5539 BUILDING PERMIT
TOWN OF QUEENSBURY No. 5539
A
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
William Cook A
OWNER of property located at Luzerne Road Street,Road or Ave.
'1 in the Town of Queensbury,To Construct or place a One—Family Dwelling N
at the above location in accordance to application together with plot plans and other information hereto fgad and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
I 1. OWNER'S Address is 11 f3
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2. CONTRACTOR or BUILDERS Name
Walter H. Johnson
3. CONTRACTOR or BUILDERS Address
R. D. ti
Sushan, N. Y. 12873 N
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4. ARCHITECT'S Name ff
Robert E. Smith
Licensed Professional -Engineer
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5. ARCHITECTS Address
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6. TYPE of Construction—(Please indicate by X)
00 Wood Frame ( 1 Masonry I 1 Steel ( 1
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7. PLANS and Specifications �3
No30'x37 ' per plot plan, specifications and application t I
submitted including sewage system and two-car attached
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garage r ' g.
B. Proposed Use ~.
One—Family Dwelling
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$5.•00 C/O Paid May
$1 04 - 0.0 PERMIT F9E PAID—THIS PERMIT EXPIRES y 1 fg 79 j (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ICI
town of O.usernsbury before the expiration date.)
Dated at the Town of Queensbury this 24 th Day of October 19 78
SIGNED BY /J (a
for the Town of Queensbury
BuilgkV and Zoning i nspictor
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i
C/O Paid
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CERTIFICATE CY
TOWN Of QUEENSBURY
WARREN COUNTY, NEW YORK
Dace November 1.3 19��
5539 ""
This is to certify that work requested to be dome as shown by Permit No. --
has been con2plew&
Y
This structure may be occupied as a One-Family Dwelling,,_._
Luze.rne Road
William Cook
�r
By Order Town Board
TOWN OF QUEENSBURY
r.
Building & Zoning Inspector
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CMATIV[ "INSTA' PRINT/MG. GL[NS FALLS. N V 12401 1510179S`66SS