416 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date __ 19 —
This is to certify that work requested to be done as shown by Permit No.
416
has been completed.
This structure may be occupied as a
Dwelling
Location 1 Apple Lane
Omer Stephen Hopkins
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 1+ 1 6
WARREN COUNTY, NEW YORK
Stephen Hopkins x
PERMISSION is hereby granted to 0
'ty
1 Apple Lane x
OWNER of property located at pp Street, Road or Ave. H
y
in the Town of Queensbury,To Construct or place a
Dwelling Cn
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
2. CONTRACTOR or BUILDER'S Name
R.E. Ruggles
3. CONTRACTOR or BUILDER'S Address
5 Winerest Drive
Glens Falls, N.Y.
4. ARCHITECT'S Name
Contractor
6. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
AWood Frame ( i Masonry ( 1 Steel ( 1 New
7. PLANS and Specifications
No.
8. Proposed Use
Dwelling
$ 10,00 PERMIT FEE PAID—THIS PERMIT EXPIRES December is 1969
(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.)
Dated at the Town of Queensbury this 12th_Day of may 1969
SIGNED B for the Town of Queensbury
' ing and Zoni ctor