3890 Vo f-"aio
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 6 19 7_,;,
This is to certify that work requested to be done as shown by Permit No. 3890
has been completed.
This structure may be occupied as a TWO � Ifnily 21LI�p c�
John Iendon Roa(�'
Location
Owner Ray-norld J. Storms
By Order Town Board
�, 'OWN OF QUEENSBURY
Building Zoning Inspector
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CREATIVE ANSTA PRINTING GLENS FALLS, N Y 12801 ISls)793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 3$90
WARREN COUNTY, NEW YORK
PERMISSION is herebyRaymond J.granted to y Storms
OWNER of property located at John Clendon Road
Street, Road or Ave.
CL
in the Town of Queensbury,To Construct or place a Two Family Dwelling y
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.
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1. OWNER'S Address is y
14 MacArthur Drive
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same L4
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4. ARCHITECT'S Name O
n
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O
G.
5. ARCHITECT'S Address ,O
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6. TYPE of Construction—(Please indicate by X)
!1.
0 ►Wood Frame ( )Masonry 1 )Steel ( 1
7. PLANS and Specifications H
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No. 26' x 72' per plot plan, specifications and application 0
submitted including sewage system and 2 car attached 'TI
8. Proposed Use ga.Udye. a�
Fr•
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Two Family Dwelling d
$5.00 C/O Paid
$ 70.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 1 _ 1976
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.) to
Dated at the Town of Queensbury this 1$th Q Day of December 1975
4 '
SIGNED BY P, for the Town of Queensbury
Buildinrand Zoning Inspe r