2007-304 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20070304 Date Issued: Monday, June 18, 2007
This is to certify that work requested to be done as shown by Permit Number P20070304
has been completed.
Tax Map Number: 523400-295-015-0001-043-000-0000
Location: 12 MOORWOOD Dr
Owner: JOHN & WILMA ROBERT
Applicant: JOHN & WILMA ROBERT
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 En ceme
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070304 Application Number. A20070304
Tax Map No: 523400-295-015-0001-043-000-0000
Permission is hereby granted to: JOHN &WILMA ROBERT
For property located at: 12 MOORWOOD Dr
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 Value
Owner Address: JOHN &WILMA ROBERT
Septic Alteration Residential
12 MOORWOOD Dr
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
STONE INSTALLATIONS
4305 ROUTE 50
SARATOGA SPRINGS,NY 12866-0000
Plans &Specifications
2007-304
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, May 24, 2008
(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 o eensb ' 4irs��May 24, 2007
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement