7896 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No._ 7g9f;
PERMISSION is hereby Walter Dambek �r
y granted to
OWNER of property located at Pinewood Road Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a One-Family Dwelling'
at the above location in accordance to a C
pplication together with plot plans and other information hereto filed and
approved and in compliance with the Torn of Queensbury Building and Zoning Ordinance.
I. OWNERS Address is Lake Shore Drive
Lake George, New York
2. CONTRACTOR or BUILDERS Name
Robert B. Rickard Cont. Co. Inc.
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3. CONTRACTOR or BUILDERS Address '
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E
122 Circular St. o
Saratoga, N. Y.
4. ARCHITECT'S Name 0
W
a
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by:X)
( 3t Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Speciflations O
24'x38 ' per plot plan, specifications and
No. application submitted including sewage system.
8. Proposed Use
One-Family Dwelling d
m
$5. 00 C/O Paid
$ 70. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 84
tic
(If a longer period is required an applicati n for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expir*tion date.►
Dated at the Town of Queensbury this Day of June 19 83
�
SIGNED BY
2� for the Town of Queensbury
iI ing and Zoning Inspec
.ten:, r :n•�..:'�" _ ..
C/O Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 18 1983 '
This is to certify that work requested to be done as shown by Permit No. 7896
has been completed.
This structure may be occupied as a one—Family Dwelling
Location Pinewood Rolad
Owner Walter Domlalek
By Order Town Board
TOWN OF QUEENSBURY
Building I Mming�pe,mr
CREATIVE "INSTA PRINTING GLENS FALLS N V IZ�pI SIt�797•l SS9
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