5016 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No.- 5016
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PERMISSION is hereby granted to ROha?rt end am 1 Na+'ri
OWNER of property located at (St• No• 2) 0
Lot 62 St Andrews Ori vw Street,Road or Ave. tr
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in the Town of Queensbury,To Construct or place a�Qn4jaF2m4 C+
at the above location in accordance to application t ®mina
Pp together with plot plans and other information hereto filed and �
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Q•
I. OWNER'S Address is 0
Brcadacres 0
Glens Falls, New York H
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2. CONTRACTOR or BUILDERS Name O
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Orville Fuller Const, y
3. CONTRACTOR or BUILDERS Address
35 Crownwood Lane
Glens Falls, New York C o
4. ARCHITECTS Name Ok
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5. ARCHITECTS Address
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6. TYPE of Construction—(Please indicate by X)
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( Wood Frame ( )Masonry ( )Steel ( ) H
7. PLANS and Specifications
No. 62, x 281 per plot plan, specifications and application
submitted including sewage system and -car garage o
8. Proposed Use �
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One-Family Dwelling e.
$5.00 C/O Paid v
$134-00 PERMIT FEE PAID—THIS PERMIT EXPIRES T tjTj 19-8—
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.) W
Dated at the Town of Queensbury this 2nd Day of December 19 77 �
SIGNED BY AI:e4� e. L4"wg�'a for the Town of Queensbury
Building and Z nirg Inspector
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C/a Paid
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
E WARREN COUNTY, NEW YORK
it Date May i5 19 78
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This is to certify that work requested to be done as shown by Permit No._ 9016
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has been completed.
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This structure may be occupied as a One-F a mi 1 y Dwelling
Location Lot 62 St. Andrews Drive (St Na 2)
Owner Robert and Carol. I,,Iot ri
By Order Town Board
TOWN OF QUEENSBURY
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Bui ding & Zoning Ins for
CREATIVE "INSTA" PRINTING. GLENS FALLS, N Y 12801 IS16)797-9656