4111 BUILDING PERMIT
TOWN 'OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 41 1 1
PERMISSION is hereby granted to Martin Mosher
OWNER of property located at Lot No. 25 Heinrick Circle y
Street,Road or Ave. C'
treet No. �•
in the Town of Queensbury,To Constructor place a One—Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0
N
I. OWNER'S Address is
H
43 Heinrick Circle
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Martin Mosher
r
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3. CONTRACTOR or BUILDERS Address
CA N
Same
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4. ARCHITECT'S Name :3
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5. ARCHITECT'S Address W f0
M
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6. TYPE of Construction—(Please indicate by X)
X )Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and S Pecifications
No.
26' x 50' per plot plan, specifications and application
submitted including sewage system and two-car attached
a
ara e.
S. Proposed Use
F-+
One-Family Dwelling f
m
$5.00 C/O Paid
$ 44.00
PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 '77 tp
(If a longer required _ ng 19
ng Period is r wired an application xpirtifor 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 8th Day of June
19 76
SIGNED BY O
Buil ' for the Town of Queensbury
ng and ZoniL�lnspeor
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date
49
This is to certify that work requested to be done as shown by Permit No.— 41 1 1
has been completed.
This structure may be occupied as a el I i ng
By Order Town Board
TOWN OF QUEENSBURY
'
CREATIVE `~"~"' ~~.°,�G, GLENS ,^^". ~, ."~. ."."/�^��