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TOWN OF QUEENSBURY Warren County, New York Office of the Zoning Inspector d Building Permit NO. 3 5 c' Date Issued MARCH 21+ , 1969 z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date Denied. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . Owner. . . . . . . . . . . . . RTCHARD �C: VAN DUSLN .JR:WES . . . . . . . . . . . . . . . . . Owner' s Address . . . . . .. MOUNTAIN ROAD . . . . . . . . . . . . . . . . . . . . . . . GLENS FALLS, N.Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location. . . . . . . . . . .EAST SIDE OF .WEST MOUNTAIN ROAD . , . . , . . . . TOWN OF QUEENSBURY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of Construction - Wood frame, Masonry, Steel, etc. . . . . . WOOD FRAME ( 8X12 ft. addition to Garage ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . Pr op o s e d. U s e. . . . . . Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Architect. . . . . . . . . OWNER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OWNER Builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . Plans and Specifications No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PERMISSION is hereby granted to the above owner for the con- struction of a building in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Zoning Ordinance. Date Building Permit Shall Expire. . . . MARCH .31'. . . . . . . . .19.7.0 . Permit Fee $. 2.00 GAG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building and Zonipg Inspector TOWN OF QUEENSBURY Warren County, New York Office of the Zoning Inspector APPLICATION FOR A BUILDING PERMIT Location of P'roperty.G:Y.�cJ�l. ✓.4Q"�?Q: • . .Road Street or Avenue Owner' s Name and l�r���"U vim/) �$�j� /;,' Address , r, 12 Architect' s Name and Address .-r:' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Builder' s Name and Address .-�a-: . . . . . . . . . . . . . . . . . . . r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of Building ) ( )MasonrT Wood Frame ( ) Metal yP (check h e ce c k on e . . . . . . . . . . //.40 . . . . . . . . . . . . . . . ./. . . . . . . . . . . . . . Building to be . . . .�-,� . . . .F et Wide. . {.!�; . . . .Feet Long. . Stories High �"O0 �a Estimated Cost of Buildin . . . . Proposed U s e of Building, . . . . . . 00 ;, , ,�✓�0 0 0 0 . • • • • •• •• • • • . . . Are There Any Other Buildings on the Premises?. . . .. . . . . . . . . , 0 . . 0 . . Is Any Existing Building to be Demolished? . . 0 . . . . . . , 0 0 0 0 0 0 0 0 0 0 0 . * • • • New Construction ( ) Repairs ( ) Remodeling Is the Work ( check one) . Y.': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Three copies of a plot plan drawn to scale showing the actual dimen- sions of the lot to be built upon, the exact size and location on the lot of the building aid 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 Queensbury. (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 buildin in this Town, and further agree to post conspicuously a copy of the B ng Permit, protected from the weather, on the premises affected. TOWN OF 01L _-tN�3URY (Signature) 00 APPROVED M' ,l 21 1963 DATED MA A.M. P.M. 71$1?1 g11��1I2I3I4)5I6 . . .`. O or Agent (StriDNI7t. G�� Provision) Date Filed �- � 19 6�