7918 BUILDING PERMIT
TOWN OF QUEENSBURY No. 79113
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Arthur and Colleen Johnson
OWNER of property located at Box 471 , pj ne-0,1 n upsd Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration to Mobile Home (roof)
at the above location in accordance to application together with plot plans and other information hereto filed and y,
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. �t
r*
1. OWNER'SAddress is Box 471 pinello Road K
Glens Falls, New York w
a
2. CONTRACTOR or 81.1I LDER'S Name (�
O
same N
r
ID
M
3. CONTRACTOR or BUILDER'S Address �:l
G
same 0,
ca
4. ARCHITECT'S Name O
5. ARCHITECT'S Address
b
M
6. TYPE of Construction—(Please indicate by X) 1 J
F-'
O
(]9 Wood Frame ( )Masonry ( )steel ( 1 W
O
Iv
7. PLANS and Specifications W
new pitched roof en existing mobile hone
No. per application submitted.
8. Proposed Use
Mobile Hate Dwelling
0
tr
$10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES Jan. 1 19 84
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ta
town of Queensbury before the expiration date.) '.ti tfi
Dated at the Town of Queensbury this 21st Day of June 1%3 N rt
0 O
SIGNED BY for the Town of Queensbury O
ilding and Zoning 1 Ff1 rt
O