2006-791 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060791 Application Number. A20060791
Tax Map No: 523400-226-015-0001-041-000-0000
Permission is hereby granted to: JAY CARDINALE
For property located at: 10 CROSSOVER Ln
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: JAY CARDINALE
Septic Alteration Residential
295 SARATOGA Rd
SO. GLENS FALLS, NY 12803-00 Total value
Contractor or Builder's Name/ Address Electrical Inspection Agency
IBS SEPTIC
IVAN BELL
2 LOWER WARREN STREET
QUEENSBURY,NEW YORK
Plans &Specifications
2006-791
SEPTIC ALTERATION RESIDENTIAL
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday, November 06,2007
(If a longerperiod is required,an application for an extension mustbe made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T of eens 'i�ry; Ado ay,November 06, 2006
SIGNED BY `" for the Town of Queensbury.
v NO
Director of Building&Code Enforcement