4054 BUILDING PERMIT
TOWN OF QUEENSBURY No. 4054
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John Carusone L4
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OWNER of property located at Chestnut Ridge Road Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a One-Family Dwelling 00)
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. N
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1. OWNER'S Address is
Clark Street
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Hilton A. Tallman Const. Co. Inc.
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3. CONTRACTOR or BUILDERS Address C+
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R. D. #3 C'
Saratoga Springs, New York 12866
4. ARCHITECT'S Name fy
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
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f( )Wood frame ( )Masonry 1 1 Steel 1 1 M
7. PLANS and Specifications W
No. 44' x 32' per plot plan, specifications and application
submitted including sewage system.
8. Proposed Use
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One-Family Dwelling
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$5.00 C/O PaUll
$ '00 44,&V WRMIT FEE PAID—THIS PERMIT EXPIRES December 1 1976
(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 10th Day of May 1976
SIGNED BY Z , + for the Town of Queensbury
Buildlhg and Zoning I nspec66r Na
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 —
This is to certify that work requested to be done as shown by Permit No. 1;05, 4
has been completed.
This structure may be occupied as a One-lamily %elling
Ches,tniutl Ridge Road
Location
Owner John Carusone
By Order Town Board
TOWN OF QUEENSBURY
Building Zoning Inspector
CREATIVE "INSTA PRINTING. GLENS FALLS N V 12901 (510)793.5%SS