461 BUILDING PERMIT
TOWN OF QUEENSBURY No. 4 6 1
WARREN COUNTY, NEW YORK �
PERMISSION is hereby granted to
Stephen K. do D®rthy Zemanek
OWNER of property located at Corner of BaY & Quaker Road' -' Street,Road or Ave.
in the Town of Queensbury,To Construct or place a
Addition
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is R•F•D # 1t
Lake Geor6e N.Y.
2. CONTRACTOR or BUILDER'S Name
Owner
3. CONTRACTOR or BUILDER'S Address
EITECT'SAddress
Owner
. — (Please indicate by X)
( )Wood Frame X)Masonry ( )Steel ( )
[7. PLANS and Specifications 60 X 60 ft. 1 story addition to
No. Q
p Co. Building
Quaker Electric Su ply
8. Proposed Use
Mercantile
January 1�
$ 10•00 PERMIT FEE PAID—THIS PERMIT EXPIRES 11970
(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 5th Day of June 1969
J, � for the Town of Queensbury
SIGNED BY uild�ng and Zo ctor
LeRoy Phi li S
TOWN OF 0U':EN4;3URY
TOWN OF QUEENSBURY l U E D
Warren County, New York D
Office of the Zoning Inspector JUN `` 1969
A.M. P.M.
APPLICATION FOR A BUILDING PERMIT 7 8�9i10�11�12�1�2�3�4�5+6
Location of Property. . .Cart •� � ��• •$aY• �. . . . . . •Road,Street or Avenue
owner' s Name and . . r �• j.,e�r .ek . .amd.�?OTOY• 2gD�aAEk. . . . . . . . . . . .
Address . . j. A. J.
Jake. .Qrwxge,. Revs .Y,,ark . . . . . . . . . . . . . . . . . . . .
Architect' s Name
and Address . . . StB,prLen. K... Zxk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . R.#. DA. #J�:. % jgepx eq, Kex Y.OXk . . . . . . . . . . . . . . . . . .
Builder' s Name
and Address . . . . S �pph�ri. K.o. Z•�,�r�.axil . . . . . . . . . . . . . . . . . . •
• . • • R.D. �o. ••�. • Lake. aeor'g$.*. "`]�.- Lo. • . • • • • • • . • • • • • • • • • • •
( X)Masonry ( ) Wood Frame ( ) Metal
Type of Building ( check one) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building to be . 69. . . . . . . . .Feet Wide6O. . . . . . . . .Feet Lonv. 3�. . . . . .Stories High
Estimated Cost of Building. . . . . . . . . . . . . . . . $25y 000,.00. . . . . . . . . . . 0 . . . . . . .
Proposed Use of Building. . . . . . jAereantile. . . . . . . . . . . . . . . . . . . . • •• • • • • • • • •
Are There Any Other Buildings on the Premises? . . . . . kiditioll• • • • • • • • • • • -
Is Any Existing Building to be Demolished? .VLO. . . . . . . . . . . . . . . • • • • • • • • • • •
( ) 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 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 : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . • . . . . . . • . • . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .• • • . . . . . . . . • . • . •
. • . . . . . . . . . . . . • . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . • . . • • . . . . . . . • . • . . . . . • • • . • . .
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 Buil ing Permit, protected from the
weather, on the premises affect.---__
'00 . 0 �- o
(Si °ire)
DATED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OR Owner, Contractor , Architect or Agent
U1LbING &
G NSP (Strike out inappropriate Provision)
p z ®y€€NSs�RY
MOWN
N j
Date Fi ed ����-1 19�
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