1843 BUILDING PERMIT
TOWN OF QUEENSBURY H
WARREN COUNTY, NEW YORK No 1 R4� z
t7
PERMISSION is hereby granted to Dr W. Stern
H
OWNER of property located at ,,��
rreenWo Laae �� �'� �0leo treet,Road or Ave.
in the Town of Queensbury,To Construct or place a
nwp 1 1 i n c, S a>va stem
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 Address is
Midlothian Va.
2. CONTRACTOR or BUILDER'S Name
Robert E. Ruggles
3. CONTRACTOR or BUILDER'S Address
5 Wincrest Drive
Glens Falls, New York
12 1
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
()(►Wood Frame 1 ►Masonry ( )Steel ( ►
7. PLANS and Specifications
"°•821X301 as per plot plans and specificallons submitted enc.
sewage system
8. Proposed Use
One-Family Dwelling two car garage sewage system
$ 190-00 —PERMIT FEE PAID —THIS PERMIT EXPIRES 1 -1 —
19�3
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 1 Day of Itin A 19�2
�K
SIGNED BY fort a Town of Queensbury
Build ng and Zoning Inspector
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date .4c".lImtlary ili4 lo
This is to certify that work requested to be done as shown by Permit No. 1843
has been completed.
This structure may be occupied'as a F VAr1,y D VJELLT i4G
Location G!3, l'-- :V00 LA HE
Owner DR. ,V STERN
By Order Town Board
TOWN OF QU.EENSBURY a
N
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