2006-819 TOWN OF QUEENSBURY
(EL 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060819 Application Number. a20060819
Tax Map No: 523400-309-013-0001-007-000-0000
Permission is hereby granted to: MELODY ALLEN
For property located at: 27 INDIANA 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. Tyne of Construction Value
Owner Address: MELODY ALLEN
Septic Alteration Residential
27 INDIANA Ave
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builders Name/Address Electrical Inspection Agency
SANITARY SEWER
DAN DRELLOS
PO BOX 224
GLENS FALLS NY
Plans &Specifications
2006-819
septic alteration
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,November 16, 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 ' *t"rNovember 16, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbtny,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
CERTIFICATE C"I"FE7 COMPLIANCE
Permit Number. P20060819 Date Issued: Monday, November 20, 2006
This is to certify that work requested to be done as shown by Permit Number P20060819
has been completed.
Tax Map Number. 523400-309-013-0001-007-000-0000
Location: 27 INDIANA Ave
Owner. MELODY ALLEN
Applicant: MELODY ALLEN
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, v
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.