147 OFFICE OF THE ZONING INSPECTOR
Building PERMIT NO. / 7
Date Issued. . . . . . . . . . • . . • • . e o .o o 0 0 00
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row
Date Denied . e . . . . . . e . ebeeeaeeoee . ee . ceeeeeae• • . e . ee . eee .. • eeee . . C"
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Owner • O O o 0 e . o p 0 0 0 e o 0 N 0 0 0 0 4 0 e 0 0 e 00000000 0 0 0 0 . O b 0 0 0 0 e . 00 0 00
Address . a e . . Mi ,esotae Aven.ue.�e W.e Gile s. Falls�. N.Y. a 0 . . . . e a e a e e
Location .. . . . . . . .
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Type of Construction - Wood frame, , , . . ee00eee00
• • O O.e e . . o 0 0 e 0 0 013 e e 0 0 0 0 e • 0 0 0 0 0 0 0 0 0 0 0 . o e 0 e a 0 0 . e 0 0 0 0 00 e 0• a e a . 0 0 . 0 e 0 0
Proposed Use Additional livin�Js�mce Oe . . eQa . • e . . . e . a , . . e . ae . e . . .
Architect . . . . . . . . 000eeee• eaaoee0eea . 00 . a0a00a00aaa . a0000eo0000a0
Address • O . . . . . . . .
J O O e 0 0 g O o O D e 0 0 0 0 . O 0 .• 0 0 0 0 0 0 • • • • 0 0 0 0 0 . • 0 0 . 0 0 0 0 0 0
Bui ld er . O o O e 0 * 0 & 0 0 0 0 0 0 0 0 0 0 O a • ^A • O • O O O O O O e a O • 00 0 0 0 0 0 • • O • O O O e . • O
Address o O o o . . . O e 0 0 0 o e o 0 0 . 0 0 0 0 e o 0 . • • • 0 0 0 0 0 . . 0 0 . 0 0 0 0 0 0 0 . • O o 0 0 0 0 0 0 .
Plans and Specifications No. . . . . . . . . . . . . . . . . . . . . . . . . ea . eeaceee
Application No. . . . . . . . . . a . . . o . . e . e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERKiISSION is hereby granted to the above owner for the construc-
tion of a building in accordance to application No. . . . . . . . . . e . a .
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 ae . December alI . . . . . . . . . . . 19 68
Permit Fee $. . .MM 2%QO. a
yo-"4�� 04 Y/
0 0 0 0 0 0 e 0 e e 0 0 0 a e 0 O O e 0 u 0 0 a a a
Zoning Inspe r
Form # 4
TOWN OF QUEENSBURY
Warren County, New York
Office of the Zoning Inspector
i 9"1
APPLICATION FOR A BUILDING PERMIT
Location of P rope rty�,�- y,�;�,i.. . . .Road, Street, or Avenue
Application No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed. . . . . . . . . 19. . . . . .
Plan No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Permit No. . . . . . . . . . . . .
O,,vn e r.
Architect. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pui1der. h) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . .
Type of Building. ✓::- .r.�r. : . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . .
S .C..
Eu i.ldfn"g to be. . . . ... . .Feet Wide. . ./. P. . . . .Feet L n . . . . / . .Stories High
E s t i a trff ed Cost of Building. .-
Proposed Use of Building. ea Ar -i�- . . : . . .0ru. . age
Are There Any Other Buildings on the Premises?.7s,•rc�:: u4, N.
Is Any Existing Building to be Demolished?. .,�_. . . . . . . . . . . . . . . . . . . . . . . . . . .
Is the Work New Construction, Repairs, or Remodeling?.).-uu ., a,:-�c� �
Date Building Permit Shall Expire. . ."- .. . . . . . . . . . . . . . . . . . . 19.4 .F'
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 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
Cueensbury.
(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 building in this Town, and further agree
to post conspicuously a copy of the Building Permit, protected from the
weather, on the premisies affected.
(Signature)
U
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Owner, r^ -nor, ec
(-Strike out inappropriate Provision)
Th�S � S �r a Sm2�/�G�L✓> ,�%o�
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