2006-827 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060827 Application Number. A20060827
Tax Map No: 523400-279-015-0001-073-000-0000
Permission is hereby granted to: ROBERT®INA MOORE
For property located at: 23 RAINBOW Trl
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 QueensburyZoning
Ordinance. TVe of Construction Value
Owner Address: ROBERT®INA MOORE
23 RAINBOW Trl Septic Alteration Residential
QUEENSBURY,NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
QUEENSBURY SEWER
NY 12804-0000
Plans &Specifications
2006-827
SEPTIC ALTERATION - QUEENSBURY SEWER
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,November 17,2007
(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 ensb zt�
ember 17, 2006
SIGNED BY for the Town of ensb
Q� ur3'•
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLI-ANCE
Pernut Number. P20060827 Date Issued: Wednesday, November 22, 2006
This is to certify that work requested to be done as shown by Permit Number P20060827
has been completed.
Tax Map Number. 523400-279-015-0001-073-000-0000
Location: 23 RAINBOW Trl
Owner. ROBERT & REGINA MOORE
Applicant: ROBERT & REGINA MOORE
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 Director of Building&Code"Enforcement
Planning Board or Zoning Board of Appeals.