7196 a
ern Paid
CERTIFI ATE OF OCCUPANCY
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Do" June 1 19 3
to "fd(► thm work to be dom as
Wit+ !V Petmit No. 71 cl 6
has been cc ,
Tbi. 90mwtuftNOT be occupied as a One -Family )wellincx
1 Lot 42 Yorkshire Drive
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j By Order Town Board
TO" OF euRRNBDuRY ff�
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Buis �► � •
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ewtwnvs '•INlTA•• r#INTttl6, OL[N! FALLS. N V 1200, Iff I3,00•6606
B ILDING PERMIT
TO11 N OF QUEENSBURY 7196
WARREN COUNTY,NEW YORK No.
PERMISSION is hereby granted to Timothy Copeland 0
(Sherwood Ages) it
I OWNER of property located at Lot 42 Yorkshire Drive
{ Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwe ll ine 0 1 at the above location in accordance to application together with plot plans and other information hereto filed and
11 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance, per,
a
1. OWNER'S Address N 320 Bay Road
? Glens Falls, New York
! 2. CONTRACTOR or BUILDERS Name
i
jDaniel Barber
0
I CONTRACTOR or BUILDERS Address 0
R.D. #1 Iv
Glens Falls, N. Y. ►�
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4. ARCHITECT'S Name �.
!i?
►'t i
Ip I
5. ARCHITECT'S Address �
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tD �
6. TYPE of Construction—(Please indicate bv X) I
(34 Wood Frame ( 1 Masonry ( 1 Steel ( ) 1
i
7. PLAINS and Specifications
301x4 r per plat plan, specifications and
No. application submitted including sewage system.
B. Proposed Use Ell {
1 I
One-Family Dwelling
$5. 00 C/O Paid
$16.1. 0-0 PERMIT FEE PAID—THIS PERMIT EXPIRES i
b '19��
fD
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H
town of Oueensbury before the expMpticm date.) f,
Dated at the Town of Queensbury this 2 4th Day of _ hTosremh .r 1g�L
�R
oo--
SIGNED BY for the Town of Queensbury
Bui ng and Zoning 1