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1075 BUILDING PERMIT TOWN OF QUEENSBURY No. 107 5 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Thomas & Sylvia Dougher OWNER of property located at Sunnvside Fist Street, Road or Ave. in the Town of Queensbury,To Construct or place a Onip fa>e 1 y 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'S Address is Sunnyside East Glens Falls, N.Y. 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications No. 28' X 48' as per plot plan. 8. Proposed Use Dwelling $10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1� 1971 (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 Qu nsbury this 31 Day of December 19 70 SIGNED BY for the Town of Queensbury BuiFWand Zoning Inspector CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 8-24- 197I. This is to certify that work requested to be done as shown by Permit No. 107 5 has been completed. This structure may 6 occupied as a One-Family Dwelling Location East Sunnyside Road Owner Thomas and Sylvia Dougher, By Order Town Board TOWN OF QUEENSBURY Building Zoning Inspector