building permit _ y
BUILDING PERMIT
TOWN OF QUEENSBURY b
No. 93-622 z
WARREN COUNTY, NEW YORK •
PERMISSION is hereby granted to ARTHUR AND DONNA LE MAY 00
OWNER of property located at Moon Hill Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Single Family Dwelling I"
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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
RD1 Box 468 Mud Pond Rd
Queensbury NY 12804
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2. CONTRACTOR or BUILDER'S Name
Clute Enterprises Inc .
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications 0
34 ' x40 ' Single Family Dwelling as per plot plan,
No. specifications and application including septic system.
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8. Proposed Use
Single Family Dwelling
168 . 00 October 19 94
$ 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.)
19th October 93
Dated at the Town of Queensbury this Day of 19
SIGNED BY Alajial G for the Town of Queensbury
4iiing and Zoning Inspector
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