5550 BUILDING PERMIT
TOWN OF QUEENSBURY No 5550
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Michael Hayes
. Nos. 3 an
OWNER of property located at Lots 101 and 102 Helen &t*oe11# Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Ong.-'>t am+i l y nw l lilt^ n '*
at the above location in accomlence 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. W
1. OWNER'SAddressis 28 Bonner Drive
Glens Falls, New York �c
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2. CONTRACTOR or BUI LDERS Name
John Hughes
3. CONTRACTOR or BUILDER'S Address
375 Bay Road
Glens Falls, N. Y.
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4. ARCHITECT'S Name r01'
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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(X)Wood Frame ( 1 Masonry ( )Steel ( 1 x
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7. PLANS and Specifications
421x721 per plot plan, specifications and application
No. submitted including sewage system and two-car attached
garage.
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8. Proposed Use rt
One-Family Dwelling
$5.00 C/o Paid
$ 140.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Mav 1 19�_
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.) M
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Dated at the Town of Queensbury this 30th Day of October 19 78
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SIGNED 8Y for the Town of Queensbury �
Building and Zon i napbbedrC
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C f 0' Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY I
WARREN COUNTY, NEW YORK
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Date January 21 105 F_
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4 This is to certifj► drat work requested to be done as shown by Permit No. S r,5 1)
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i hu been cowed.
R This structure no1► be occupied as a
one--Family Dwelling.
Le�cMiw�
Lots 101 and 102 nelen Street (St. Nos. 3 and 5)
Michael Hayes
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By Order Town Board
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TOWN OF QUEENSBURY
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i Building b Zonin Inspector
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CR[ATIV[ "1NSTA" PRINTING. GL[NS /ALLS. My tE891 IS191797.99SS