbury. , of Building& de E ement