8050 BUILDING PERMIT
TOWN Of QUEENSBURY No. 8050
WARREN COUNTY, NEW YORK
caa-1
3
PERMISSION is hereby granted to Jazzes W. and Susan Z• Mooney
rA
OWNER of property located at O,1 e3rprda 1 e RnaA Street,Road or Ave.
in the Town of Queensbury,To Construct or place a QnA__Fa M_'1 v_ 1 7 i n!Q
at the above location in accordance to application together with plot plats and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. p
Or
A®
1. OWNERS Address is Box 234
Cleverdale, New York N
0
2. CONTRACTOR or BUILDERS Name 0
Edward P. Carr, Jr.
3. CONTRACTOR or BUILDERS Address
Box 244B RD #1
Lake George, New York
4. ARCHITECTS Noma n
F�
(D
C
tD
5. ARCHITECTS Address p+
a
6. TYPE of Construction—(Please indicate by X) d
(X)Wood Frame 1 1 Masonry ( 1 Steel 1 )
7. PLANS and Specifications
541x40' per plot plan, specifications and application
No. submitted including septic system and 20'x22' two-car
diallingto be rgMoyed.
s. Proposed Use Per Variance No. ell granted 3-11-83. �
M
I
One-Family Dwelling.
r•
$5. 00 C/O Paid 4
$23�D<] PERMIT FEE PAID—THIS PERMIT EXPIRES March 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 0
0
town of Queensbury before the expiration date.)
1-�
Dated at the Town of Queensbury this 18th Day of )kugust 19 83
SIGNED BY _ for the Town of Queensbury
ilding and Zoning I nap
e r —
.o, A . : 'JIMt:' .t a '?0•..,0.,t�i:Y'Sxr;q-.;a ,rr .y„ ..
C/O Paid
CERTIFICATE OF OC - FANCY
TOWN Of QUEENSBURY .
WARREN COUNTY NEW Y6iK
ail
November 1 19 8 4
Date .. :.�
This is to certify that work requested to be done as shown by Permit No.
8050
has been completed.
This structure may be occupied as a One—Family Dwelling �
Location Cleverdale Road
James W. and Susan Z. MONKey
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & ning inspector
CREATIVE "INSTA'• PRINTING. GLENS FALLS, N T 12801 15181793-5658