4156 BUILDING PERMIT
TOWN OF QUEENSBURY No. 4156
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Martin C_Masher
C OWNER of property located at Tot 21 Helaric S ;n
�, 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. owNER's Address is 43 ftinrick Circle �
Glens Falk, New York �
2. CONTRACTOR or BUI LDER'S Name
Same
3. CONTRACTOR or BUILDERS Address
Same �*
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address n
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6. TYPE of Construction—(Please indicate by X)
(lQ Wood Frame ( 1 Masonry ( )Steel
7. PLANS and Specifications
No. 26' x 56' per plot plan', specifications—arid application
submitted including sewage system and 2-car attached ,
8. Proposed Use gall Je
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One-Family Dwelling '
$5.00 C/O Paid
$ 40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 1977 F~.+
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the w
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 2eth Day of June 1976
SIGNED BY AV. O( for the Town of Queensbury
Builffing and Zoning I nsp4ttor
C/0 Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY A
WARREN COUNTY, NEW YORK
Date— September 919 -16
This is to certify that work requested to be done as shown by Permit No. 4156
has been completed.
This structure may be occupied as a One-Family Dwelling
Location Lol'.- 21 Heinricif Circle (Street No. 31)
Owner i'Aartin C. Mosher
By Order Town Board
TOWN OF QUEENSBURY
ALW4'L
Y Building & Zoning lnsp;cM
CREATIVE "INSTA PRINTING GLENS FALLS. N Y 12601 (5101793.5650