2006-883 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060883 Application Number. a2006O883
Tax Map No: 523400-289-011-0001-044-000-0000
Permission is hereby granted to: DOLORES TUCKER
For property located at: 18 HALL 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 Queens bury Zoning
Ordinance. Type of Construction Value
Owner Address: DOLORES TUCKER
Septic Alteration Residential
18 HALL Rd
QUEENSBURY, NY 12804-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
QUEENSBURY SEWER
JAY SWEET
Plans &Specifications
2006-883
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, December 14,2007
(If a longerperiod 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 T December 14, 2006
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SIGNED BY for the Town of Queensbury.
V Na
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
42 Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20060883 Date Issued: Wednesday, December 27, 2006
This is to certify that work requested to be done as shown by Permit Number P20060883
has been completed.
Tax Map Number. 523400-289-011-0001-044-000-0000
Location: 18 HALL Rd
Owner. DOLORES TUCKER
Applicant: DOLORES TUCKER
This structure may be occupied as a:
Septic Alteration Residential
By Order of Town Board
TOWN OF QUEENSBURY
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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 afore eat I
Planning Board or Zoning Board of Appeals.
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