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3325 BUILDING PERMIT TOWN OF QUEENSBURY No. _ 3325 WARREN COUNTY, NEW YORK z 0 H c+ PERMISSION is hereby granted to Northern Hom@r. Inc H OWNER of property located at Ln . 21 Revere Read Street,Road or Ave. Z in the Town of Queensbury,To Construct or place a One-Farni IV Dwol lin_with SS o i3 at the above location in accordance to application together with plot plans and other information hereto filed and U! approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. H 1. OWNER'S Address is 0 10 LaCrosse Street - Hudson Falls, New York 12839 2. CONTRACTOR or BUI LDERS Name r 0 Same C+ 3. CONTRACTOR or BUILDERS Address N F-+ Same 0 4. ARCHITECT'S Name H (t! W 0 tlt t1. 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) Ix 1 Wood Frame ( )Masonry ( )Steel lD 7. PLANS and Specifications t 721 x 481 per plot plan, specifications and application 0) No. submitted including sewage system and 2-car attached �. 8. Proposed Use One-Family Dwelling w $5.00 C/O Paid $ 100.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 1 19_ 75 (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 17th Day of January 1975 SIGNED BY for the Town of Queensbury ABuilding and ZonA Inspector C/O Paid CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEWtYORK- 7 Date ..)ecoinber 19 1. This is to certify that work requested to be done as shown by Permit No. 3325 has been completed. This structure may be occupied as a Onp-1--lain l I Dwelling Location Lot 21 Revere Road Owner T!orthern homes Inc . By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspect CREATIVE 'INSTA PRINTING GLENS FALLS N Y 12801 1510)793-5658