8644 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 8644
PERMISSION is hereby granted to Kathy Worth rr
OWNER of property located at Big Bay Road
Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling . 0
rt
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.
1. OWNERSAddressis 58h ,John St.
Hudson Falls, New York
2. CONTRACTOR or BUILDERS Name
W
Tony Jones H_
LQ
3. CONTRACTOR or BUILDERS Address Ib
William St.
Hudson Falls, New York 0
sv
4. ARCHITECT'S Name ¢'
5. ARCHITECT'S Address
6. TYPE of Construction—(Plem indicate by X)
( )Wood Frame ( ►Masonry ( )Steel
O
7. PLANS and Specification r �
M
24 x36 per plot plan, specifications and applicationIV
I
No. submitted including sewage system.
Nr
8. Proposed Use
One-Family Dwelling a
E
M
$5. 00 C/O Paid
.��
$ 77. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 1 1985 LQ
(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.)
Dated at the Town of Queensbury this 18 th Day of July - 1984
SIGNED BY ///aa Q for the Town of Queensbury
Building and Zonir,ln�ector