8690 BUILDING PERMIT
TOWN OF QUEENSBURY No 8690
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert S. and V oni .a Ra tpa cca
OWNER of property located at Dawn Road and Eisenhower Ave.
Street,Road or Ave. O
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One-Family Dwelling M
in the Town of Queensbury,To Construct or'!place a H
at the above location in accordance to apOlication 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.D. #4 Merritt Road �
Glens Falls, New York
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2. CONTRACTOR or BUI LDERS Name O
Same
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3. CONTRACTOR or BUILDERS Address
Same W
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4. ARCHITECT'S Name ato
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5. ARCHITECTS Address
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6. TYPE of Construction—(Please indicate by X)
( Wood Frame ( 1 Masonry ( )Steel ( 1 �
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7. PLANS and Specifications
44 'x24 ' per plot plan, specifications and Q,
No. application submitted including sewage system. M
8. Proposed Use M
One-Family Dvd.ling
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$5. 00 C/O Paid
77. 00
$ PERMIT FEE PAID-:THIS PERMIT EXPIRES " March 1 19 85 m
(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.)
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Dated at the Town of Queensbury this 14th Day of Auciust 19 84 is
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SIGNED BY U. hJ for the Town of Queensbury
Building and Zoning Inspector H.
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