1991-023/~
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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Dace February 8 19 21
Thin is to certify that work requested to be done as shown by Permit No. 91-023
has been completed.
Thia°structure may be occupied as a ~9e 8lterdtion
Locarion ~ Omen Avenue
Owner Joseph S. Dybas
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. 6c Code Enforcement
i
PERMISSION is hereby granted to JOSeph $. DybaS
OWNER of property located at 30 Owen Avenue Street, Road or Ave.
TOWN OF QUEENSBURY No. 91_023 ~.
WARREN COUNTY, NEW YORK
in the Town of Queensbury, To Construct or place a $e1MaAe Al terdtion
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
$allle
2. CONTRACTOR or BUILDERS Name
Bill Threw
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction - (Please indipte by X)
( 1 Wood Frame ( )Masonry ( 1 Steel
7. PLANS and Specifications
No. SeMage alteration as per plot plan specifications and application
to include: 2 seepage pits each 8' x 8' with #2 stone, 9' thickness
8. Proposed Use
SeMrage alteration
BUILDING PERMIT
$ 25.00 PERMIT-FEE PAlD -THIS PERMIT EXPIRES January 29, ~s 93
(If a longer period is required an application for an exteruion must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this.
Day
~s 91
SIGNED BY
Building and Zoning I
the Town of Queensbury