8616 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8616
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Richard and Patricia R e
OWNER of property located at Cormus Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling
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at the above ration in accordance to application together with plot plans and other information hereto filed and -� D"
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address isRD 2
Fort Edward, New York 12828
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2. CONTRACTOR or BUILDERS Name �}
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3. CONTRACTOR or BUILDERS Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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1 Wood Frame ( )Masonry ( )Stool ( ) O
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7. PLANS and Specifications
No. 60'x36' per plot plan, -specifications and application
submitted including two-car garage (under) and sedge
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8. Proposed Use
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One-Family Dwelling M
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$5. 0000- Paid
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$136. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 1 1g 85 &4
(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.) :C
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Dated at the Town of Queensbury this 3rd Day of July 1984
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SIGNED BY for the Town of Queensbury
Building and Zoning Inspector