3434 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 3434
PERMISSION is hereby granted to Randall Roberts
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OWNER of property located at Lot 19 Knolls Road North Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One-Family Dwelling with SS ~'
at the above location in accordance to application together with plot plans and other information hereto filed and o
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. O'
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1. OWNER'S Address is C+
Box 245
Bolton Landing, New York
2. CONTRACTOR or BUILDER'S Name
Mack Dean
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3. CONTRACTOR or BUILDER'S Address r+
Goggins Drive
Lake George, New York
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4. ARCHITECT'S Name O
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5. ARCHITECT'S Address O
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6. TYPE of Construction—(Please indicate by X) C+
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(X)Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications 0
24t x 44' per plot plan, specifications and applicationro
No. submitted including sewage system and 1-car garage
under house.
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8. Proposed Use f'•
One-Family Dwelling
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$5.00 C/O Paid
$52.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 1975 5
(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 24th Day of April 1975
SIGNED BY ti for the Town of Queensbury
Building and toningInspe or
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date— September 17 19
This is to certify that work requested to be done as shown by Permit No. 3434
has been completed.
This structure may be occupied as a One family Dwelling
Location Lot !9 Knolls (load North
Owner Ra nil a 1 1 Robert-,;
By Order Town Board
TOWN OF QUEENSBURY
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Building & Zoni g Inspector
CREATIVE "INSTA" PRINTING GLENS FALLS, N V 12001 1318)793-5GS8