building permit TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
' Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: SEP-0390-2018
Tax Map No: 296.19-1-12
Permission is hereby granted to: Hayes&Hayes,LLC
For property located at: 33 COUNTRY CLUB 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 Queensbury Zoning Ordinance
Type of Construction
Owner Name: Hayes&Hayes,LLC Septic Disposal-Residential $0.00
Owner Address: 297 Saratoga AVE Total Value $0.00
South Glens Falls,NY 12803
Contractor or Builder's Name/Address Electrical Inspection Agency
Hayes&Hayes,LLC
297 Saratoga AVE
South Glens Falls,NY 12803
Plans&Specifications
Residential Septic Alteration
$ 75.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,June 25,2019
(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 Town Quee bury; 4M a 5,2018
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement