6963 BUILDING PERMIT
- TOWN OF QUEENSBURY No 6963
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Philip and. Linda Hart
OWNER of property located at 53 Wincrest D '.ive Street,Road or Ave.
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 t,
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. H'
1. OWNER'S Address is 53 Wincrest Drive
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Splash Pools
3. CONTRACTOR or BUILDER'S Address
17 Main St.
West Glens -Falls, New York - t,-,.
4. ARCHITECT'S Name
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5. ARCHITECT'S Address t-p
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6. TYPE of Construction—(Please indicate by X) CD
( )Wood Frame ( 1 Masonry ( I Steel ( )
7. PLANS and Specifications
No. 20'x40' inground swimming pool per plot plan and
application submitted.
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8. Proposed Use
Swimming Pool
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$1 0 00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 1 19 81
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 23rd Day of June ' 19 81
SIGNED BY ,; -4a24"14-+ 4 _ for the Town of Queensbury
Building and Zoning lns• cto
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TOWN OF QUEENSBURY t
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for .application No.
Permit ls,ti(d 19. .
BUILDING AND ZONING PERMIT Permit Expires. lg. .
/„ihiiiz District
l.iluc•ail Work$
THREE (3) Copies of a PLOT PLAN, Drawn to scale. c'cl by -/2• . )
showing the actual dimensions of the lot to be built kl•iii:il-)(f'
upon, The exact size, end location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
4 '� f : /j ( / xis ( TOWN OF QUEENS-BURY
Date REOEItVIE
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. J,; j ? ?1981
The undersigned hereby applies for a permit. to do the following.wort t)` e1
,ct
which will be done in accordance with the description, plans and specifi- A.M. r
cations, and such special conditions as may indicated on the permit. 7, 18, a v I 1,111e�ze 12.al 3t I4a 15. 16
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The owner off this property is: _
'�,`/,%� r�j1r�.[9j //�4,2�_ • 5 3 ' . S tt c?v> a 2- �P . •
(NA•:E) (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Buildipg:Code and the Zoning'Ordinance apply is:
(NAME) • (P.O ADDRESS)
Name of Builder. . . . ...(.(.c'i,.s i\ . . . FOB'./. . . . . ... . . . . . . .Address: .t.--1 D Ct`a.
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value off proposed work S .
Name of Village
Name of Street Side of.etreet: north ❑, east• 0, smith ❑. west ❑
Nearest Cross Street . .�.�snx .t. ,. . .C (. •�, . . S4( , . . . . Distance from this -ross street Ft.
Property is north ®,south ❑,east ti,west ❑from Cross Street
If on Corner,which corner,northeast ❑, northwest 0, southeast J 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
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. . . . . .-family apartment house ❑
Store building ❑
-car attached garage 0
Other:
Accessory Building
v One-car detached garage _ ❑
® / ?Other work. Describe: " 7 G Two-car detached garage 0
/22 f yl7. p0,7 Private chicken house ❑
Private storage building . ❑
q0/ 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-
NORTH posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
• tutilding(s).in solid line. _
Size of property ` 7 S ft. x / ft
Size and use of existing buildings,if any
to
Size of proposed building a ft.x 40") ft.
Height(from grade to ridge) ft.
Front yard :;-*Ilt ft.
Side yards .. a ft. and &4' ��' ft.
Rear yard a t ft.
SOUTH If.op corner,setback from side street ft.. .
Note: 1111 distances are net, as measured from street side
line to nearest part of building.
(OVER)
?-73-M
• (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 ”0.c.,span ft.
Size, ceiling beams ff x It, spacing "o.c.,span ft.
Site, 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 chittiney 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? •
AFFIDAVIT
Town of Queenshury
County of Warren
State of New York
I swear that to th ivarof my know,iedge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.l.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the propo.e4 work, shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature,
WNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
. .. ... day of 19
NOTARY PUBLIC,WARREN COUNTY, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
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