1987-358 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87-358 �
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Michael Bucek o
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OWNER of property located at West Mountain Road (across from Stonecrofilreet,Road or Ave.
Development)
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.
a.
1. OWNERS Address is Butler Road N
South Glens Falls, New York �++
2. CONTRACTOR or BUILDERS Name
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Harvey's Specialty Const. w
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3. CONTRACTOR or BUILDERS Address O
RD #1 Box 1432 M,
Lake George, New York
4. ARCHITECT'S Name
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5. ARCHITECTS Address o W
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6. TYPE of Construction—(Please indicate by X) W
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(X)Wood Frame ( 1 Masonry 1 1 Steel ( ) 0 G
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7. PLANS and Specifications H
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No.
53'x53' per plot plan, specifications and application rt
including sewage system and two-car attached garage. tv
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8. Proposed Use ;v
One-Family Dwelling
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$5.00 C/O �.
$ 122.00 PERMIT FEE PAID-THIS PERMIT EXPIRES Jan. 1 1988
llf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t7
town of Oueensbury before the expiration date.) m
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Dated at the Town of Queensbury this 17th Day of June 1)g 87
SIGNED BY 7AO14 (21 t&Adao for the Town of Queensbury
Building and Zoning Inspector