5050 BUILDING PERMIT
TOWN OF QUEENSBURY
_
WARREN COUNTY, NEW YORK No. 5(715 Cl
PERMISSION is hereby granted to Dani el a Road Corporation (Hilton ton H. Tallman)
man
OWNER of property located at Lot 56 Revere Road Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a One-Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and µ
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
R. D. #3 0
Saratoga Springs, New York 12866 CL
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2. CONTRACTOR or BUILDER'S Name ly
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Same y
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3. CONTRACTOR or BUILDER'S Address H
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Same
4. ARCHITECT'S Name
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5. ARCHITECT'S Address �
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6. TYPE of Construction—(Please indicate by X) H
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(x)Wood Frame ( )Masonry ( )Steel ( ) d
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7. PLAINS and Specifications
68t x 281 per plot plan, specifications and
"O application submitted including sewage system and
2 car attached garage.
8. Proposed Use
One-Family Dwelling
$5.00 C/O Paid •
$ 150.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 1 1978 •C
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the d
town of Queensbury before the expiration date.) $
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Dated at the Town of Queensbury this 14th Day of February 1978 N
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SIGNED BY U+ for the Town of Queensbury
Buillding and Zoning In ctor
"/0 paid
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CERTIFICATE OF , OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 20 70
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This is to certify that work requested to be done as shown by Permit No. 5050
has been completed.
This structure may be occupied as a One-F-amily Dive l"Lina
Location T'ot 56 Revere Road
Owner Daniels Road Corporation (Hiltor. 1"'. Tall.man)
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspect�olr
CREATIVE ANSTA PRINTING GLENS FALLS N V 1280t 1518)793.5658