3825 BUILDING PERMIT
TOWN Of QUEENSBURY
No. 3825
WARREN COUNTY, NEW YORK
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PERMISSION is hereby Mosher w
y granted to Martin C. H
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OWNER of property located at Left #15 Heinriek Circle Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a One Family Owel ing
at the above location in accordance to application together with plot plans and other information hereto filed and p
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. to
1. OWNER'S Address is H
R. D. #3
Glens Falls, Now Mork
2. CONTRACTOR or BUI LDE R'S Name
Same
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3. CONTRACTOR or BUILDERS Address e+
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4. ARCHITECT'S Name A
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5. ARCHITECT'S Address
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B. TYPE of Construction—(Please indicate by X) 0
(X)Wood Frame ( )Masonry ( 1 Steel ( )
7. PLANS and Specifications Q'
30' x 60' per plot plan, specifications and application
No. submitted including sewage system and 2 car attached
garage.
8. Proposed Use
One Family Dwelling
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$5.00 C/o Paid
$ AA 00 PERMIT FEE PAID—THIS PERMIT EXPIRES June 1 19 _ W
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 5th Day of November 1975
SIGNED BY if, y 1 for the Town of Queensbury
Building and Zoning Inspector
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C/O Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 9 19 76
This is to certify that work requested to be done as shown by Permit No. 3825
has been completed.
Tilis structure may be occupied as a QnA 7-Ami 1 V DwP-1 I i nq
Location Lot 15 Heinrick Circle
Owner Martin C. Mosher
By Order Town Board
TOWN OF QUEENSBURY
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Building & Zoning-Thspector
CREATIVE "INSTA PRINTING. GLENS FALLS N y 12801 (519)793-5658