464 BUILDING PERMIT
TOWN OF QUEENSBURY No 4 6 1+
WARREN COUNTY, NEW YORK
en
PERMISSION is hereby granted to West Glens Falls Guild Inc. r+
Leo Street Street,Road or Ave. 02
OWNER of property located at
�
in the Town of Queensbury,To Constructor place a Building r
at the above location in accordance to application together with plot plans and other information hereto filed and En
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. b
H
1. OWNER'S Address is N
d
21 Bay Street, Glens Falls, N.Y. H
z
2. CONTRACTOR or BUILDER'S Name •
Rodney Stevenson
L3. CONTRACTOR or BUILDER'S Address
Star Route, Glens Falls, N.Y.
4. ARCHITECT'S Name
Contractor
EARCrHT'S Address
. onstruction—(Please indicate by X)
1 7►Wood Frame ( ) Masonry ( )Steel C )
7. PLANS and Specifications 20 X 20 ft, one story building
No.
8. Proposed Use
MEDICAL CLINIC
10.0 January 1, 1970
$ PERMIT FEE PAID—THIS PERMIT EXPIRES
(If townlonger
period is required
a the expiration r andate extension must be made to the Building and Zoning inspector of the
Queens
Dated at the Town of Queensbury this
10th Day of June 19 69
for the Town of Queensbury
SIGNED BY
LeRoy Phillip ild and Zo nspector
LATE OF OCCt3PANCY
CERTIFICATE
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
October ���Da 19
Date-
4
This is to certify that work requested to be done as shown by Permit No.
has been completed
This structure may be occupied as a
Side of Leo Streqt
Location yFalls Guild
Owner
By Order Town Board
TOWN OF QUEENSBURY
s
Bu` ing & Zoning inspector
:. s