1971- Res. 085BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
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No. 4-15-?1 l~¢S.~~J ~
PERMISSION is hereby granted to Howard Ronald O'SiCk
OWNER of property located at F3t~roh Road Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Mobile HOm _
at the above location in accordance to application 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
H. D. ~3 Mallory Avenue
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
3. CONTRACTOR or BUtLDERSS Address
4. ARCHITECT'S Hama
5. ARCHITECT'S Address
6. TYPE of Construction - (Please indicate by Xl
( )Wood Frama ( - Masonry ( }Steel ( {
7. PLANS and Specifications
"°• 12'X70' 1971 Burlington
8. Proposed Use
Mobile Home
$.20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES Good Until CanEeledls
(If a longer period is required an application for an extetuion must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 24 Day of June
19 71
SIGNED BY ~ for the Town of Queensbury
Building. and Z rp inspector
April 16, 1971
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TOWN OF CZUEEN~BURY
WARREN COUNTY, NEW YORK
Application for
A MOBILE HOME OUTSIDE OF A MOBILE HOME COURT
Mail or bring this application to:
Building & Zoning Department
Queensbury Town Office Building
R.D. 1 Bay Road
Glens Falls, New York 12801
This application for a Mobile Home Permit shall be
accompanied by a plot plan drawn reasonably to scale
showing all dimensions, the size ax the ~_ot, the location
on the lot of the Mobile Home, the water supply and sewage
system. If the applicant is not the owner in fee of the
premises, then the application must be accompanied by
the written acknowledged consent of the owner.
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Name of applicant
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Ad~~dress
Location of mobile home premises by street or road, etc..
Give nearest cross street
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Name of owner of land
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Owners address
4. State fully the reasons for this request y~C:
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Use extra sheets if necessary
5.
TOWN Off'
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(Applicants signature)
a.M. P. v..
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Addre s ~' ~ ~~ ~ I~~"~Gt-c°~~~ ~ '
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Description of mobile home, year, model, make, serial
~ and dimensions,L'~' ~i .-3c~ R ~ I rl G-7y'1~ ~' ~-~ep ~'~~/~'~
THIS SIDE FOR TOWN GOVERNMENT USE ONLY
Report of the investigation of Building Inspector and
recommendations.
X Approved..
Disapproved
Other : -
Recommendations:-
This area is predominantly Mobil Homes.
The lot is larger than the required size.
_ :. ,..
~~The water supply and septic system will comply with
N.Y.S. Health DepaF~tment standards. -
I recommend. approval of this application
George P. Liapes
Signed ~r:= ~~~ -,
Bui ding nspector
Action of the Town Board ,.
Approved
Disapproved
Other .-
By Resolution Number of the Town Board of the
Town of Queensbury, Warren County, New York.
Dated this day of 19
Signed
(Town Clerk, Town of Queensbury
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