5959 BUILDING PERMIT
TOWN OF QUEENSBURY 5959
No.
WARREN COUNTY, NEW YORK
(-)_91 ,/),
PERMISSION is hereby granted to Glen E. Held
OWNER of property located at ) Hunter Lane Street, Road or Ave. G�
in the Town of Queensbury,To Construct or place a Swimming Pool
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 N
Star Route
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Same
•
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
0
rt
• N
oo
5. ARCHITECT'S Address
NS
6. TYPE of Construction—(Please indicate by X1 ti
W
( )Wood Frame ( ) Masonry ( 1 Steel ( ) (p
7. PLANS and Specifications
No. 18 'x361/2' per plot plan, application submitted.
I
8
. Proposed Use
Swimming Pool
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ro
0
0
$ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES Nov. 1 19 79 F'
(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 10th Day of July 19 7 9
SIGNED BY U' of for the Town of Queensbury
BuildingZoning Inspectory-.
•
•
TOWN OF QUEENSBURY ' (Space inside block to be filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
• Application for Application
No. "
Pp Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. . 'q
i.o inu District
• Value of Work$
THREE (31 Copies of a PLOT PLAN, Drawn to scale \01"•""1I by
showing the actual dimensions of the lot to be built kcit)arKS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- _
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
a2 6 — z — / 7 s 11(4-2 Ilia If�1 n\Tlll �,�
DATE D I� l;d rH M 1=aB
Au sip
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUL �di979
ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to do the following work A.M. P.M.
235
which will be. done in accordance with the description, plans and specifi- - `' 71M191A1Anli`n16,
cations, and such special conditions as may be indicated on the permit. LL . A
The owner of this Rroperty is: 51_ _ c-%
(NA"E) (P.O.ADDRESS)
The person responsible•for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) • (P.O ADDP. SS)
Name of Builder • . , . Address
Name of Plumber Address
Name of Mason • Address
Lot Number2. ` Unit Estimated value of proposed work
Name of Village
Name of Street /41,-)7g4- L.4 )E f Atxliati --5—A. 00•' Side of street: north 0, east 0, south O. west 0
Nearest Cross Street Distance from this gross street - Ft.
Property is north 0,south ❑,east i i, west 0 from-Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling El
E Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. • • • • -family apartment house ❑
Store building ❑
-car attached garage ❑
' Other:
Accessory Building
• One-car detached garage ❑
❑ Other work. Describe: . /A/c7'' Q • • • • Two-car detached garage
8 fV % l ' Private chicken house ❑
N 3 C� Private storage building ❑
`� L✓ Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.
Indicate on the plot plan street names, the location and
size of the property, the location, size and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Show proposed building(s) in,dotted line and existing
luilding(s) in solid line.
•
• Size of property j 7.d ft. x .7---I ft.
Size and use of existing buildings, if any
i w Size of proposed g ft.x
Height (from grade to ridge) . . ft. .
Front yard 71/.. ft.
•
Side yards • ft. and ft.
Rear yard ft.
SOUTH If on corner,setback from side street ft..
Note: All distances are net, as measured from street side
. . . line to nearest part of building.
(OVER) •
7-73-N
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, for what
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size,wood studs "x ", spacing "o.c., length • ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams "x ", spacing "o.c., span ft.
Size, roof rafters or beams " x ", spacing "o.c., span ft.
Exterior finish With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to th•1,4,i of my knowledge and belief the statements contained in this appli ..,toge 'di the plans and specifications sub-
mitted, are a true and co.,.� lets statement of all proposed work to be done on the descri. . . . . . and at all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed 11 '. co, ID with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature ! C} •
0 a, • ' R A-ENT,A IT CT. ONTRACTOR
day of 19
NOTARY PUBLIC.WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By .
•
•
• TOWN OF QUEEMSBURY.
Building Department
Inspectors Rep • ato
Name „ogj
Location
Permit No. , 5 S ?atizes'
Rem rks
• Excavation
Footing Forms
Footing & Piers L _�
Foundation
Cement Coat _
Waterproofing l _ N
Backfill _ _—_.
Final Survey?
Framing �� i /
Sheathing
Roof Felt _
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board _
Ext. Porches
Finished Floor /
Interior Trim I
Stairs & Railing: a
Cellar Dr. Tile
Concrete Floors ! \
Plbg. Fixtures \ _
Gar. Fireproofing,
Door Closers
Chimney
Water Meter Ins t..
Septic Approval
F?Oo1:s• a
Insulation —
Enilding Insfoct r
REMARKS
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