1658 BUILDING PERMIT
TOWN OF QUEENSBURY
No. _ 16,5 cq
WARREN COUNTY, NEW YORK d
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PERMISSION is hereby granted to Donald d ay Q,
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OWNER of property located at Mnrg;;n Dri-\rp Lot, 1 h Street, Road or Ave.
in the Town of Queensbury,To Construct or place a DwP 1 1 i nQ-S ewaq e Sit em
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
Homestead Trailor Pk.
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Owner
3. CONTRACTOR or BUILDER'S Address
Owner
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry I ►Steel ( ) O
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7. PLANS and Specifications
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No- 28IX781 as per plot plans and specifications submitted enc.
sewage system.
8. Proposed Use
One-Family Dwelling-2 car attached garage sewage system
$50 .00
YMM PERMIT FEE PAID—THIS PERMIT EXPIRES 11_1 _ 19--Y 2
(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 7 Day of April 19 72
YSIGNED BY for the Town of Queensbury
Building and Zoning I ctor
p/() Pd.
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. 1658
has been completed.
This structure may be occupied as a On e"F a mi 3.y Dwe 1.1.i n q
Location -Morgan Drive Lotj_6
Owner Donald C.- Gray
By Order Town Board
TOWN OF QUEENSBURY
Building & Zo ng Inspector
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