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127 OFFICE OF THE ZONDIG INSPIEC.,MR DiA 'Iding PEP1411r No" Uate Isaijed Nay� .7. .196Z DAte Denied ("Nniez, 1 -1 9 . 0 a 0 11 . c, , - FreAe-r.Ack X, jjay Add mess Road . Location Town of Queensbury, Easy Street -7� o-t, O e- o 3 c, q o 0 a 5 .0 0 0 O u 0 a 3 d 9 b 6 I T,yT)e of Construction Wood frame-, Proposed Use Acidress Colony Homes -RuIlder .A.4dress Roa c mown qqee bu r y 111ans and Spet if Icat Ions No. _ ., . , Application No. . 5 2 0 .7p PERMISSION Is hereby granted to the above awrier for the con- st-,muction of, a building in accordance to Application No t,igether with plot plans and other information hereto ;`Mle - and approved, and in compliance with the Tcr,;n of (Neensbury ..'CrIlAnp, Ordinance, �)ate Bui"Ld'Ang Permit Shall E..Tire December 10.00 Permit Fee Zoning Inspecti Form # 4 TOWN OF QUEENSBURY Warren County, New York Office of the Zoning Inspector APPLICATION FOR A BUILDING PERMITa.S Location of Property. . ::. . . . . , . . .Road • sY • • S�. . , Street, r o_ Avenue Application No. . . . . . . . . . . .Filed. . . . . . . . . 19. . . . . . Plan No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Permit No. . . . Owner. . . . ,<. �'�.�:�:%:/T. . . '. .�'� . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . Architect. . . . . Builder. . . . 4.:° n.>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of Building. .,l:?�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Luilding to be. . .-z (.f. . .Feet Wide. . -,A.i3. . . .Feet Long. . . ./, , , .Stories High Estimated Cost of Building. . . . 10'.a,aC', , , , , . . Proposed Use of Building. . . . . U� . . . . . . . . . . . . . Are There Any Other Buildings on the Premises?. . .A�, , , , , , , , , , , , , , , , , , , , Is Any Existing Building to be Demolished? ,�v, , , , , , , Is the Work New Construction, Repairs, dr Remodeling?. . . . .AVA4; , , , , , , , , , Date Building Permit Shall Expire. . . . . ,V. fJ:! . , , , , . , , , , , , , , , , , , , , 19. . . Three copies of a plot plan drawn to scale showing the actual dimen- s ons of the lot to be built upon, the exact size and location on the lot of the building and accessory buildings to be erected are attached to this application. The undersigned hereby agrees to comply in the said construction with all the provisions of the Zoning Ordinance as adopted, of the Town of Cueensbury. (If permit is granted it will be on condition that building or al- terations shall be completed at date to be fixed by Zoning Inspector, and if not so completed permit shall be revoked by him. ) REMARKS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I hereby agree that all work and materials will be in strict con- formity with the laws governing building in this Town, and further agree to post conspicuously a copy of the Building Permit, protected from the weather, on the premisies affected. UEENSE3U Ry /7 TOWN O� Q D d . . . . . . . . . . . . . . . . . . . . . . . . . . D ( i.gnature) r' �9a PLAY 08 P.M. A.M. 7IgIg�10�11�12�1�2�3�4�5�6 �- Owner, Contractor, Architect or Agent (Strike out inappropriate Provision) N