3899 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 3899
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Kris L. Fuller
OWNER of property located at John Clendon Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One Family Dwelling N
at the above location in accordance to application together with plot plans and other information hereto filed and r"
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
f..
59 Cooper Street
Glens Falls, New York y
2. CONTRACTOR or BUILDERS Name
Orville Fuller
3. CONTRACTOR or BUILDER'S Address
35 Crownwood Lane
Glens Falls, New York o
4. ARCHITECT'S Name �
C7
N
M
5. ARCHITECT'S Address Q•
O
O
a
6. TYPE of Construction—(Please indicate by X) fl•
(X)Wood Frame 1 )Masonry ( )Steel 1 )
7. PLANS and Specifications
"
261 x 641 per plot plan, specifications and application
submitted. o
m
8. Proposed Use ,n
One Family Dwelling g
r•
N
$5.00 C/O Paid
$ 54,00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 1 - ig 76
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.) - N.
Dated at the Town of Queensbury this 30th Day of December 1g 75 ua
SIGNED BY Aa
for the Town of Queensbury
Building and Zonin§Inspector
( C/O Paid
t
I
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
j WARREN COUNTY, NEW YORK
Date ,"iori.l 21
19 y
This is to certify that work requested to be done as shown by Permit No. _ 3899
has been completed.
This structure may be occupied as a Cn a „a m i l �z Dwell i n g
Location John Cl.endon Road
Owner Kris L. F,j 11 er
By Order Town Board
TOWN OF QUEENSBURY
Building N Zoning lnspe`eto
CREATIVE "INSTA" PRINTING. GLENS FALLS. N V 12801 1718)793-5658