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405 TOWN OF QUEENSBURY Warren County, New York Office of the Zoning Inspector K 0 H H Building Permit NO. )+ 0 5 Date Issued. . . . . May. . 11. 1969 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date Denied. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . Curtis W. Mayon Owner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Owner' s Address . . . . . . . . . . . . . . .134 Dixon Road. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glens Falls, N.Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location. . . . . . . . 1 Dixon Road . . . . . . . . . . . . . . . . . . . . . . see . . . . . . . . . . . . . . . . . . . . Town of. .Queensbur;r . . . . . . . . . . . . . . . . . . . . . . . . . Type of Construction - Wood frame, Masonry, Steel, etc. . . . . . Wood Frame . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Addition to Garage and Porch Proposed. Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Architect. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ad dr e s s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Builder. . . . . . . . . .Owner. . . . . . . . . . . . . . 0 . . . . . . . 0 . . . . . . . . . . . . . . . . Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Plans and Specifications No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PERMISSION is hereby granted to the above owner for the ether con- struction of a building in accordance to applicationg 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. . , . October o1,. o . 00 .i9 0 Permit Fee 2.00 . . .�, . LeRoy Phillips Building and Zoni4 Inspector TOWN OF 0':EENSBURY TOWN OF QUEENS BURY rc G E V �, J Warren County, New YorkJ�JnI{! �J Office of the Zoning Inspector APR 301969 A.M. P.M. APPLICATION FOR A BUILDING PERMIT 7181?11911112j 11213I4I5Ifi Location of Property. . .�.3.?� . . .1J :x°N • • • r> • • • • • . . . .Road,S ue Owner' s Name and . . . . . . . : :� : [? . : .:5 . . . . . . . �: . .�.:.�:. . . . . . . . . . . . . . . . . Address C 3 IJ /x0N 0 'Ap • • • • • • • • • • . • . . . . . . . • . . . • • • • . . . • • • • • • • • • • • • • • • • • • • • • • • Architect' s Name and Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . Builder' s Name //'z - and Address . . . . . .Y. . :`.'Z.:::. . . .w. . . . . .�. Y.`: TT. . . . . . . . . . . . . . ( )Masonry (Wood Frame ( ) Metal Type of Building /(check one) . CA . . . . . . . . . �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A r-7 G. iG:l� i- a' r X / /r,3'/ I" a 2- Building to be . . . . . . . . . . . .Feet Wifde. . • . .. . 000O .Feet Long. . . . . . . .Stories High Estimated Cost of Building. . . . • -.. • _ • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Proposed Use of Building. . . . . . . . . . . . . . . . . . . . . . . . .//. . . . . . . . . . . . .. ./. . . . . . . Are There Any Other Buildings on the Premises . . . . . . . . . . . . 7 . . . . . . . . . . . . . Is Any Existing Building to be Demolished? . . . . 00;'. . . . • • . . . . . . . . . . . . . • . . ( ) New 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�s .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 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 premises affected. )4 � �D . . . . .Signature) . . . . . . . . . . . . . . APPR,O ,erg )AP-1 1 DA' M BUILDI & ZONIN INSPECTOR T N OF QUEENSBURY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Owner, , r- t (Strike out inappropriate Provision) Date Filed 19