8769 BUILDING PERMIT
TOWN OF QUEENSBURY No. R7.69
WARREN COUNTY, NEW YORK ,
PERMISSION is hereby granted to Thomas J. Derecko, Jr.
OWNER of property located at 3 Z ena s Drive Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and H
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'SAddressis 3 Zenas Drive
Glens Falls, New York
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2. CONTRACTOR or BUI LDER'S Name M
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3. CONTRACTOR or BUILDERS Address y
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Same
4. ARCHITECT'S Name
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5. ARCHITECTS Address M
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6. TYPE of Construction—(Please indicate by X)
()d Wood Frame 1 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications
No. 24'x22' per plot plan, specifications and application
submitted.
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8. Proposed Use a
One-Family Dwelling (additional living area)
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$5. 00 C/O Paid o
$ 20. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 ,19 85
(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.) P) M
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Dated at the Town of Queensbury this 19 th Day of Se tember _19 84
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SIGNED BY ` �• �.� for the Town of Queensbury
Building and Zoning Inspector