2012-018 TOWN OF QUEENSBURY
742 Bay Rom Queembmy,NY 128D4-5902 (518)761-8201
Community Development-Building&Codes (sus)761-s256
CERTIFICATE OF COMPLIANCE
Permit Number. P20120018 Date Issued: Friday, January 18, 2013
This is to certify that work requested to be done as shown by Permit Number P20120018
has been completed.
Tax Map Number. 523400-301-012-0001-041-000-0000
Location: 33 IIELEN Dr
Owner: PATRICIA MC CAULEY
Applicant: PATRICIA MC CAULEY
This structure may be occupied as a:
Septic Alteration Residential
By Order drawn Board
Q)jW
TOWN OF QUEEMBURY
Issuance of this Certificate of CompWnce DOES NOT relieve the property owner of the responsibility for compliance with Site Plan,
9
Variance,or other issues and conditions as a result of approvals by the Diaeesw of Big&Code Emu
Pbnnmg Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 128"5902 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120018 Application Number: A20120018
Tax Map No: 523400-301-012-0001-041-000-0000
Permission is hereby granted to: PATRICIA MC CAULEY
For property located at. 33 HELEN 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: PATRICIA MC CAULEY
Septic Alteration Residential
33 HELEN Dr
QUEENSBURY, NY 12804-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
113S SEPTIC & DRAIN
ATTN: IVAN BELL
2 LOWER WARREN St
OUEENSBURY, NY 12804
Plans&Specifications
BP 2012-018
Residential Septic Alteration
$40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,January 18,2013
(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 o Queed6buryl` Wednesday,-January 18,2012
SIGNED BY for the Town of Queensbury-.
Director of Building&Code Enforcement