1719 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1719
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Gary D.- Bowen
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OWNER of property located at Chestnut Ridne Road Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Dwelling Sewage System CJ
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
60 Webster Avenue
Glens Falls, New York
12801
2. CONTRACTOR or BUILDER'S Name
Gus LaFond
3. CONTRACTOR or BUILDER'S Address
South Glens Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X) 0
X )Wood Frame ( ) Masonry ( )Steel 1 ) N
7. PLANS and Specifications
No. 301 X821 as per plot plans and specifications submitted en
sewage system,
8. Proposed Use
One-Family Dwelling Sewage System attached garage (2) 0
M
C/O 5.00 p]o
$ 62.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 12-1— 19 72 7�
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C7
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 28 Day of April 19 72
SIGNED BY for the Town of Queensbury
Building and Zohitt rnspectQV
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C 1 .TIFT-CATE + F OCCU- FANCY
TOWN 4F QUEENSBURY
WARREN COUNTY; NEW YORK
Dare SMember 21 , 19"T
This is to certify that"work requested to be done as shown by Permit No. 1719
has been completed.
This structure may be occupied as a ONE FATAI L DIVP—LL i3G
Location CHESTNUT RIDGE ROB
Owner GAaY BOWEN
By Order Town Board
TOWN OF QUEENSBURY
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Building &,ioning inspector j
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