7882 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 7882
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Peter Alan Sheerer
OWNER of property located at West Mountain Road Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Swimming Pool - 2nground n
at the above location in accordance to application together with plot plans and other information hereto filed and -D
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ~'
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1. OWNER'S Address is West Mt. Road R. D. #2
Glens Falls, New York CD
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2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( ) Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
201x40 ' per plot plan and application submitted .
No.
8. Proposed Use
Swimming Pool
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$ 15. 00 - PERMIT FEE PAID —THIS PERMIT EXPIRES Dec. 1 19 83
(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 31st Day of May 19 83
SIGNED BY � - � ;T1_ for the Town of Queensbury
V Building and Zoning lAspecto�
TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. .
pP Permit Issued 19.
BUILDING AND ZONING PERMIT I','I-I»it Expires. • ICJ.
7,nning District
. • • \ ;iluc• nl Work$
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1)I)r„"c11 IW
showing the actual dimensions of the lot to be built 1zi'i>>aI'kS
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
// // J `y TOWN OF' QUEENSE1URYY{�'
/ / ..__ i - l . '� 5/3I 16 3 DATE 1"'A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAY 3 . 1983 � f1ANSWER ALL OF THE FOLLOWING. 1.hi. P.M.
T'he undersi ned hereb a lies fora ermit to do the followin work �81911O�11112)112I3I4ID16
9 Y PP P g a aee , • . . . . a,
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. fJ (isThe owner his propertyis: �) .; 2RcECEirn
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(NA''1E) IP.O.ADDRESS)
The person responsible: for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) �) (P 0 ADDRESS) -
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Name of Builder.. � Address
Name of Plumber Address '
L'"yt-t`/ Address
Name of Mason <- '�'J
Lot Number . . Unit Estimated value of proposed work 3 �3 U (.� �-�
Name of Village . . ...-4 u-4-4^0'��L -
Name of Street ,,, Side of street: north El, east 0, south O. west ID
Nearest Cross Street te.(4 •L i`C'( Distance from this cross street /a Ft.
.
Property is north �,south ❑,east Ft, west., 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑. 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 D.
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
One-car detached garage - ❑
0 Other work. Describe:.0L A.vi 1....-.- °0,='-""Y' .L.-3 Two-car detached garage ❑
�� Private chicken house ❑
:02.4�-f '�v4' 4`�L0"ti•� Private storage building /' Q
Other:.�4.4,4.'.. ?-? v.✓v�tiL :•- � . .
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.
Indicate onthe plot plan street names, the location and
4. ,,,i.r.--,-..- Ct,v-t,, 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
Ituilding(s) in solid line.' .
Q. `�C -7 ft.
Size of property . . . . . . . • . . . . Et. x . .�: ..��*
Size and use of existing buildin s, if any y
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w �` U 41�1/
o
s m Size of proposed buildingil . . C-% . . . ft.x 7 C) ft.
Height(from gra ridge) ft.
• Front yard ) // / • f .
�i. . . ft. and .e.l,: � 6A'
Side yards -� ,�i�%'?'". L y�- '�. ft.
Rear -yard `6 0 ,,,ate="fit ft.
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SOUTH If on corner,setback from side street ft..
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Note: All distances are net, as measured from street side
-4/ / - . line to nearest part of building.
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(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, for what2
Material of foundation walls Thickness
Depth of foundation walls below grade �3 � �'J 3o 0 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?
Finishof 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
Willa 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 Queensbury
County of Warren
State of New York
I swear that to tt bcj r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.•lete 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 pertainingto,the proposed work shall be com pli- with,whether specified or not,
and that such work is authorized by the owner. ✓' � /�'aA,,
Sworn to before me this
OWNER.OWNERS AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y. .
SPECIAL CONDITIONS OF THE PERMIT:
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By
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
k-; —G--t_(�,_ X L--z_C_— /t r'.e-i--t--v-L__
CITY OR //��
VILLAGE i•{J ( ,t�'i:-. .�_r TOWNSHIP COUNTY , ,,,f r
STREET AN6 NO.OR -,Gf/ y� �- �-y,
ROAD AND POLE NO, /_ „., -.e_.n�/ 1 ( y\ /_T��'.�?'�� POLE NO.
WHAT TWO f
CROSS STREETS IS // i
PREMISES LOCATED? 1.e9f'l-L••i.-9• i :-;--,•. ( 1 ,'.-._o:,_, SECTION BLOCK LOT
OCCUPANT'S /' J BUILDING
NAME i s', f OCCUPANCY �J 'r��
OWNER'S NAME l� // ('
AND ADDRESS c.. /r , 6,;-,
CURRENT "SUPPLIED i - _ FROM THEIR OFFICE
BY .1.iL‘�t ..
BUILDING WNEW ISORK NEW 4 ADDITIONAL❑ REMOVED DEFECTS ❑❑ OLD❑ REMODELED ❑ ��' \\\
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion
CeilingSide Attach't Switch Pendent Bracket No. Type H.P) No. Watts No- A.W.G. NO. - WATTS
Wall Recept'Is YP Each Each GaugeEACH
Out-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS POSSIBLE NEAR AS NEW I I OLD I1
AVOID DELAY2 ;)
VING FULL AND ACCUR TE,INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF /// /' F DATE OF !-/'�;1•�j /-' `�C <%
APPLICANT 4 ri {{ : �` �4 F' _ APPLICATION / J ( -'J ,� ,.7-
STREET ADDRESS ('',/!c k' ,i%�!f /�:/ fI--,' . �,
CITY OR /�/ i /�`�j/ ZIP �� t LICENSE NO.
POST OFFICE" IIILLLL l-1-/J-�l��-- � �:r'.L.�"- CODE/c).71 (J/WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR/ EACH SEPARATE BUILDING
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