4078 BUILDING PERMIT
TOWN OF QUEENSBURY No 4078
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Mar in Moshernr
A
OWNER of property located at Lot 123 Heinrick Circle Street,Road or Ave.
in the Town of Queensbury,To Construct or plao i a One-Family Dwelling
at the above location in accordance to applicat on together with plot plans and other information hereto filed and H
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
R. D. #3 Sherman Avenue
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Same
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3. CONTRACTOR or BUILDER'S Address &
Same n
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4. ARCHITECT'S Name x
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5. ARCHITECT'S Address X,
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6. TYPE of Construction—(Please indicate by X) 1�
1r 1 Wood Frame ( )Masonry 11 Steel 1 1
7. PLANS and Specifications M
No. 26' x 481 Per plot plan, spOcifications and application �submitted including sewage system and 2 car garage in
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8. Proposed Use ~
One-Family Dwelling
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$5.00 C/O Paid
$ 40.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 196
(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 24 h Day of May 1976
SIGNED BY for the Town of Queensbury
Building a Zoning Inspe or
Paid
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CERTIFICATE OF OCCUPANCY
TOW14 OF QUEENSBURY Y.
WARREN COUNTY, NEW YORK ,_
Date August 3 19
This is to certify that work requested to be done as shown by Permit No. 407R
has been completed.
This structure may be occupied as a 0 P_ welling
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Location Lot 123 Heinric , Circle
I; Owner I'Aartin Mosher
By Order Town Board
TOWN OF QUEENSBURY
Ali /"-,.�t.h-...fJC;�• �P_ ./J! 1�r rN�'-4/`'..£;��.f ,rC'�•r
Building & Zoning Inspector
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CREATIVE "INSTA" PRINTING, GLEN$ FALLS. N T 12401 1510179 -SSSS