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251 � .r..r.. .�... .. ....�... ...,,ram: ,._.......»....... OFFICE OF THE ZONING INSPECTORI Building PERMIT NO. 2 T ; October 15, 1,968 Date Issued . . . .. . . . . . . . . . . . . . . .. . . . .. .. . . . . . . . . . . . . Date Denied . . . . . . . . Owner . . . . . .. . .�YVL: q .JJQTJ. . . . . . . . . . :. . . .:. :. . West side of Burch Road j Address Location .,'. , ,j jTV. as .above. . . . . . . . . . . . :.1:. . . .. . . . . .. . . . . k • Type of Construction Wood frame, � � . .. . . . . Proposed Use Dwelling ,space.. . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . i Architect . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . { Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .: . . .. . . . . . . . Raymond Earl Potter Builder . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . :. . . . . . . . . . .. . . . .Address . . . . . . . . . . . .. . . . . . . .. . .. . . . .. . . . . . cws i Plans and Specifications No. . . . . . . . . . . . . . . .'. . . . ... . . . . . . . . . Application No."'. . . . .. . . . . 0 . . . . . .'. . . . . . . . . . .. . . . . . . . . . . . . . . . I ' PERMISSION is hereby granted to the above owner for the con i struction of a building in accordance to application No 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. . .�IarjzJ'1 .31 . . . . . . .19. b.9. . 2.00 Permit Fee $.. . . . . . . . : . . .. Zoning Ins rx ..N ._....:-..M,...-w,...... .,�„am.-...,....Yr••..,4M,+.rwin•sr.�..y,.�'...«..,�,..q+...,.+. ....-a.,w�r�.w�e•*n+..w,«tt.;.:"'S e�wo*:.ea•w*nr,.»�m.••,y!•x.r>•a�c�.,..m �.,pme�rt yww.,sh..+a•.*:nor•••.f�ne.:..,.. *",.M.'y*. .. Fo.. 4 " TOWN OF QUEENSBURY Warren County, New York Office of the Zoning Inspector APPLICATION FOR A BUILDING PERMIT West Location of Property. . . . . . side of ,Burch. Road• . . .Road, X30WWX UUU . . . . . . . . . . . . . . . . . . . . . . . . . . . .FFiled. . . . . . . . . 19.( dl" . . XD��1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PAX . . . . . . . . . . . . Mrs. Mae Hamblin �c L��rc�i /.Qjr9 •G� �`5� /�,Y- . . . . . Owner. . . . . . . . . . . . . . . . +-Builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of Building. . . . . .Wood.Framp_ .Addition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . Building to be. . /- :. . .Feet Wide. '.'?. .' (. , . .Feet Long. . ./0 . . .Stories High e-Estimated Cost of Building, :.,eo-o . .. . . . . . . . ... . ,•Proposed Use of Building. . . . . . . . . . . . ,�;, , , , , , , , , , , , , , , , , , , , , , Are There Any Other Buildings on the Premises?. Yes..Mobile,Uome. . . . . . _ . . Is Any Existing Building to be Demolished?, . No, , , , , , , , , , , , , , , , , , , , , , , , , New construction Is the Work New Construction, Repairs, dr Remodeling?. . . . . . . . . . . . . . . o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. . . Al cti hree copies of a plot plan drawn to scale showing the actual dimen- s of the lot to be built upon, the exact . size and location on the of the building and accessory buildings to be erected are attached his 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: .. . /. : b . . . . . . .// . . . . . . . . . . . . .�:. .::. . . . . . . . . . . . . .d1 . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • 1 . . . . . . . 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. 4.4 . o 09. 011, 0 . . . (Signature) its/ err !v 0/20 � j/1a •c Owner; G or -Ag-et� (Strike out inappropriate Provision) sG • Y