8654 BUILDING PERMIT
TOWN OF C: UEENSBURY No 8654
WARREN COUNTY, NEW YORK
PERMISSION is herebya
granted to Eric and Mary Heym
OWNER of property located at Route 9L - Upper Ridge Road
Street.,Road or Ave. M
in the Town of Queensbury,To Construct or place a One—Family Dwelling �
(Modular) 0
at the above location in accordance to application to
gether ogether with plot plans and other information hereto filed and ly
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is CL03
Star Route
Glens Falls, New York In
K
k
x
Z CONTRACTOR or BUILDERS Name fD
Lamplighter Homes
3. CONTRACTOR or BUILDERS Address
R. D. #2
Fort Edward, New York
4. ARCHITECT'S Name G
rt i
M
i 5. ARCHITECTS Address
1
ci
S. TYPE of Construction—(Please indicate by X)
1 )Wood Frame ( )Masonry 1 )Steel I �t — Nodu I a one a
7. PLANS and Specifications M
24'X44 ' o
No. Pam' Plot plan, specifications and application �
submitted including sewage system and one-car garage (un er) a
8. Proposed use THE AT OF THE TWO PARTS MUST BE APPROVED BY A
LICENSED PROFESSIONAL ENGINEER.
One-Family Dwelling �
$5. 0 0 C/O ad.d }
$82. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 1 1985
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F'•town of Ousensbury before the expiration date.)
K
Dated at the Town of Queensbury this 2 6 th Day of July 19 84
M
I"SIGNED BY for the Town of Queensbury H~..
Building and Zoning inspector