2107 BUILDING PERMIT
TOWN OF QUEENSBURY 0
No. 2107 '1
WARREN COUNTY, NEW YORK rrr.
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PERMISSION is hereby granted to Charles & Kai-hAri nP Cntp y
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OWNER of property located at Mornan D i vP T nt #38 Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Dwel 1 i nn Sewage Sir Ica
,stem
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
6 F. LaRose Garden
z
Glens Falls, New York 12801 m
2. CONTRACTOR or BUILDER'S Name
Easy Living Homes
3. CONTRACTOR or BUILDER'S Address
P. 0. Box 621
Glens Falls, New York 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
()Q Wood Frame ( ) Masonry ( )Steel f ►
7. PLANS and Specifications
No2318"X481 as per plot plans and specifications submitted enc.
s ewac
p system.
8. Proposed Use
THIS PERMIT IS ACCEPTED WITH THE UNDERSTANDING THAT THE p
TOWN OF QUEENSBURY IS NOT RESPONSIBLE FOR THE ROAD UNTIL :0
SUCH TIME THAT IT IS ACCEPTED. 0
Dwelling- One-Family swage System
0 5.00 0
$ PERMIT FEE PAID—THIS PERMIT EXPIRES —1,. 19 71 H
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C
town of Queensbury before the expiration date.) tTl
Dated at the Town of Qu nsbury this 5Day of�1CtOher 19�Z
SIGNED BY for a Town of Queensbury
Building and Zoning Inspector
G l �3 iJ f
CERTIFICATE QF QCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
72
Date 20, 19
This is to certify that work requested to be done as shown by Permit No. 107
has been completed
This structure may be occupied
Location `l.orgaT-, Drive i`38
Owner Clh rles r Katherine Cot
By Order Town Board
TOWN OF QUEENSBURY
uil4ing & Zon' g Inspector
t .