8143 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8143
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Don Maynard -`
OWNER of C
property located at Helen Drive and Dixon Road Street,Road or Ave. 0
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.
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1. OWNER'S Address is 15 HELEN Drive
Glens Falls, New York
2. CONTRACTOR or BUI LDER'S Name
Satre
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3. CONTRACTOR or BUILDERS Address I"'
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Same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address C7
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6. TYPE of Construction—(Plasse indicate by X)
()0 Wood Frame 1 I Masonry ( )Steel ( )
7. PLANS and Specifications
361x37' dwelling, 22'x28t two-car attached garage
No. per plot plan, specifications and application
submitted including sewage system.
B. Proposed Use
One-Family Dwelling
to
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$5. 00 C/O Paid
$178. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 84 N
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) d
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Dated at the Town of Queensbury this 6th Day of October 1�0 3 1.,4
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SIGNED BY C for the Town of Queensbury `A
Bulfding and Zoning Inspector
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THE NEW YORK BOARD. OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
(—Vf 41 STATE STREET,ALBANY.NEW YORK 12207 m 'n
Date April 2. 1984 Application No.onfile 038771-83
ASI-0772
THIS CERTIFIES THAT
only the electrical equipment as dweribed below and introduced by the applicant nomad on the obawP wppReation number in thep ulow a/g
Don F. Maynard, Helen Drive, Qveensbary, New York
`- in the following location; A Basement [!I 1st Fl. [3 2nd Fl.Outside Section Block Lot 63
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was examined on 3/ 21/84 and found to be in compliance with the requirements of this Band.
NtAl w nuomew AMT. K.W. AMT. K.W. AMT. K W.. AMT. K.w.. AMT.
1 RXIIJI E ACLES SWITCHESRANONS OEd(S
OUTLETS
�= 26 56 22 22 f 4 3 FR
OWNS RMNAO M010115 1LITUEE ANWAWCE lEE6EES ALEEC'" T"C ft" ML 1,iWHGATElS A"T40LITINT
° AMT. K.W. Olt M.P. ETAS M.P. t f ff O. AMT. AMP. AMT. AMPS. TRAM. AMT. M.P. NO.OF FEET AA►T. WATTS
1 yer 110
SiM ma 0ISG01 = 11O.OF S LC E It. Y 1 C E
r AMT. AMP. TYPE Ep11N 10 2W 1/SW SAX 3W 2,r aW NO-�4CICO"°' Ors NM OF MIAW A W. No.OF NEUTR/ttS w• '�
1 200 CB 1 X 4/0 l 2/Ei
OTM ARARATM
2-15 amps GPI Breaker INSP +'CTION F PAID '
Smoke Detectors .�
Elec. Heaters: 8-1.0kwj 6-.75kV
Don F. Maynard
Helen Drive
Glens Falls, Now York 12801 39
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COSY FOR IUt tl1i .TF tFICATE A!
MANNER.
C/o Paid.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 3 0 19 _V
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a On a—Pat i l y Dwellinet
Location Helen Drive and Dixon Road
Owner Don Maynard
By Order Town Board
TOWN OF QUEENSBURY
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Building dt Zoning Inspector
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