7873 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 7873
WARREN COUNTY, NEW YORK
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Randolph Q'
PERMISSION is hereby granted to P and Susan Bardin o
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OWNER of property located at Stnna+ Snhna117r.,.Qm (Woodchuck Hill) '
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Road Street,Road or Ave. N
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. G
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1. OWNER'S Address is Moon Hill Road 1.
Lake George, New York
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2. CONTRACTOR or BU!LDERS Name
Jeff Kilmartin
3. CONTRACTOR or BUILDER'S Address
R. D. #1
Lake George, New York 0
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4. ARCHITECT'S Name O (D
Aior �•
Y(7 5. ARCHITECTS Address
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6. TYPE of Construction—(Plasse indicate by X) W
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1 I Wood Frame (. )Masonry ( )Steel (K) Log A+
7. PLANS and Specifications
28 'x36 ' per plot plan, specifications and
No. application submitted including sewage system.
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8. Proposed Use
Per 'Variance No. 820 and fite Plan �
One-Family Dwelling Review No. 3-83
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$5. 00 C/O Paid
$ 147. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES nPr•ember 1 19 83 d
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.) F.,,
Dated at the Town of Queensbury this 2 7 th Day of May 19 83
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SIGNED BY '- for the Town of Queensbury
Building s4 Zoning Inspector