2221 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 2221
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PERMISSION is hereby
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OWNER of property located at T.nt 50 R emcar„ R0;;d Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a DMIe 1 1 i' ng S ewa new SV at wm
at the above location in accordance to application together with plot plans and other information hereto filed and tr)
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t"
1. OWN R'S Address is
Northern Homes
10 LaCross Street
2. CONTRACTOR or BUILDER'S Name
Constructive Enterprises
3. CONTRACTOR or BUILDER'S Address
37 W. Notre Dame St.
Hudson Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
()Q Wood Frame ( i Masonry ( )Steel ( )
7. PLANS and Specifications
No.261X641 as per plot plans and specifications submitted enc.
sews e system.
B. Proposed use THIS ROAD WILL NOT BE MAINTAINED BY THE TOWN OF QUEENS-
BURY UNTIL THE ROAD IS ACCEPTED.
One-Family_Dwelling Sewage System M
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$ 60.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 5-1— 19 73
(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 12 Day of Decembe 19-72—
SIGNED BY r the Town of Queensbury
Building and Zoning In or
0 Pd.
CETA'T
CIF OCCUL IrINCY
TOWN OF UEENSSURY
WARREN COUNTY, NEW YORK
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pepte
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---- 19
This is to .
certify that work rtqu+ at d to be done as shown by Pernut No. 2221
has been compkt &
This strncure may be vecu •pxe d a —_ On _R z
Location L a
Owner °,F e : h 1 r (jn(•
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BY Order Town Board
TOWN OF QUEENSBURY 3
n Building & Zoning r '