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2007-342 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: P20070342 Date Issued: Thursday, June 14, 2007 This is to certify that work requested to be done as shown by Permit Number P20070342 has been completed. Tax Map Number: 523400-290-005-0001-048-000-0000 Location: 1099 RIDGE Rd Owner: SUSAN DOUGHER Applicant: SUSAN DOUGHER 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 w"~` Al! 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 orcement 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: P20070342 Application Number. A20070342 Tax Map No: 523400-290-005-0001-048-000-0000 Permission is hereby granted to: SUSAN DOUGHER For property located at: 1099 RIDGE 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 Value Owner Address: SUSAN DOUGHER 122 SUNNYSIDE NORTH Septic Alteration Residential QUEENSBURY,NY 12804 Total Value Contractor or Builder's Name/Address Electrical Inspection Agency QUEENSBURY SEWER JAY SWEET Plans &Specifications 2007-342 Septic Alteration- Residential $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,June 11,2008 (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 expiradon date.) Dated at the Town f Que u M une 11, 2007 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement