8663 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 8663
PERMISSION is hereby granted to Daniel Valente
OWNER of property located at Lot Sweet Road (Country Club 'Manor Subdivision)
Street,Road or Ave.
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 Ig
Box 167 0
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Lake Luzerne, New York (F,.,
2. CONTRACTOR or BUILDERS Name C
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Same
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3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name 0
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5. ARCHITECTS Address
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6. TYPE of Construction—(Please indicate by X)
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( Wood Frame ( )Masonry ( )Stool ( ) O
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7. PLANS and Specifications M
64 'x66' per plot plan, specifications and
No. application submitted including two-car attached P
garage and sewage system,
8. Proposed Use to 0
P"M
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One-Family Dwelling
$5. 00 C/O Paid
$ 178. 00 �C
PERMIT FEE PAID —THIS PERMIT EXPIRES Feb► Lary 1 19 85 C7
(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.) M
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Dated at the Town of Queensbury this 3 0th Day of July 19 84 0.
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SIGNED BY , for the Town of Queensbury
Building and Zoning Irape