7733 BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 7?33
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Lea Smith
OWNER of property located at Michigan Aypntt p Street,Road or Ave. fir�p'
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in the Town of Queensbury,To Constructor place a Alteration to roof and entrance addition
at the above location in accordance to application together with plot plans and other information hereto filed and W
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. r,
1. O9WNE R'S Address is RD 3
Glens Falls, N. Y.
2. CONTRACTOR or BUILDERS Name
Joseph Belski
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I CONTRACTOR or BUILDERS Address
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14 Goodwin Avenue
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Glens Falls, New York
4. ARCHITECTS Name C
C
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S. ARCHITECTS Address
6. TYPE of Construction—(Plea indicate by X)
( }t Wood Frame ( )Masonry ( )Steel ( 1
7. PLAN and Specifications ~
alteration to roof and entrance addition 4'x6' rtm
per plot plan, specifications and application a a
submitted. rr
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8. Proposed Use A 0
One-Family Dwelling rt
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s12. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES OctohAw 1 19$3— hh
(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.)
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Dated at the Town of Queensbury this 3rd Day of March 19 _ Hsy
N.
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SIGNED BY for the Town of Queensbury
Aluilding and Zoning I nspectof
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