8486 BUILDING PERMIT
TOWN OF QUfENSBURY
No. 8486
WARREN COUNTY, NEW YORK
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a:
PERMISSION is hereby granted to Judith Cushing
OWNER of property located at r-1 evverda 1 a Road Street,Road or Ave. 0 C
in the Town of Queensbury,To Construct or place a Addition t0 dwelling N.
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.
t. OVYNER'S Address is p. 0. Box 133 '
Cleverdale, New York �}
2. CONTRACTOR or BUILDERS Name
Dale Clothier
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3. CONTRACTOR or BUILDERS Address l
N
Lake George, . New York n
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4. ARCHITECT'S Name I-+
M
O
5. ARCHITECT'S Address
f�+
6. TYPE of Construction—(Piano indicate by X)
(XANVood Frame ( ►Masonry ( )Steel ( 1
7. PLANS and Specifications fi
addition to dwelling per plot plan, 0
No. specifications and application submitted
and Variance 827 granted 5-18-83 r
8. Proposed Use
Ones-Family Dwelling (Additional living area)
r✓
$5. 00 C/o Paid
$ 12. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 19 84 `Q
(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 expirattion date.)
Dated at the Town of Queensbury this 14th Day of May 19 84
SIGNED BY —mad a• for the Town of Queensbury
Building and Zoning inspector