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4399 BUILDING PERMIT TOWN OF QUEENSBURY No._ 4399 WARREN COUNTY, NEW YORK a� PERMISSION is hereby granted to Martin C. Mosher H OWNER of property located at Lot 34 Heinr;r_k Circle Street,Road or Ave. _._ r7 in the Town of Queensbury,To Constructor place a One-FaMi 1 y Dwel 1 i rues at the above location in accordance to application together with plot plans and other information hereto filed and O approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. cd 1. OWNER'S Address is H 43 Heinrick Circle Glens Falls, New Fork 2. CONTRACTOR or BUILDERS Name Same r 0 3. CONTRACTOR or BUILDER'S Address �{ Same w A, x 4. ARCHITECT'S Name H n 5. ARCHITECT'S Address 0 H A t t— e 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( )Masonry 1 )Steel 1 1 7. PLANS and Specifications No. 521 x 261 per plot plan, specifications abd application submitted including sewage system and two-car attached ;TJ 8. Proposed Use 9 One-Family Dwelling1-4 $5.00 C/O Paid $ 60.00 PERMIT FEE PAID—THIS PERMIT EXPIRES .June 1 1977 � (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 1 St Day of November 19 76 SIGNED BY Afor the Town of Queensbury wilding and Zoning Inspotor '—'/0 Pa id CERTIFICATE OF""'OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date August 10 1917 This is to certify that work requested to be done as shown by Permit No. 4399 has been completed. This structure may be occupied as a One-Family Dwelling Location . Lot 34 Heinrick Circle I Owner Martin C. Iviosher By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector� CREATIVE "INSTA PRINTING, GLENS FALLS N Y 12801 15181793-5658