204 OFFICE OF 'THE ZONING MiPECTOR
Building PERMI''A No; 204
Date Issued AugUst, 23, ..19.6a
W
Date Denied cn
Owner
Add ss ,?4I gartfppa. Ave,. Qjens, Fallsr X.M.,
re � — j
--West, side, gf, We,,s.t. Xpuntaia Road.,, .Qu"hzbury.
truc �-'&ori Wood f rime,
Dwelling
Rodney Stevenson.
Ridge Road Glens Falls, N.Y,.
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At)pr:,,7-;ied, iind ln ' 0,wv! 4 ,af)?:e wl -h #..he ow', (,,`Ueeslsb4%ry Zo r!i r,
'ire August
31
10.00
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TOWN OF QUEENSSU►<Y Form. # 4
0DVE 0
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AUG 191968 TOWD OF QUEENSBURY
A.M. P.M- warren Co :nty, flew York
71Wi1WA12MMMW
Office of the Zoning Inspector
ADPLICATION FOR A BUILM t PERM
Location of Property L..IE.;; e. • e •Road, Street, or Avenue
A o. . . . . . . . .. .. .. .. . . . . . .. . .•.... .. .Filed e` •. . . eig h-..
w. . a o o • o c . • .e ♦• .• ••. •• e e. o ♦• ♦. •a e. .• . s• • • s
,,,'Owner /�1` '� � i S pw � * 0066
A3'T,t t 041oQ40940600 • •%•/�e•o •. O+• e��•`•o . • .r •• pee • • •• • •Ao •o •+ e. ..o •Ao• se • e
Builder . . ifi(at •e • •oo •e • • • *• �r.`• , q •o • • ••. e• oo •+ •• •e • es • •. • •• sos• eoo
Type of Building ... t. �.�.:':''i:Sr. . .. • ,. .. . • ... . . . . ... . . ..e . . ... . . . .. . .o
Building to be.;...+'oZ.(,. . • .Feet .,• ? . •Feet Long. .. .. ..Stories High
Estirr:ated .Cost of Building . . . .. ,• :. a. . .:. .. . ... . :. ... .. ... .. . . .. .
Proposed Use of Building . ✓.T:.' .`- -:::. . . ... . . . . . . ..e. .. .. ... ..... . .e .
Are there, Any Cthex- A>uildings on the -Premises? . ./.��. 0 a . 0 a 0 0 ,.. +. • •• ..
Is any Existing- nuilding to be Lemolished? . . .. . . �.. ,, .... . .+ . . .e •+.
Is the Work New Cons,,-ruction, Repairs, or Remodeling? .,16.:5'?1..... . . .. .
Late building Permit Shall Expire ..... . •e.. .e .. . . .. .. . . . .. . ..19e... .
Three codes of a plot plan drawn to scale showing the actual" di-men-
sions of the lot to be built upon, the exact site and location on the
lot of the building; and accessory. buiidings to be erected are attached
to this application.
!`he undersigned hereby agrees' to comply in the said construction with
all the provisions of the Zoning Ordinance as adopted,. of the. Town of
Queensburya..
(If permit is gra--ted it will be on condition that building or al-
ter, tions shall be completed at date to be fixed by Zoning Inspector,
and if not so completed permit shall be revoked by him. )
RI'ARKS: .. . . . . . . . . . . Y O . . . Y • Y w • •• • ! . 000 • • . 0 O Y • • • • • •• e • O. • • • .• . C .. •• o
• o o • • • • u a o • • • • • i • • • • o • • e • • • • • • • • • • • •.•.P• • • i • O• • • • • • • • • O O • . Y • o •e . Y • • ♦ • •O
O • •• • e • • • •• •• • e • • • • • • o • • • e •• e. • • • • • • • •.e • • • o • e • • • • ♦ r • • • U•• •, . . o ♦.• • . • • • • •
` I hereby agree that all work and materials will be in strict con-
fromity with the laws governinf7 building; iz. this Town, and further agree
to post conspicuously a copy of the Building Permit, protected fror the
weather on the premises affected.
no -7. . . . . . .
6xrr&r--, Contractor; ' 1j;6;!Wt sue_o -Agent ---
����'"�/ (Strike out inaooropriate Provision)