8671 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8671
WARREN COUNTY; NEW YORK
PERMISSION is hereby wanted to Romain Paulin �
OWNER of property located at mot 1_ Z.AMna lx Dr i vo (St No 1 ) Street,Road or Ave.
Cresthaven Subdivision
in the Town of Queensbury,To Construct or place a Qne-Pami IV nwwl i nr_
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.
1. OWNER'S Address is RD #1
Mechanicville, N. Y.
2. CONTRACTOR or BUI LDERS Name
Same
3. CONTRACTOR or BUILDERS Address rt
Same rt I✓
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z to
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4. ARCHITECT'S Name
tow
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h
6. ARCHITECTS Address
C•
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6. TYPE of Construction—(Plus indicate by X)
(K)Wood Frame 1 )Masonry I )Steel ( 1
7. PLANS and Specifications
26'x62 ' per plot plan, specifications and
No. application submitted including sewage system
and two-car attached garage.
8. Proposed Use 0
(D
One-Family Dwelling
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$5. 00 C/O Paid �•
136. 00
$ PERMIT FEE PAID -THIS PERMIT EXPIRES March
(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.)
(D
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Dated at the Town of Queensbury this 3rd Day of August 19_"
W
SIGNED BY a4/- Ci� 20 Y--a-F- for the Town of Queensbury
Building and Zoning Inspector