1987-6821
BUILDING PERMIT y
TOWN OF QUEENSBURY No 87-682
WARREN COUNTY, NEW YORK o
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Fred & Barbara Champagne �
PERMISSION is hereby granted to u,
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OWNER of property located at Sunnyside North Street,Road or Ave. ¢s
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.
1. OWNER'S Addross is ,y
Box 343 Juniper Dr. M
Glens Falls, N. Y. 12801 aaA
2. CONTRACTOR or BUILDERS Name n
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Same H
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3. CONTRACTOR or BUILDERS Address
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4. ARCHITECT'S Name :
5. ARCHITECTS Address �
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6. TYPE of Construction—(Please indicate by X) z
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(XI Wood Frame ( )Masonry 1 1 Steel 1 1 rt
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7. PLANS and Specifications
No. 32' 4" x 56' per plot plan, specifications and application including
septic system and attached two car x:ttzKt garage & driveway permit
8. Proposed Use µ
One—Family Dwelling
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$5.00 C/0 F"
122.00 Ma 1 1-4$ PERMIT FEE PAID -THIS PERMIT EXPIRES y , 1g 88 CC�7
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Qusensbury before the expiration date.) F,
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Dated at the Town of Queensbury this 9th Day of October 1987
SIGNED BY �. - for the Town of Queensbury
Building and Zoning Inspector
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