1619 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date____ 19 —
This is to certify that work requested to be done as shown by Permit No. 1619
has been completed.
This structure may be occupied as a Addition
Location Route 9
Omer Kenneth Freebern
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1619
WARREN COUNTY, NEW YORK
H
PERMISSION is hereby granted to Kenneth Freebern A
A
0'
OWNER of property located at Route 9 Street, Road or Ave. H
V
in the Town of Queensbury,To Construct or place a Addition
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. OWNER'S Address is �.
48 Pearl Street
Hudson Falls, New York
2. CONTRACTOR or BUILDER'S Name
Galor Const. Company, Inc.
3. CONTRACTOR or BUILDER'S Address
2040 States St.
Schenectady, New YVrk
4. ARCHITECT'S Name
O
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5. ARCHITECT'S Address \p
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1
6. TYPE of Construction—(Please indicate by X) 1
(A Wood Frame ( ► Masonry ( ►Steel ( 1 1
1
7. PLANS and Specifications
No.101X501 as per plat plans and specifications submitted.
B. Proposed Use
Addition to Rest. Drive-in
a
$ 55.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 9-1— 19 72
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the to
town of Queensbury before the expiration date.) UN
Dated at the Town of Qu s ury this Day of March 19 72 v
SIGNED BY for the Town of Queensbury
Building a trig Inspector