1690 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No 1690 7d
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PERMISSION is hereby
granted to R T, M Quality Prod Ltd
OWNER of property located at TOtt 509L. WAst 1 and Street,Road or Ave. p0�
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in the Town of Queensbury,To Construct or place a
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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.
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1. OWNER'S Address is C
37 Notre Dame Street
Glens Falls, New Yctk h
12801 CL
2. CONTRACTOR or BUILDER'S Name
Ronald J. Moss
3. CONTRACTOR or BUILDER'S Address
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37 Notre Dame Street Glens Falls. New York 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame 1 )Masonry ( )Steel
7. PLANS and Specifications
No,261X641 as per plot plans and specifications submitted enc.sewage system. r,
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8. Proposed Use C+
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One-Family Dwelling Sewage System
One Car-Garage - attached
C/O 5.00 Pd.
$ 5o'o,l PERMIT FEE PAID-THIS PERMIT EXPIRES 1 1 -1 - 19�_ y
(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.) Z
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Dated at the Town of Queensbury this 19 Day of A13ri 1 19-72—
SIGNED BY Z-2. 'a:�f 4 2 for the Town of Queensbury
Building and Zoning Fnspectopf
CERTIFICATE OF
OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No. 1690
has been completed.
This structure may be occupied as a [ LE rIVAI LY -DIVA _LV NIG
Location s-OT 509 ° '> TL1`iN
Owner .D,. A:?,"_ii'"'�"' PR0D ,T .
By Order Town Board '
TOWN OF QUEENSBURY
r°f Build' & Zoning Inspector