418 BUILDING PERMIT
TOWN OF QUEENSBURY No. )+ 1 8
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Dorothy L. & Larry K. Van Bumble
Lot A Bronk Drive �
OWNER of property located at � Street, Road or Ave. �
in the Town of Queensbury,To Construct or place a House
at the above location in accordance to application together with plot plans and other information hereto filed and r'
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
L�
1. OWNER'S Address is
2. CONTRACTOR or BUILDER'S Name
Emery - Ridge Inc.
Ridge Homes
3. CONTRACTOR or BUILDER'S Address
Rout's 22&:1.7
North Granville N.Y.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
00 Wood Frame ( )Masonry ( !Steel ( 1
7. PLANS and Specifications
No.
8. Proposed Use
Dwelling
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 11 19 70
(if a longer period is required an application for an extension 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 12th Day of May 19 69
SIGNED BY for the Town of Queensbury
B ding and Zoni nspector
TOWN OF OL. =-NF 7�URY
TOWN OF QUEENSBURY �, �
Warren County, New York u ll j
Office of the Zoning Inspector
APPLICATION FOR A BUILDING PERMIT 7�8��i10!11�t2I1I2�3�4�fi�G
T Location of Prop erty,447�fa7. . .�p.��N.'�.�R�t�:� . . . . . . . .Road,Street or Avenue
Owner' s Name and .a� o �ay.��.-. 1�i.0.�h/s'. i�. l:�. .��� 1-5 . . . . . . . . . .
Address
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Architect' s Name
and Address .t.Q:l.. . . .':. ?'i(;s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . .�t J . . 1; . c :. . . . . . . ... ,�. c-r
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Builder ' s Name
and Address .-.lr4 �.��.� . ��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. PZ .:`:! 7. . . . -. t. i.//e . . �.�c . . . . . . . . . . . . . .
( )Masonry (�'j Wood Frame ( ) Metal
Type of Building (check one) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building to be . . . .p�.�. . . . .Feet Wide. . .:!�r� . . . . .Feet Lona. . . ./. . . .Stories High
Estimated Cost of Building. C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Proposed Use of Building. i1Q.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
Are There Any Other Buildings on the Premises? . A.Ip . . . . . . . . . . . . . . . . . . . .
Is Any Existing Building to be Demolished? . . . * . * * . . * * . * . * . . . . . 0 0 $ 40 .
(,4 New Construction ( ) Repairs ( ) Remodeling
Is the Work ( check one) . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . • 0
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
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 : . . . . . . . . . . . . . . . . . o . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . .
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.
f
(Si ature)
DATED MAY 1ZJ
..._----
jJ
Owner, GoAr� A„e4 4z or
BUILDING /'F O Q USBNSBURYj�R (Strike out inappropriate Provision)
t
'f OW
Date Filed 19