8164 BUILDING PERMIT
TOWN OF C' UEENSQURY No. 8164
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to nan f aa1 rugrhee r G
OWNER of property located at N f- n to Street,Road or Ave.lei_.q ha—T1r iye M
in the Town of Queensbury,To Construct'pr place a Addition to dwelling (.sun roO[n) �
at the above ration 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. V
N
1. OWNER'S Address is #1
K
R.
Gleihs Falls, N. Y.
2. CONTRACTOR or BUILDERS Name
Same
3. CONTRACTOR or BUILDERS Address z
O
Same
N.
4. ARCHITECTS Name
C
K
5. ARCHITECTS Address
C
tD
6. TYPE of Construction—(Pleas indicate by
( *Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
12 t x3 q I per specifications and application
No. submitted.
8. Proposed Use
� a
One-Family Dwellingli (sun room added) H
rt
o H.
$ 10. 00 PERMIT FEE PAI —THIS PERMIT EXPIRES May 1 19rt
_$� O
(If a longer period is required an appiicati Dn for an extension must be made to the Building and Zoning inspector of the W
town of Queensbury before the expire ion date.)
M
l-�
Dated at the Town of Queensbury this Day of (]c tab -r 19__g3_—
�Q �.
SIGNED BY Q' ,�,� for the Town of Queensbury
Bui ing and Zoning Inspector