5950 I
i
BUILDING PERMIT
J TOWN OF QUEENSBURY 5
No. 5950
WARREN COUNTY, NEW YORK
1 PERMISSION is hereby granted to
OWNER of �jk3 �/ij�Cotii 1�• Su b
property Located at r.r,t 1 1 R�ring ni VQ Street,Road or Ave.
in the Town of Queensbury,To Construct or place a anv4—rami 131 Dwel 1 i
{ at the above location in accordance to application together with plot plans and other information hereto filed and
1 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. (t
I. OWNER'S Address is
77 Main St. w
South Glens Falls, New York p,
2. CONTRACTOR or 1341i LDERS Name
Same
i
I CONTRACTOR or BUILDERS Address
Same
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4. ARCHITECT'S Name
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1
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6. ARCHITECT'S Address tR 1
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6. TYPE of Construction—(Please indicate by X)
Fx
(x)Wood Frarni ( )Masonry ( )steel ( 1
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Y
7. PLANS and Switications
No. 2515"x54 ' per plot plan, specifications and application
submitted including sewage system and one-car attached
8. Proposed Use
One-Family Dwelling o 1
$5. 00 C/O Paid
$ 80 (gip PERMIT FEE PAID—THIS PERMIT EXPIRES Igo_
(if a F-ek�ruarr1
to Queensbury is required
a application f date.)extension must be made to the Building and Zoning inspector of the
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Dated at the Town of Queensbury this 9th Day of July ?g 79 ~
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SIGNED BY for the Town of Queensbury
Wine and Zoning i