7028 BOILDING PERMIT
TO� ffl OF QUEENSBURY
No.7 02 8
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Ronald aermadv tj
OWNER of property Located at '� 15 Kiley Lane Street,Road or Ave.
i Cy
in the Town of Queensbury,To Construt or place a Addition to dwel line (1 iving rea
at•the above location in accordance t application w�
i °� pot plans and other information hereto filed and Ib
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
I. OWNER'S Address is
15 Kiley Lane
Glens Falls, New York
2. CONTRACTOR or BUI LDER'S Name
William ' rombley Ln
r
3. CONTRACTOR or BUILDER'S Address (D
sD
West Mountain Road "C
Glens Falls, New York r
p,
4. ARCHITECT'S Name M
I
6. ARCHITECT'S Address
6. TYPE of Construction—(Plow indicate bye XI p,
06 Wood Frame ( ►Masonry 1 1 Steel
rh
O
7. PLANS and Specifications.
221*22' per plot plan, specifications and &
No. application submitted.
a
E
S. Proposed Use m
One-Family Dwelling (additional living area)
w ,
$ g0S0C/0 Paid
$ PERMIT FEE PA16—THIS PERMIT EXPIRES February 1 19 82 �
(If a long period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 31 st Day of July 1981
SIGNED BY
for the Town of Queensbury
Balling and Zoning I nspellor
r
Cv"n FICA"A" QF
{ OCC�t.JPA.NCY
OWN OF QUEENSBURY Y
WA�REN COUNTY, NEW YORK
E II
Dace "tctz 24
19
r I,
k Tlde is to f► thu work , bodone as dmYwn hy Permit Na.—7_0
has been compleft&
1 Mdf stfucture may be occupied las a Pdd jtj on to C)nn-Fam
i
Ronald Dc mad
B9 Order Town Board
TOWN OF QUEENSBURY '
,s ram.
Building ® Zoning Inspector .
i
CWCATIV[ "INfTA" PRINTING. OLE" FALLS. N T 12{ol Il1�17f f-f{S•