7968 B IL DING PERMIT
TO N OF QUEENSBURY
No. 7968
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John and Dianne Rutledge
OWNER of property located at Lot 63 Revere Road o
Street,Road or Ave.
in the Town of Queensbury,To Constru or place a Inground Pool sv
at the above location in aocoMance to application together with plot plans and other information hereto filed and p,
approved and in compliance with the Town of Queensbury Building and Zoning Ordinsnoe. C7
1. OVYNER'S Address is R. D. Revere Road
A�
Glens Falls, New York
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2. CONTRACTOR or BUILDERS Name rt
SPRAGUE'S ERMAID POOLS m
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3. CONTRACTOR or BUILDER'S Address
247 Broadway
Fort Edward, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate bv X) fD
l )Wood Frame ( ►Masonry i ►steel ( 1 IOUfy
7. PLANS and Specifications
No. 161x32' inground pool per plot plan and
application sutntitted.
8. Proposed Use
Swimming P 1 N
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$ 15. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 1 19 84
(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 expi ion data.) h7
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Dated at the Town of Queensbury this 15th Day of July 19 $3
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SIGNED BY for the Town of Queensbury
Bui i and Zoning Inspect
TIhWN OF _
I_ QU£EhSBtRY BUILDING DFPARTA"EItiT
R. D. #1 HAY A':D HAVILAND ROADS
GLFNS FAILS, FFV' YCRK
i
Phone 792-5832
DATE: l0/i gg
TO: ?��• ,
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Our records indicate that you were issued a building permit
number79 _° --,�.2 �
for the construct on of �7
Our files show th t the required inspections are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact -3s so we can take your card out of the active file. '
Next required inspection f
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possitle legal action, contact this
office to rake arrangements to update your file.
OL'FFtiSRURY BUILDING DFFARTMENT
TOWN OF QUEENSBURY (Space inside block to lie filled in by
WARREN COUNTY, NEW YORK Building Inspector)
•
Application for Application No. .
lop Permit Issued 19.
BUILDING AND ZONING PERMIT p,.rmit Expires. lg.
"toning. District
. \ aim. ni Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\1'1".""'c1 1i v
showing the actual dimensions of the lot to be built It(•n,:,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.
TOWN OF QUEENSLBURY
DATE REG ME 0
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK juL 1. 51983 n�
ANSWER ALL OF THE FOLLOWING. /S� G'cQ O'g(m.
The undersigned hereby applies for a permit to do the. following work �' 1J 12 1 2 3 4 b 6.
which will be done in accordance with the description, plans and specifi- g®
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
—JOHN n( ?D(01\lMC S. �ic_Ec .v ' 6J,Ea2E ra G,( n(S FA-us NY /2 /
(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.ADDRESS) ' II `f
Name of Builder D.S p rely Q Address rf tA.ac . N 7
•
Name of Plumber Address
Name of Mason Address
Lot Number &3 Unit Estimated value of proposed work S . . .6 50.0 •
Name of Village •
Name of Street • Side of street: north 0, east 0, south 0. west ❑
Nearest Cross Street Distance from this cross street Ft.
•
Property is north 0,south ❑,east i i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast D. 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 . ❑
Two-family dwelling 0
❑ Alteration to a building. -family apartment house 0
O Demolition of a building. Store building ❑
-car attached garage ❑
Other:
Accessory Building
G One-car detached garage
�' Other work. Describe: ' ir19 oune) PooL' / 'c•3ZTwo car detached garag
❑
Private chicken house ❑
Private storage building • ❑
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
Ci'UC.O • • 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
• e.�ei-c ice ltuilding(s) in solid line. .
.� Size of property ft. x ft.
N6+63
c Size and use of existing buildings, if any
•
f- d N
0 w Size of proposed building ft.x ft.
Height(from grade to ridge) ft.
Front yard 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 0: b, j of my know,Iedge and belief the statements contained in II 's a.pH • . , .;-ther with the plans and specifications sub-
mitted, area true and co...•lete •statement of all proposed work to be done on I e d _ ri.•. . . see and that all_provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the .1...
• ,V I. be complied with,whether specified or not,
and that such work is authorized bythe owner. A`
Sworn tofore me this Signature
c OWNER.OWNER'S AG •4'.ARCHITECT.CONTRACTOR
day of wJC(Al 19.V..",
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.
CITY OR
VILLAGE TOWNSHIP C.N.:1 pa,�r\i t; COUNTY Idi t(ArePi
STREET AND NO.OR -` t \
ROAD AND POLE NO. ``"��l''-( I;�() -� LJ _2. POLE NO.
BETWEEN WHAT TWO /
CROSS STREETS IS t ^ j t ;iJC C s 6,,
)REMISES LOCATED? `*I <<�f�-. t. h/ SECTION l (!.i F.t BLOCK LOT t'?
OCCUPANT'S 11 `I BUILDING
NAME t`(..i}lv\ N FJ�) I�((C !r . OCCUPANCY
OWNER'S NAME j ) - _
AND ADDRESS J41r': ( `" + 7 r kris)}7_ 1 k� ' ill`- �I`� ((2 fit'?
I' !� .i'Cin()P • sJ}, .CCr`1 C, is �, t. 1
CURRENT
BYSUPPLIED ]� y'1 Q FRO WORK DEFECTS
M THEIR OFFICE
BIS NEW
NEW❑ SOLD❑ REMODELED ❑ IS NEW ❑ ADDITIONAL REMOVEDCl
❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS
Loca-
tion Side Attaeh't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each ,No. Gauge ) F M.V.
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 NEAR AS n
POSSIBLE NEW l l OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS—.
NAME OF tt N ,f DATE OF
APPLICANT J� 4Y1 ���I I�` 1•�j� APPLICATION
`)
STREET ADDRESS � v � J• .'-AC.'-AC . ,
CITY OR I L( Tp ZIP j Q LICENSE NO.
POST OFFICE �;.!• Y 1'ti c.1� )� - t— CODE (•��—•�-' WHEN APPLICABLE
4e EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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