1786 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1786 M
WARREN COUNTY, NEW YORK C?
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PERMISSION is hereby granted to Richard Spp tnr v
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OWNER of property located at i_ct 1 l Apple House Lane Street, Road or Ave. n
in the Town of Queensbury,To Construct or place a Dwelling
T
e System
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
62 Webster Avenue r
Glens Falls, New York
12801
2. CONTRACTOR or BUILDER'S Name
John Cifone
3. CONTRACTOR or BUILDER'S Address
89 Cooper Street
Glens Falls New Ynrk 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
►Wood Frame t 1 Masonry ( ►Steel ( ► r
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7. PLANS and Specifications
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No-241X361 as per plot plans and specifications submitted enc.
sewage system to
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8. Proposed Use
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One-Family Dwelling Sewage System
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C/O 5.00 rrnn
$_ 16„C10 PERMIT FEE PAID —THIS PERMIT EXPIRES 19 79 t,
(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 18 Day of May 19 72
SIGNED BY fo the Town of Queensbury
Building and Zoning Inspector
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CERTIFICATE C F OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 27 1972
This is to certify that work requested to be done as shown by Permit No. 1786
has been completed
This structure may be occupied as,a Cant F a m i l y Dwelling
Location L.O t 11. Apia 1 eH o u S e h.ja n e
Owner llicbard Spector
By Order Town Board
TOWN OF QUEENSBURY-•,
Building & zo t Inspector
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