3780 BUILDING PERMIT
TOWN OF QUEENSBURY No 3780
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Martin C. Mosher
OWNER of property located at Lot 19 Heinrick Circle Street,Road or Ave. �
in the Town of Queensbury,To Construct or place a One-Family Dwelling �C+,.
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. s7
,. owNER'sAddressis R. D. #3 Upper Sherman Avenue N
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Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILD R'S Address
ame o
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address ~•
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x
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6. TYPE of Construction—(Please indicate by X) 0
N
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p( )Wood Frame ( ) Masonry ( 1 Steel ( 1
7. PLANS and Specifications
No. 241 x 481 per plot plan, specifications and application 3
submitted including 2-car attached garage and sewage m
B. Proposed Use
3
One-Family Dwelling
$5.00
$ 40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19Z6
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I'•
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 10thh Day of October 19 77 _
SIGNED BYAAA+'. If . f.del.) for the Town of Queensbury
Buildi and Zoning Inspectot
L/C Paid
1
CERTIFICATE OF OCCUPANCY
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TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date
,,,arch 1 ) 19-LL.
3780
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a One a mi Ly Dwe l ] i n g
Location
Lot 19 Heinrick Cirlce
I
,lartin C. ':;usher
Owner
By Order Town Board
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TOWN OF QUEENSBURY
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2
Building & Zoning Ins r
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CREATIVE "INSTA PRINTING. GLENS "Al"' N Y 12801 IS 191793•5638