building permit •
BUILDING PERMIT
TOWN OF QUEENSBURY 8365
No.
WARREN COUNTY, NEW YORK
•
•
PERMISSION is hereby granted to Romain Paulin -
OWNER of property located at •
Lot 16 Z ena S Drive (St. No. 19) Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling o—
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'S Address is RD #l Route 67
Mechanicville, New York 12118
H.
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2. CONTRACTOR or BUI LDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
cotes
same -
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4. ARCHITECT'S Name
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En
5. ARCHITECT'S Address ti
4 m
6. TYPE of Construction—(Please indicate by X) TA
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(x)Wood Frame ( ) Masonry ( )Steel ( )
0
7. PLANS and Specifications
68 'x26 ' - per plot plan, specifications and H
No. application submitted including two-car
attached garage and sewage system.
8. Proposed Use ;
One-Family Dwelling
0
$5. 00 C/O Paid
1
$143 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 1984
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 5
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 29th Day of March 19 84
SIGNED BY ata 9er - for the Town of Queensbury 11)
Building and Zoning Inspector F~,. II