2007-362 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: P20070362 Date Issued: Wednesday, June 20, 2007
This is to certify that work requested to be done as shown by Permit Number P20070362
has been completed.
Tax Map Number: 523400-301-012-0002-057-000-0000
Location: 2 HEINRICK Cir
Owner: DENNIS J JACKSON
Applicant: DENNIS J JACKSON
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 nforce ent
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: P20070362 Application Number. A20070362
Tax Map No: 523400-301-012-0002-057-000-0000
Permission is hereby granted to: DENNIS J JACKSON
For property located at: 2 HEINRICK Cir
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 QueensburyZoning
Ordinance. Type of Construction Value
Owner Address: DENNIS J JACKSON
2 HEINRICK Cir Septic Alteration Residential
QUEENSBURY, NY 12804 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
SANITARY SEWER
DAN DRELLOS
PO BOX 224
GLENS FALLS NY
Plans &Specifications
2007-362
SEPTIC ALTERATION RESIDENTIAL
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,June 18, 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 ensb Monday,June 18, 2007
SIGNED BY ® fi for the Town of Queensbury.
Director of Building&Code Enforcement