1767 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 1767
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PERMISSION is hereby ~•granted to f;ri ffi n T timhn,- ('
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OWNER of property located at T.At #1 Ames -Place ace Street, Road or Ave. r,
in the Town of Queensbury,To Construct or place a_ DwA1 1 i na
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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. H
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1. OWNER'S Address is O
69 Pearl Street 'o
Hudson Falls, New York
2. CONTRACTOR or BUILDER'S Name
Robert Dunham
3. CONTRACTOR or BUILDER'S Address
13 Catherine Street
Gansvoort, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( Wood Frame 1 )Masonry ( )Steel ( )
7. PLANS and Specifications
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"°601X241 as per plot plans and specifications submitted enc. `+
-sewage s stem
8. Proposed Use
One-Family Dwelling two car attached garage sewage
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C/O 5.00 w
$ 56.00 PERMIT FEE PAID—THIS PERMIT EXPIRES 12-j- 19 72 a
(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 1 5 Day of May 19--72
SIGNED BY _4 w fo he Town of Queensbury
Building and Zonirg Inspector
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CERTIFICATE OF, OCCUPANC
Y
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date-11...1 6- 19 p
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This is to certify that work requested to be done as shown by Permit No. 1767
has been completed.
This structure may be occupied as a C'n f i 'a rn,11
Location I r k #1 An e s P l a c e
Owner 'rif in Lumber Company
By Order Town Board
TOWN OF QUEENSBURy.
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wilding & Oning inspector
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