5671 w C/O Paid
CERTIFICATE C rr ANCY
TOWN OF QUMS"Ym
WARS COOK", NEW YORK
Mds is to cart* dw work eked to be done me shown by Permit No. 5671
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" s swucmm may be occupied as a Auto Dealership Sales and Service
Quaker Road
yt Walter Dombek
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By O"ier Town Bomsd
VtN OF QUEENSDURY
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CSYSATMVS "INSTA" RRMNTMO. GLUM FALLS. N T IMS 19701797-66SS
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BUILDING PERMIT
TOWN OF QUEENSBURY 5671
WARREN COUNTY, NEW YORK No.
PERMISSION is hereby granted to Walter Dombek �G��%i-r -, d
OWNER of property located at Quaker Road M
Street,Road or Ave. n
in the Town of Queensbury,To Constructor place a Auto Dealership Sales and Service 0
0
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. N
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1. OWNER'S Address is Lakeshore Drive
Lake George, N. Y. 12845
2. CONTRACTOR or BUILDERS Name
Glens Falls Insulation Co. Inc.
3. CONTRACTOR or BUILDERS Address
9 Marion Avenue
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Glens Falls, N. Y. Iv
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4. ARCHITECT'S Name ft
George Kurosaka, Jr. PE o
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5. ARCHITECT'S Address
206 Glen Street
Glens Falls, N. Y.
6. TYPE of Construction—(Please indicate by X) -
( )Wood Frame ( )Masonry ( )Steel (Xe PrP—F:nQj n Pr d Metal Building
7. PLANS and Specifications rt
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No 120 'x130 ' ± per plot plan, specifications and d
application submitted including sewage system.
8. Proposed use fD
Auto Dealership Sales and Service
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C/O Fee Paid in
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$`on 092 p EMIT FEE PAID—THIS PERMIT EXPIRES S�p�ember 1 19�9
(If a longer period is required an application for an extension must be made to the Building and Zoning in N
town of Queensbury before the expiration date.) inspector of the
Dated at the Town of Queensbury this 2 3rd Day of February 197 9 ¢'
En
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SIGNED BY
for the Town of Queensbury C
Building and Zo ing Inspector
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