8713 BUILDING PERMIT
TOWN OF QUEENSBURY Na 8713
WARREN COUNTY, NEW YORK y
PERMISSION is hereby granted to
Tim Chase
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OWNER of property located at Lot 62 John Street Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One-Family Dwellings
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. OWNER'SAddressis P. 0. Box 62 t"1
Glens Falls, New York cat
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2. CONTRACTOR or BUILDERS Name
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Same O
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3. CONTRACTOR or BUILDERS Address fi
Same
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4. ARCHITECT'S Name 0
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5. ARCHITECT'S Address C
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6. TYPE of Construction—(Please indicate by X) t7'
(30 Wood Frame ( 1 Masonry ( )Steel ( 1 C
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7. PLANS and Specifications 42 'x24 ' per plot plan, specifications and 0
No. application suhmitted including sewage system. ,-
B. Proposed Use
One-Family Dwelling _ o
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$5. 00 C/O Paid.
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$ 70. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 1 19 85 N
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 23rd Day of August 19 84 >c
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SIGNED BY 'M 4- for the Town of Queensbury :�
Building and Zoning Inspector NFA= W