428 BUILDING PERMIT
TOWN OF QUEENSBURY No 4 2
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Clara E. Raffle
OWNER of property located at
Twin Channel Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a House �
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 R.F.D. # 2
Glens Falls, N.Y.
2. CONTRACTOR or BUILDER'S Name
Owner
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
Owner
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X1 Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
House will face right of way that
No. runs off of Twin Channel Road,
8. Proposed Use
Dwelling
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May It 19V
(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 20th Day of May, 19 69
SIGNED BY for the Town of Queensbury
LeRoy Phi-Yiip g B,ildinif and Zoning Inspector