4049 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 4049
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to James T. Stratford
to
OWNER of property located at Lot 20 Hiland Drive Street,Road or Ave.
to
in the Town of Queensbury,To Construct or place a One-Family Dwel ling H
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.
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1. OWNER'S Address is
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1 Lark Avenue 'h
Glens Falls, New York a
2. CONTRACTOR or BUILDER'S Name
Ted ,Miller
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3. CONTRACTOR or BUILDERS Address p
Bolton Landing, New York `+
NV
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4. ARCHITECT'S Name x
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5. ARCHITECTS Address O
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6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( )Masonry 1 )Steel 1 1
7. PLANS and Specifications
241 x 581 per plot plan, specifications and application 0
No. submitted including sewage system and 2-car attached M
garage
8. Proposed Use
One-Family Dwelling
$5.00 C/O Paid
$ 100.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 19_(j_
(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.)
to
Dated at the Town of Queensbury this ,7�lth Day of�v 19�_
SIGNED BY U� a for the Town of Queensbury
Building and Zoni Inspector
c/o Paw
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date r,Iovember 110 19 a
This is to certify that work requested to be done as shown by Permit No.4049
has been completed.
This structure may be occupied as a One-'=arail li Dw _1 1 i nq
Location Lot 20 Hiland :give
Owner fames T. Stratford
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS PALLS, N Y 12801 15181793-5658