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BuildingPermit003-29-24 102049TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: 2024-0139 Tax Map No: 239.12-2-11 Permission is hereby granted to: Environmental Design Partnership (EDP) For property located at: 42 Old Assembly Pt. 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. Owner Name: Owner Address: JEFFREY RANDLES 42 Old Assembly Pt Rd Lake George, NY 12845 Scope of Work Residential septic alteration Estimated Cost of Construction: $0 $85 PERMIT FEE PAID THIS PERMIT EXPIRES: 03/29/2025 (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: 03/29/2024 SIGNED BY: ________________________________ for the Town of Queensbury. Director of Building & Code Enforcement Contractor or Builder's Name / Address Crandall Excavating 63 Woodchuck Hill Rd Lake George, NY 12845