2006-786 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4z Community Development- Building &Codes (518) 761-8256
CERTIFICATE (3/lul COMPLI-ONCE
Permit Number. P20060786 Date Issued: Monday, November 20, 2006
This is to certify that work requested to be done as shown by Permit Number P20060786
has been completed.
Tax Map Number 523400-290-000-0001-082-011-0000
Location: 34 STONEHURST Dr
Owner. BRIAN & LISA CHAMPINE
.Applicant: BRIAN & LISA CHAMPINE
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, y
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: P20060786 Application Number: a2006O786
Tax Map No: 523400-290-000-0001-082-011-0000
Permission is hereby granted to: BRIAN & LISA CHAMPINE
For property located at: 34 STONEHURST Dr
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: BRIAN & LISA CHAMPME
34 STONEHURST Dr Septic Alteration Residential
QUEENSBURY, NY 12804-0000 Total Value
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2006-786
SEPTIC ALTERATION RESIDENTIAL
$25.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday, October 26, 2007
(If a longer period is required,an application for an extension must he made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To o �ens / Tr October October 26, 2006
SIGNED BY for the Town of Queensbury,
Director of Building& Code Enforcement