009 t
OF'F'ICE Ji= THE ZONING INSPECTOR '
Building PERt,AIT N1.1
Date issued . . . . . . . . . . . . octOber, . . . . . . . . . . . . . . . . . . . .
DateDenied . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Owner . . . Mr... .Tiobert .'ajieeler. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AddressDrive,.(Land.of, Pines Development)
Location . . . . Same ,as -above. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Type of Construction - `✓"food frame, Tt 1, Etc. . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
roposed Use . . Dwellin9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. C�'reSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Euilder ,riff in. Lumber _Company. . . . . . . . . . . . . . . . . . . . . . .
Y.Address . . . . . Huc son Falls.. N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Plans and Specifications No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A^olication No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PEWAISSION is hereby granted to the above owner for the con-
struction of a building in accordance to application No
together with plot plans and other information hereto filed
and approved, and in com.-;fiance with the Town of Queensbury
Zoning Ordinance.
Date Building Permit . ..all Expire. . . . . . . . . .QQttOlU. I. 19�8. . . .
Permit Fee I0.00. . . . . .
Zoning In �ctor
OFFICIAL
NOTICE
REPORT OF NEW CONSTRUCTION
(In compliance with an Ordinance of the Town of Queensbury)
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Mail or bring all three copies of this form
TO.
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N~
4249
The undersigned hereby states that he intends to construct a building or structure,
or an addition to an existing building or structure, on land in the Town of Queens-
bury, as per the following information:
PLEASE A;\/SWER EACH OF THE FOLLOWING QUESTIO;\/S
1.
Owner of the land on which the proposed construction is to be done.
2.
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Location of the property.
3.
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Intended use of the proposed buildin~ or addition.
4.
I Indicate the approximate distance between such buil din~ and the street or hi~hway. -(.
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Will a water tap be requested?
17.
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Will a highway permit be requested? /\ '
8.
Your telephone number
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Any other pertinent information
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NOTE: Thi construction
rep rt accepted in
lie of an applicationAddrcss /
for a building permit.
Perrrtit issued Oct.20,1967 .' .J,. _. f\¡'
~.1 $10JOO fee received Sept. 18,1967 ¡
}/c, :rt If intended construction will require any excavation in a town highway right-of-way (such as a water main or
17 sewer connection) a permit must be secured from the Queensbury Highway Department, 2 Aviation Road
I (Tel. RX 2-2979) PRIOR to such excavation.
If a water tap will be requested, application should be made to the Queensbury Water Department, R. D. 2,
Lake George Road, Glens Falls, N. Y. (Tel. RX 3-3500) at least 48 hours in advance to enable scheduling-
of the work.
Signed
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(owner, or other authorized person)
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OFFICIAL NOTICE
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REPORT OF NEW CONSTRUCTION'
(In compliance with an Ordinance of the Town of Queensbury)
Mail or bring all three copies of this form
TO.
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N~
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4249
'10-,
The undersigned hereby states that he intends to construct a building or structure,
or an addition to an existing building or structure, on land in the Town of Queens-
bury, as per the following information:
PLEASE ANSWER EACH OF THE FOLLOWING QUESTIONS
1.
Owner oC the land on which the proposed construction is to be done. I~
2.
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Location
3.
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Intended ~ 1>f the proposed b'u! m~ or addition. /)/(
4.
I
Indicate the approximate distance between such
5.
,." ¡O'rliIio-;"~
Will a water tap be requeMed?, 1\.)' ,
7.
./
Your telephone number
Ant··other pertinent,"'"
':'
IO!I: Tb1 oonstruction
re rt aooepted 1a
1i ot an app1icationAddress
tor a building permit.
to.~ ~::U::ee~:;r~~ I8~i:96{¿J-'f=rJL¡.J.y.
~.-t (! "J¡ If intended construction will require any excavation in a town highway right-oC-way (such as a water main or
'0"" '.. I "1".. sewer connection) a permit must be secure4 from the Queensbury Highway Department, 2 Aviation Road
'i't" I (Tel. RX 2-2979) PRIOR to such excavation.
t{~j;Ì\' '. ... If a water tap will be requested, application should be made to the Queensbury Water Department, R. It. 2,
~, . Lake George Road, Glens Falls, N. Y. (Tel. RX 3-3500) at least 48 hours in advance to enable sched\!1ing
of the work.
Signed
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(owner, or other authorized person)
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