7864 i
BUILDING PERMIT
TOWN OF QUEENS$URY No. 7864
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Michael Sipowicz
Lot 570 Dartmore Drive (Section 14 Westland)
OWNER of property located at 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 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address isi
6 Cheroke Lane vV
Glens Falls, New York �.
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2. CONTRACTOR or BUILDER'S Name
Don Harvey
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name rh v
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5. ARCHITECT'S Address $
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6. TYPE of Construction—(Pleese indicate by X) a, pp
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(A Wood Frame ( )Masonry ( )Steel ( ► ID
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7. PLANS and Specifications
281x721 per plot plan, specifications and
No. application submitted including two-car attached garage
and sewage system.
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8. Proposed Use 0
One-Family Dwelling
$5. 00 C/O Paid
$ 192. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 1983
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t7
town of O.usensbury before the expiration date.) ((D
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Dated at the Town of Queensbury this 2 4 th Day of May 1983
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SIGNED BY for the Town of Queensbury
BuijRftand Zoning Inspector
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