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-0049-2019
Tax Map No: 227.17-2-23
Permission is hereby granted to: Molly Moynihan
For property located at: 19 CHURCHILL 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: Molly Moynihan Septic Disposal-Residential $0.00
Owner Address: PO Box 370 Total Value $0.00
Cleverdale,NY 12820
Contractor or Builder's Name/Address Electrical Inspection Agency
Rick McGuire Excavating&Trucking LLC
65 Buttermilk Falls RD
Fort Ann,NY 12827
Plans&Specifications
Septic Variance BOH 9,2019
Septic Alteration
$ 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday,March 24, 2020
(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 of Queensbury; Monday, March 25,2019
1
SIGNED BY: (--/j 4 ,45(----
for the Town of Queensbury.
Director of Building&Code Enforcement