8295 BUILDING PERMIT
TOWN OF QUEENSBURY
NO. 8295
WARREN COUNTY, NEW YOR,K
PERMISSION is hereby granted to -Blake e
OWNER of property located at Lot 158 PMy Ann Road Street,Road or Ave. ~
Section 4 Lane O'Pines Subdivision (D
(D -
in the Town of Queensbury,To Construct or place a One—Family Dwe7 7 fi ng °
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. r•h
(D
1. OWNER'SAddress►s Regency Park Apartments
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Gary Baker Construction
r
0
3. CONTRACTOR or BUILDER'S Address (t
Warrensburg, New York 12885 m�
n w
rt
4. ARCHITECT'S Name
o
Epic Designs/Edward Eppich a
5. ARCHITECT'S Address :3
P. 0. Box 996 w
Glens Falls, New York 00
Iv
6. TYPE of Construction—(Please indicate by X) I ¢
( xl Wood Frame ( 1 Masonry 1 )Stool ( )
n
7. PLANS and Specifications
35' 4"x26'4" dwelling, 141x241 one car attached
No. garage per plot plan, specifications and
application submitted including sewage system. rn o
8. Proposed Use 1H.
0 b
One-Family Dwelling 0
41
$5. 00 C/O Paid
$ 110. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 1 1984 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D
town of Oueensbury before the expiration date.) I ,
N
W
Dated at the Town of Queensbury this 28th Day of December . 1983
SIGNED BY du for the Town of Queensbury
Building and Zoning Inspector