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414 TOWN OF QUEENSBURY
Warren County, New York
Office of the Zoning Inspector
Building Permit NO. )+ 1 1+
Date Issued. . . . . . .Ma . . 6�.196�. .. . . . .. . . . . . . . . . . . . . . . .. . .. . .
Date Denied. . . . . . .Russell.Bi. .Maruerite�R:. Murra�*. . . . ;. . ..
41+ Horican Ave.
Owner. . .
Owners Address.. .Glens.Falls,�N.Y.�
Location. . . . . . . . . .Cleverdalej. On�Lake.Geprsp. . . . . . . .. . . . . . . .
. . . . . . . . . . . . . . . . . .Tow;1,of.Cueensb}�rY. . . . . . . . . . . .. .. . . . . . . . . .
Type of Construction - Wood frame, Masonry, Steel, etc. . . . ..
. . . . . . . . . . . . . . . . . .Wood.Frame. .. . . . . . . . .
. . . . . . . . . . .. . . . ... . . . .
Bo 6t Do Ck and t• •�� . . . . . . . 00 0 . . . . . . . 0 . . 0
Proposed Use. . . . . . . . .. .. . . . . . • . . . .
Barker & Henry
Architect. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
Glens Falls N.Y.
Address. . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
John R. Rothermel
Builder. . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address. . . . . . . . . . .Middle.Roadj .Lake.Geor;e?.N:Y:. . . . . . . . . . . .
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. . .S?Vtember� � .l� . . . . .19b9. .
Permit Fee $.2;00. . . . . . . 0
�..'S.. . . . .LeRoy Philli$s. .
Building and onipg I pee or
0 e 4-)- 1-)e C l� .
TOWN OF Ol __7N '3JRY
TOWN OF QUEENSBURY ;1
Warren County, New York R E J L ;5
Office of the Zoning Inspector f ,: y :1 196j
APPLICATION FOR A BUILDING PERMIT ��g�g,l0�lij12i1�2�3�� ,M
Location of Property. . . . . . . ��•� • � • • • • • •Road, e
Owner' s Name and . . . . . . . . . . . . . . .
Address
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Architect' s Name ZI<
and Address 4 . . . . . . . . . . . . . . . . . . . . . . . . . .
L
�,'/ ems. �`'• ��"
Builder ' s Name y�
. !C
and Address . . .).�:``.q. .��. .��. . . .�. � . . . . . . . . . . . . . . . . . . . . . . . .
I.e. o
o-;�-.V,�. . . . . . 0
y g ( )Masonry (L-�-"wood Frame ( ) Metal
Type of Building ( check one) . . . . . . . • . . . . . . .
Building to be . . . . ,o4. . . . .Feet Wide. . .,a . . .Feet Lonv. . ./• . . .Stories High
Estimated Cost of Bu i 1 d i n g• . . . . . . . . . .'. . -•� : • '• • • • • • • • • • • • • • • • • • ' •
000
Proposed U s e of Building. . . ."+ ."/. ' • • 0 • • • • ' . ' . . . . . . ' • •' ' • • ' • . . .
Are There Any Other Buildings on the Premises? . . . . . . .�e.f.-.. • • • • • • • • • • • •
Is Any Existing Building to be Demolished? . . . . . . . . . h. :0 . . . . . . . . . . . . • • •
( 4New Construction ( ) Repairs ( ) Remodeling
Is the Work ( check one) . . �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 and accessory buildin(ys 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
will
dateoto condition
fixed bythat
Zoningbuilding
lnspector,
al-
terations shall be completed at
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
Building this
Permit,�protectedtfromagthee
to post conspicuously a copy of the
weather, on the premises affected.
(Signature)
DATED—
BUILD, .� . . . . . . . . . . . . . . . . . . .
E r �� Con ractor, Arch teet ar Agent
Turd"�t1 _.. � - ,
Strike out inappropriate Provision)
Date Filed 14
c