3929 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No 3929
PERMISSION is hereby granted to Martin C. Mosher
OWNER of property located at Lot 20 Heinrick Circle Street,Road or Ave. 0
ro p
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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
fs
1. OWNER'S Address is
R. D. #3 Upper Sherman Avenue y
Glens Falls, New York
2. CONTRACTOR or BUI LDERS Name
Same
3. CONTRACTOR or BUILDER'S Address r,
0
Same
0
4. ARCHITECT'S Name
e3
t-�
7
H
5. ARCHITECT'S Address A
7C'
0
F�
h
6. TYPE of Construction—(Please indicate by X) 1-4
eE►
00 Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
No.
26' x 50' per plot plan, specifications and application
submitted including 2 car attached garage and sewage
system.
8. Proposed Use ►h
One-Family Dwelling
$5.00 C/O Paid
$ 50.00 PERMIT FEE PAID—THIS PERMIT EXPIRES fiber 1 19-_
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F~+.
town of Queensbury before the expiration date.)
tt!
Dated at the Town of Queensbury this 12th Day of MA re-_h 19�
SIGNED BY i � for the Town of Queensbury
Building and Zo ing Inspector
C/0 Pal
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSOURY
WARREN COUNTY, NEW YORK
Date----.--_JJ'J-ILY 12 19 -7 6
This is to certify that work requested to be done as shown by Permit No. 3)-91 21 9
has been completed.
This structure may be occupied as a One Fami1v E)Wellino
Location Lot 20 Heinricl, Circle
Owner Martin C. `Aosher
By Order Town Board
TOWN OF QUEENSBURY
v
Building & Zonink inspec'tor-
CREATIVE "INSTA PRINTING, GLENS FALLS. N Y 12801 1918)793-5658