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024 OFFICE OF THE ZONING INSPECTOR Building PERMIT NO. (� Date Issued . . . . . . . . . Octobex: .3o, .I967. . . . . . . . . . . . . . . . . .. . . . . . DateDenied . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Owner . . . Jodi 4% .911ffPra . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location . COX.. .Buena.Vista. & .Haven.Lane. LP-t A A40-Westland . . . . . . . . . . JQ4_j.&ensbuFy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of Construction - Wood frame, Mj , , sjmbix Etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proposed Use . , Dwelling. -. One Family. . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Builder . . Northern ,Homes, Inc..,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address , Hudson ,Fall?, . N.Y.. . . . . . . . . . . . . . . . . Plans and Specifications No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ApplicationNo. . . . . . . . . . . . . . .06Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . PERMISSION is hereby granted to the above owner for the con- struction of a building in accordance to application No together with plot plans and other information hereto fi and approved, and in compliance with the Town of Queensbury Zoning Ordinance. Date Building Permit Shall Expire. .May- ist. . . . . . . . . • 11R.4 Permit Fee $. . .lawoo . . . . . . . . . . . . . . . . . . . . � . . . . . . . . . . . . . . . Zoning Insp or �D£EN3D"JP\! C000ty^ New York 0:E7fice oi' tbe Zon Zospector /\�P�ICATZD� FOR A BDILDZNTG PER�NlIT Lncaz�oo uf-Proper t` /--°^— ^-5treet, or �xecuo Qo. . . . . . . . . . ~ ^ . . . . . . . . . . . . . . . . . . . . . .Filed. . . . . . . . . l9. . . . . . �lan 0o. . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . .Permit �o. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ect. . . . . . . . . . . ^ . , ~ . . . . , . . . . ~ . ^ ~ . . ^ . . ~ ~ ^ . . ^ . . . ~ . ^ ^ ` ^ . ^ ^ . ~ ^ ` ^ ^ ^ ~ ^ - ^ ^ uL yL��� �� �uildiog . . . . . . . . . . . . . . . . . . . . . . . . ����- � . _ iog LIDbe. . ��'� . . . �eet y�de. Feet Long. . �. . . . . -�����ea 5ig� � � �izuteo Cont 01. Buildiog^ ^���� ' Jse o Boildiog. . ^ . . ~ ~ .. . ~ ~ ^ ~ . . ^ ~ . ~ ~ , . ~ ^ . ^ ^ . ~ , ^ ^ . ~ ^ ~ . ^ . , ^ . . . ^ [}ther Buildings on the Premis_­s?. . . 14/�~� . ^ . , . . ^ . . . ^ - . ^ . . ~ SuiIdi�g ±o be �emol�s�*�?. . . , ^ ^ ^ ^ ^/ .:exv Construction, Repairs, jr og?. ��/ vste � �iI�i�g �ezm�t SbCAl� Exp�re. . . . . . . . . . ~ , , , ~ . . ~ . . ~ , ' . . . , ^ co_)iee OF a plot plao drawn to �caIe shoeing t`ie actual 6` n ,, - lot to be built upon, the eract size and IucaLion oo tbs buiIding and accessory b;Jil6in,�s `L-o be erected are attarbe� �ppIic�tion. uodel_-sigomd hereby a�zees to comply in the said oonstrcctico wich a [l the provisions of tbe Zonlog Orjirance as adopted, nf the 7ov:r� of eeos6ury. /I-- permit is granted it will be oo con.ditioo that building or al- �era1�oos sbaII be �nmpIeted at date to be �ixed by Zoning Inspector, and it' not so completed permit shall be revuked �y �im. \ BB��RXS: , , , , , , , , ~ , , ~ ^ ^ ~ , , , , ^ , , ^ , , ~ ^ ~ . ^ ^ ^ . ~ ~ , , , , , , , ^ , ^ , , , ~ , . , ~ , , , , ^ ^ , , ` ^ ^ ^ ^ ^ ^ ^ ~ ^ ~ ^ ^ ^ ^ ^ ^ ^ - ~ ^ ^ ~ ^ ^ ` ` ~ ~ ^ ~ ~ ~ ^ ` ~ ^ ^ ~ ^ ~ ^ ^ ^ ~ ^ ^ ^ ` ^ ^ ^ ^ ^ ^ ` ^ ^ ~ ^ ^ ~ ` ~ ~ ^ ^ ^ ^ ^ ^ ~ ` , . . . . . ~ . . , . . . . . ~ . . . ~ . . ^ ~ . , . . . . . , , ~ . . . ^ . . . ~ . . . . . . , . . . . , . ' . ^ . . , ' - , , ^ ^ . I hereby agree that all work and materials will be in strict con- formity with the laws governing building in this Town, and further agreo to post conspicuously a copy of the Building Permit, protected from tho w�athez, on the premisies affected . ^=�~~ ^-` ~ ^ ^ � ^ ` ^ ^ ^ ^ /^ ( 3igoature\ °' r � ^v �� ----------^------------_-___________---_ Ownez, ' v^ /Str i�e - out inappropriate Provision \ / K ' . ' 4 - BEFORE THE WORKMEN'S COMPENSATION BOARD STATE OF NEW YORK W.C.B. Case No......5.6.80.15-85............... IN THE MATTER OF THE CLAIM FOR COMPENSATION UNDER THE WORKMEN'S COMPENSATION LAW OF ThomaThomas Bombard .. ..Claitnannt, SUBPOENA DUCEs TECUM s- Bombard__._......._.....- -_��i.................................. ._. Walter E. Harwood �mploycr. THE PEOPLE OF THE STATE OF NEW YORK TO Norman C.Ferguson GRErnNG: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you appear and attend before the Workmen's Compensation Board of the State of New York, at_X rren County Municipal Building on thy- 28th day of---_October............ 196..9_., at 1:39.o'clocl: -- in the P.M Heari Room of that day, m Palt__..,.- ..._.....� to testify and give evidence in a certain hearing then and there to be held in the matter of the claim for compensation of Thomas Bombard Walter Harwood claimant, against..._..._............................._......._.........--------------................_........... employer, Oa the part of• Workmen' s Compensation.Board. _........................................._....... , AND THAT YOU BRING WITH YOU,and then and there produce All .Blue Prints & Analicatiq� 4r_...Ba�iilSi .xlg._ exmi# .. ....e4p3t- Q '...Qxjgjril._.BuildiriZ__Ermt #024 issued-to-Jobn---R..C1iffAr.d an--10/3Q/67_........................................_.............................._............._. and all records,x-rays and medical reports which you have in your custody or power concerning the premises. AND FOR A FAILURE TO ATTEND, you will be deemed guilty of a contempt and liable to the penalties provided in Section 119 of the Workmen's Compensation Law and Section 2308 of the Civil Practice Law and Rules. WITNESS:THE WORKMEN'S COnsPEN TION BOARD OF THE STATE OF NEW YORK, at— New York, the__ j day of r) ____,one thousand nine hundredU.._. :...._......... _ _..............� ................................... ........................... C-26 D.T. (7-63) BEFORE THE WORKMEN'S COMPENSATION BOARD *TATE OF NEW YORK W.C.B. Case No..........................._�_._ IN THE MATTER OF THE. CLAIM FOR COMPENSATION UNDER THE WORKMEN'S COMPENSATION LAW OF .......................................................................................... ClaimalLt, against ........................................-----------........._......---------..................................._......_.Employer. STATE OF NEW YORK, --- _ COUNTYOF...._........_................................................_._..._. ss.: CITYOF....-......................._...--..._......_................ .......-............._..........._......._.............................................................................................................................., being duly sworn,says:that he is over the age of twenty-one years; that on the.................................day of.........................................................................._..._..._._, 19 _._..._, he served foregoing subpoena daces tecum upon............................................................................................................................................................. ....... . ...... ................ ........... -....-................................................................-................-............................_............_.........--------------......----......_.__....._.......------..._.....---........................... ............................................................................................................................_................................................_.................. ..............._....._......._._._........................---................ thewitness therein named, at..............._.....__..._.._.......__.. _._..__...__........_...._..._................. __.._......._......_._....................-....._. ('Place of Service) by delivering to and leaving with him personally a true copy thereof,and at the same time and place exhibiting tohim the original with the signature of--............._....._................................_.._......._......_..............__...____ ...._.----..._..---__....._._._................. thereto subscribed, and paying to him the sum of...__.__....._.......................................___ ___r _.-as fee for his attendance; that he knew the person so served to be the individual mentioned and described in said subpoena duces tecum as the person to whom subpoena was addressed. Sworn to before me this............................_..._day of......................................................................... 19 ...._...... .................................................---................................_...._..........-..... _._� Notary Public Commissioner of Deeds C-26 D.T. (7-63) Reverse Side 'Rq.• .. , ... :.-. ,. t 4 .. .. X. _ A . ... .. _ vr: .. .:. ... - • '.. .. .. ..- 3.. , . ::- .... ... .. ... Yam. -. ... .... ... 5.,�� ...i .. , f. a .. .. _. - .S n . °iI(. x > ' : .. ,.. R i a i J G H N CLI FFOR D f DAWN CLIFFORD � LOT � 4 rJ WESrc.AN� t' Apppa.,OVED I aF c?uEFt�sj3v v , S r A i' E OP YORK o 6 SU& i DING & ZONING INSP OR TOWN OF QUEENSO F, 0