7976 - BUILDING PERMIT
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TOWN OF QUEENSBURY No. 7976
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Gary R:_ Rinhardson
OWNER of property located at Knnl l s Rnad Nnrth Street,Road or Ave. 0
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in the Town of Queensbury,To Construct or place a Tnaraiind_ Awirnmincl Pool
at the above location in accordance to application together with plot plans and otfter information hereto filed and
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approved and in compliance with the Town of Queensbury Building and Zoning Ordkuwm.
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1. OWNER'SAddress is Star Route
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Sprague' s Mermaid Pools
3. CONTRACTOR or BUILDERS Address x
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247 Broadway 1..,
Ft. Edward, New York 1-'
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4. ARCHITECT'S Name
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5. ARCHITECTS Address ►'i
ct
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame 1 )Masonry ( )Steel
7. PLANS and Specifications
201x40' per plot plan, application submitted.
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No.
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8. Proposed Use sr
Swimming Pool
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$I no 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 expiration date.) b
B
Dated at the Town of Queensbury this 22nd Day of July 19881 N
SIGNED BY for the Town of Queensbury
Building ana Zoning i o
TOWN OF QUEENSBURY - BUILDING DFPARTMENT
R. D. 01 BAY A'.D HAVILAND ROADS
GLFNS FA1 :1S, NFW. YORK
Phone 792-5832
DATE:
TO:
Our records indicate that you were issued a building permit
number 7 gqon
for the construction of p
Our files show that 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 is so we can take your card out of the active file.'
Next required inspection
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 possible legal action, contact this
office to rake arrangements to epdate your file.
OUEENSSURY BUILDING DFFARTYENT
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW_ YORK Building Inspector)
Alication for Application No.
pp Permit INNtied . 19.
BUILDING AND ZONING PERMIT I'c.�rmit Expires. • IfJ.
/cniing District
\ alne nl Work
THREE (31 Copies of a PLOT PLAN, Drawn to scale .\1'1"'c'`c'c1 I1v
showing the actual dimensions of the lot to be built kcillarKS-
upon, The exact rise, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. ?il i Eit:c k�i w;�; ".
Ji
a Co _ 3 - / • /I 7/A_E/,,Y7 • RECE11 v..
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 3u ' J l..-j..�
ANSWER ALL OF THE FOLLOWING. A.M. y r IS' P M,
The undersigned hereby applies for a permit:to do the following work ,A I a L o E I° E t ,51
which will be done in accordance with the description, plans and specifi- .44
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cations, and such special conditions as may be indicated on the permit.
The owner of this propeom is:
. . .//may . . '. G. /.Cl l�c.'40/1; -.S-0 r�RV/kb..!. ct/Y./.3??. . . 6<c`?vS.G. (a. . .t'�'�. . 1 80/.
(NA'.E) (Po.ADDRESS)
The on responsible for %.sit4foe
rvision of the ork insofar as the /Building Code and the Zoning Ordinance apply is:
. . . /1t/./• (;-. . . . ! . ./ . . . •c• •e,.(<°or/�.iN �.c�S. . . . ,?TL=q/�,c4,9./. ./' �. . . . .,le :.V. . .
1NAMIEf (P.O.ADDRESS) r�
Name of Builder. . .. /. .( Address
Name of Plumber Address
Name of Mason • Address 7
Lot Number Unit Estimated value of proposed work S ./� ourj._� �° 43TGkv��+V
Name of Village /� '/
Name of Street . n4/066S• ,r.QA. /1`al Side of street: north 0, east 0, south AZ. west 0
Nearest Cross Street . . .Ac✓!G.e-. . . 0'1c Distance from this cross street . . . .,26C.1 Ft.
Property is north 0,south 0,east i i, west >itirom 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 ❑
Store building ❑
-car attached garage ❑
Other:
Accessory Building
One-car detached garage ❑
yi Other work. Describe: 6ti. .G;eo /l.m Two car detached garage ❑
/,2 C1 }( Vt2 Private chicken house ❑
( / Private storage building ❑
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
huilding(s) in solid line.:
Size of property ft. x ft.
Size and use of existing.buildings, if any
F N
s 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-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 "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? z
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 tt bcl of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and co.i.•fete statement of all proposed work to be dope on the described pre „f. . and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaini the proposed work .)1 be.eo lied with ther specified or not,
and that such work is authorized by the owner. "
Sworn to before me this Signature ....f c' �.. :. G: .... ...... .:.. ....... ................... ....
OWNER. NEWS AGENT,ARCHITECT.CONTRALTO
day of 19
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
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/, , �- COUNTY
STREET AND NO.OR
ROAD AND POLE NO. f-V� ,,, POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? f a �!•i r G i�i� j�//) =%�/\l("L��F t_''�', !,/) SECTION BLOCK LOT
OCCUPANT'S r '": t r BUILDING
NAME `- • ;;i / /r";r. ;i::-r'`+f� j OCCUPANCY ran/m.
OWNER'S NAME / `i 1 / -
AND ADDRESS - , /, - - y % t' 'l (r Y
� f ,r ;4:';),vim �t �•. fiP;"al,� •? r' _s:•1� �.£ret� � f(•'':`r�" d'4:f J
CURRENT i /
SUPPLIED rl FROM THEIR OFFICE
BUILDING _/ l WORK DEFECTS
IS NEW El-/ ❑ REMODELED ❑ IS NEW ❑ ADDITIONAL REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS
Loca- -
tion
CeilingSide Attach't Switch Pendant Bracket' No. Type H.P. No. -Wach No A.W.G. I F M.V.
Wall Recep'Isyp Each Each Gauge
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 �j
POSSIBLE NEW I I 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 i� r DATE OF --�
APPLICANT r/,�r/ - ;i - /^,d/.' (+_�!trti APPLICATION ,i'•-<`-✓-`'�J _�
STREET ADDRESS _��i7,-;) l,.r h !'.,i /�� ! i 1 '%'�r✓��
CITY OR
POST OFFICE i • ` ��, �•/ OD E /-//(PO/ LCENAEP OI.0 ABLE
46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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