8751 B ILDING PERMIT
7
TO 'N OF QUEENSBURY
No. f3 S 1
WARREN COUNTY, NEW YORK
tn
y granted to Stephen P. Guzik r
' PERMISSION is hereby 'n
OWNER of property located at Lot 106 Honey Hollow Road Street,Road or Ave. M
C i or ose
in the Town of Queensbury,To Construct or place a One-FaLmily Dwelling d
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'SAddressis RD #3 Bedford Close
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Sam
3. CONTRACTOR or BUILDERS Address r
Sam M rt
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r•o
4. ARCHITECT'S Name `JO Ch
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�o n,
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate bV X)
( I(Wood Frame ( )Masonry 1 )Steel ( ) N 1W
a
7. PLANS and Specifications
74 'x28 per plot plan, specifications and
NO' application sulmiitted including sewage system and three
8. Proposed Use
One-Family Dwelling p
M
$5. 00 C/O Paid ►�
183. 00 April 1
—THIS PERMIT EXPIRES 19 85 H-
(If a longer period is required an applicat on for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Cy
Dated at the Town of Queensbury this 12 th Day of September 19�¢_ M
N
N
SIGNED BY
for the Town of Queensbury
Building and Zoning Inspecto
i