5673 C1"C} Pai
CERnFICATE OF OCCUPANCY rt
TOWN OF S 1
A *E* C04)W t, NM YOU
n� September 5 19 F,;."-
Thir is to c uti f r that tobodom r sbmmby Permit No. 5 6 7
31
bar been compie"
Tbit rar emn Bey► be oampbd ee a one-Family Dwelling
Lot 547 ISweetbriar Lane
Jack Balfour
By Ohkr Town Board
TO" t,W QUZZNSMMY
CMATIV9 "iM01TA" N*INTtM01. GLOMS FALLS. M V #2001 010110"OSO
BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK NO 5673
PERMISSION is hereby granted to Jack Balfour ca
W
OWNER of property located at Lot 547 Sweetbriar Lane sr.
Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwellincr
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at the above location in accordance to application together with plot plans and other information hereto filed and �-h
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. s;
o
n
E
R. D. #2 Ogden Road
Glens Falls, N. Y.
DERS Name
ame
DER'S Address
Same ti
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4. ARCHITECT'S Name Ln
J
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) H
r
( Wood Frame ( )Masonry A)
X) y ( )Steel ( )
7. PLANS and Specifications
No. 26 'x40' per plot plan, specifications and application
submitted including sewage system and 221x24 ' two-car
8. Proposed Use attached garage.
One-Family Dwelling O
m
$5.00 C/O Paid I
$80.00 PERMIT FEE PAID—THIS PERMIT EXPIRES _ 0)
amber•(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H+•
town of Queensbury before the expiration date.) 1-'
Dated at the Town of Queensbury this 2_ rd Day of_ R'ehrila ry 1g7_ (D
E
SIGNED BY
for the Town of Queensbury p
Buildi and Zoning Inspecto