6542 BUILDING PERMIT
TOWN OF QEENSBURY 6542
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thus Clark -
OWNER of property located at Homer Avenue Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a One—Family Dwelling
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. fA.+
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1. OWNERS Address is
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' 2. CONTRACTOR or BUILDERS Name
Glenn Gay Builders
3. CONTRACTOR or BUILDERS Address
224 Saratoga Road x
South Glens Falls, N. Y.
4. ARCHITECT m'S Nae 1Ms
5. ARCHITECTS Address C
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6. TYPE of Construction—(Please indicate by X)
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1 Wood From 1 1 Masonry ( )Steel
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7. PLANS and Specifications "
48 'x28 ' per plot plan, specifications and
No. application submitted including sewage system.
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8. Proposed Use ::1
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One-Family Dwelling
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$5. 00 C/O Paid
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$_94. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 1 19�1 E
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M
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town of Ousensbury before the expiration date.) I.+
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Dated at the Town of Queensbury this 27th Day of August
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SIGNED BY f for the Town of Queensbury
B411ding and Zoning t
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C/o Paid
CERTIFICATE OF OCCUPANCY
TOWN O QUINGWRY
WARREN COUWy, NEW YORIC T
Dace—January 21
lhie it to tires wor# nq:uewed to be dote as shown by Permit No.- r,,a�
ba bear coed,
This mucture mw be occupW n a One-Family DwF+1 i i T,fT
LOGO"{
Elwawr Thomas Clark
ey Order Town Board
fTOWN OF QUSSNSBURY
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