7804 BUILDING' PERMIT
TOWN OF QU ENSBURY
No. 7804
WARREN COUN*Y,NEW YORK
PERMISSION is hereby granted to Frftigbriek IIAnA Barbara r-bampagne
OWNER of property located at Sunnys j e NQ:� b Street,Road or Ave. �•
n
in the Town of Queensbury,To Construct or place a iAddition to dwelling - x'
at the above location in accordance to application t with plot plans and other information hereto filed and -
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. CL
bd
1. OYVNE R'S Address is
R. D. #1 Box 334
ty
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name n
Same ,
3. CONTRACTOR or BUILDER S Address
same
4. ARCHITECT'S Name
i13
5. ARCHITECT'S Address
to -:
6. TYPE of Construction—(Please indicate by X)
z
k)Wood Frame 1 )Masonry ( )Steel ( ) 0
K
ct
7. PLANS and Specifications
18 ax20a per plot Plan, specifications and
No. application submitted.
8. Proposed Use
One-Family Dwelling (AdcUtional living area) y
r�
rr
$5. 00 C/O Paid
$ 24_ QD PERMIT FEE PAID-THIS PERMIT', EXPIRES NoMember 1 19AD `4 0
(if a long period is required an application for an extension rust be made to the Building and Zoning inspector of the i11
town of Queensbury before the expiration date.) hI
� a
Dated at the Town of Queensbury this 21 st. Day of_ Anri1 19�
N
SIGNED BY J for the Town of Queensbury '
BuildhViAnd Zoning Inspector to