4135 BUILDING PERMIT
TOWN OF QUEENSBURY No. 4135
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to James J. Lichiello
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OWNER of property located at Lot 37 Orchard Drive Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One-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. r-+
W
t. OWNER'S Address is
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Regency Park Apartments
Glens Falls, New York
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2. CONTRACTOR or BUILDERS Name
Orville Fuller
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3. CONTRACTOR or BUILDERS Address C 1'
17 Crownwood Lane w
Glens Falls, New York
4. ARCHITECT'S Name A
T
H
tl.
C7
5. ARCHITECT'S Address H
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6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel t 1
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7. PLANS and Specifications phi
341 x 75' per plot plan, specifications and application w
"° submitted including sewage system and two-car attached ,e
8. Proposed Use
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One-Family Dwelling
$5.00 C/O Paid t°
$138.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 1977
(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 17th Day of June 1976
SIGNED BY ' for the Town of Queensbury
Building and Zoning Inspe or
C/O Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 8 19 7 6-
This is to certify that work requested to be done as shown by Permit No. 4 135
has been completed.
This structure may be occupied as a One-Familv Dwelling
Location Lot 37 Orchard Drive
Owner Jarnes J. Lichiello
By Order Town Board
TOWN OF QUEENSBURY
Building & ioning iiiipector
CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 (5101793-5658