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3434 BUILDING PERMIT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK No. 3434 PERMISSION is hereby granted to Randall Roberts sv 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' ro H 1. OWNER'S Address is C+ Box 245 Bolton Landing, New York 2. CONTRACTOR or BUILDER'S Name Mack Dean r 0 3. CONTRACTOR or BUILDER'S Address r+ Goggins Drive Lake George, New York 0 4. ARCHITECT'S Name O F—+ N 5. ARCHITECT'S Address O iU O, %Z O H 6. TYPE of Construction—(Please indicate by X) C+ a' (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. 3 8. Proposed Use f'• One-Family Dwelling 0 ro . $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 'vf C Paid 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 A Building & Zoni g Inspector CREATIVE "INSTA" PRINTING GLENS FALLS, N V 12001 1318)793-5GS8