8263 BUILDING PERMIT
TOWN OF QUEENSBURY
No. R 2I ,A ;
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Valente Builders, Inc.
OWNER of property located at Lot 2. Country Club Road
Street,Road or Ave.
Country Club Manor Su ivision o
in the Town of Queensbury,To Constructor place acne-Family Dwelling �
at the above location in accordance to application together with plot plans and other information hereto filed and 0
approved and in compliance with the Town of aueensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
Box 167
Lake Luzerne, New York
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2. CONTRACTOR or BUILDERS Name A
same
3. CONTRACTOR or BUILDER'S Address
same
4. ARCHITECTS Name
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on rt
5. ARCHITECTS Address
PF 0
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6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( 1 Masonry 1 1 Steel
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7. PLANS and Specifications O
26 tx64 t per plot plan, specifications and � 0
No. En application submitted including two-car attached Q,
garage and sewage system.
8. Proposed Use N, t
One-Family Dwelling :N,
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$5. 00 C/O Paid tl M
164. 00
$ PERMIT FEE PAID-THIS PERMIT EXPIRES ,July 1 fg 84
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I~;
town of Queensbury before the expiration date.)
*C
Dated at the Town of Queensbury this 5th Day of December 1983 g
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SIGNED BY G , /�
�"'�`-.��� for the Town of Queensbury N
Building and Zoning Inspector