4175 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 4175 -
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
— Nath *1 and June Isaacman sr /a u
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OWNER of property located at Let 10 Crewnwood Lane Street,Road or Ave. g
in the Town of Queensbury,To Construct or place a One•Fami_1 y Dwel 1 i na w
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.
1. OWNER'S Address is Q.
1203 Regency Park
:Glens Falls, New York
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2. CONTRACTOR or BUILDERS Name H
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Miacray Construction, Inc. d
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3. CONTRACTOR or BUILDER'S Address
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R. O. 5 Pangburn Road
Schenectady, New York 12306
4. ARCHITECT'S Name r
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5. ARCHITECT'S Address
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M
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6. TYPE of Construction—(Please indicate by X) p
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( *Wood Frame ( 1 Masonry ( )Steel
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7. PLANS and Specifications 0
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No. 621 x 281 per plot plan, specifications and application
submitted including sewage system and one-car attached
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8. Proposed Use
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One-Family Towelling �
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$5.00 C/O Paid .
$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 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.)
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Dated at the Town of Queensbury this 6th Day of_ July 1976
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SIGNED BY p.A/l.e.� for the Town of Queensbury
Building and ZZ ling Inspector
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CERTIFICATE IFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 1,Iovem,ber 10 1916
This is to certify that work requested to be done as shown by Permit No. 1175
has been completed.
This structure may be occupied as a Ono-PajnlLz Dwplling
Location Lot 10 Crownwood Lane
Owner Nathaniel and June Isaacman
By Order Town Board
TOWN OF QUEENSBURY
Building WZoning Inspector
CREATIVE "INSTA PRINTING. GLENS FALLS, N Y 12001 151011793-5658