1987-640 BUILDING PERMIT �
TOWN OF QUEENSBURY
No. 87-640 z
WARREN COUNTY, NEW YORK �
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PERMISSION is hereby granted to William Baldwin w
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OWNER of property located at Ridge Knolls North Road Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a One-Family dwelling
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'SAddresais 23 Beech St.
Hudson Falls, N. Y. 12830
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2. CONTRACTOR or BUILDERS Name
Robert Bergman
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3. CONTRACTOR or BUILDERS Address
32 Lincoln St.
Hudson Falls, N. Y.
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—Misses indicate by X) O
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(xl Wood Frame ( )Masonry ( 1 Steel ( ►
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7. PLANS and Specifications a.
No. 72' x 28 ' per plot plan, specifications and application, including
septic system, driveway permit and two car attached garage.
8. Proposed Use
One-Family Dwelling `l
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$5.00 C/O
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$ 178.00 PERMIT FEE PAID-THIS PERMIT EXPIRES 19
(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.) M
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Dated at the Town of Queensbury this 23rd Day of Sept. 19 87
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SIGNED BY �7,e4A g,lle� for the Town of Queensbury
Building and Zoning inspector �/�