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8002 BUILDING PERMIT TOWN OF QUEENSBURY No 8002 WARREN COUNTY, NEW YORK d 0 PERMISSION is hereby granted to Douglas Helgfrich w N OWNER of property located at Ridge Road — Route 9L Street,Road or Ave. N bD 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. M 1. OWNER'S Address is fi Star Route N• Glens Falls, New York o 2. CONTRACTOR or BUILDERS Name Bob Baker 3. CONTRACTOR or BUILDERS Address .� Quaker Road w Glens Falls, New York M 4. ARCHITECTS Name 0 a 5. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by X) ( 1 Wood Frame ( ►Masonry ( ►Steel ( 1 7. PLANS and Specifications; No. 18 'x36' per plot plan and application submitted. 8. Proposed Use Swimming Pool ro 0 $ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 lg 84 N (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 28 th Day of July 1983 SIGNED BY S.,;t ' ' . for the Town of Queensbury 1, and Zoning 1 to TOWN OF OUEENSBURY - BUILDING DFPARTYENT R. D. #1 BAY A':D Y_AVILAND ROADS GLFNS FAILS, FFV' YORK Phone 792-5832 DATE: Our records indicate that you were issued a building permit number Poo X_ on � for the construction of 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 -as 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 make arrangements to update your file. OUFFNSRURY BUILDING DFPARTMENT TOWN OF QUEENSBURY (Space inside block to be filled in bv WARREN COUNTY, NEW. YORK - , Building Inspector) • Application for Application No. . ��` Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. 19. 7.onin District _' \ aloe o1 Work$THREE (3) Copies of a PLOT PLAN, Drawn to Seale \l'l""c`'c1 by411/1:›2 showing the actual dimensions of the lot to be built Itcniar)Cc 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 3 TOWN 0 �ICF QUEE�NJ7SBURY / �/ ` 2 �/ ��DA7E LV 17 G• WORK D • A PERMIT MUST BE OBTAINED BEFORE BEGINNIN O ANSWER ALL OF THE FOLLOWING. JUL 'G 61 83 . The undersigned herebyapplies fore permit:to do the followingwork M� ' 9 PPP A.Ni.�� which will be done in accordance with the description, plans and specifi- 7I8I910111112y I2)3 4I5I6 cations, and such special conditions as may be indicated on the permit. . 1111 .141 The owner of this propert is: . Doltclas . 1-Le1 ;'ric�n SIc�r +e, �'a 5O1 Gleh 11 , VU- , I��.o(. . . (NA•4E) (P-0.ADDRESS) The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P O.ADDRESS) _ Name of Builder 13 0 b 130. 2Y' Address • Name of Plumber Address Name of Mason Address . Lot Number Unit Estimated value of proposed work I Name of Village Name of Street rc 'd", �' R-0 a RI- 9 Side of street: north 0, east 0, south 0. west Ea Nearest Cross Street RT • /Y'j Distance from this cross street . Y'`7` 1-7-7' 7e Ft. Property is north ®,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 ❑ 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: Two-car •detached garage ❑ !' I�� Private chicken house • ❑ �' ' "' ' ' '�' / Private storage building ❑ • i —1 i7�t-0 U w c( Other: i 8 3 b • 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 buildings) 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 i 111 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. 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 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, M i 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.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 proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature DIv V O INI. NQ... ......t—. .. R OWNER.OWNERS AGEN CHITECT.CONTRACTOR 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. • . - - r '�!J'{ ..iC. POLE NO. BETWEEN WHAT TWO _ CROSS STREETS IS ,l!' -`:� :) ; i'-!rt ::1 tl-: i�,:.'� PREMISES LOCATED? I�`-1 SECTION BLOCK •LOT OCCUPANT'S -�� BUILDING � NAME /' }':t(:l_'r•,;, i, t %`=`._,�)_I',1'�.;`f OCCUPANCY .._.�fw+ //44 /LI I s�. k'r f--',�-•"t2".f OWNER'S NAME ` AND ADDRESS_._ r-:•.1;: •�;-(..,. -• ', `�T.�, `''r i is r.l ri--r't; '�`- r�,1,�' ! .: r c) <7 6..Gt�iJG� CURRENT SUPPLIED >,; �•�:�f•I��'_'7. 1 ./ FROM THEIR '" ' - Gr �,,..+,- OFFICE BSUILDING NEWA OLD El REMODELED ❑ `_ WORKSNEW ❑ ADDITIONAL❑ REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED BRANCH CIRCUITS NUMBER OF OUTLETS No.of Fixtures fv MOTORS HEATERS NUMBER OF LAMPS Lamp Receptacles Loca- tion Side Attech't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge I F M.V. Out- side Sub- base Base- ment 1st Fl. 2nd FI- 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 1 1 OLD AVOID DELAY BY GIVING FULL AND ACCURATE tNFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF "l r A APPLICANT 1 ri L= i;, 1! .• - �-I ! 1 ! ( �- PPLICATION / ��• l �-�� • STREET ADDRESS -- (l+' � _;Thly ?, • CITY OR S �,, ZIP ) �c- t LICENSE NO. POST OFFICE •.•� � ;7;.• f`Y':I i°� (`1 7� CODE I '�l••� I WHEN APPLICABLE 46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING TOWN OF QUEENSBURY Building Department Inspectors Report Date /e/-Te7,/.9� Namne__7 e Location Permit No. o d 0 2_ Weather F//1/4 — GG�� Remarks Excavation Footin• Forms Footin• & Piers • Foundation Cement Coat Waterproofin• Backfill Final Survey Framin• Shea thin. Roof Felt Roo fin. Siding Masonr Veneer Roush Pib• . Relief Valves _,_'• Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railin.s 1111111,_ Cellar Dr. Tile Concrete Floors a P1.. . Fixtures Gar. Fire.roofin• _ Door Closers Chimney Water Meter Inst. Se•tic A••roval Floors Foundation Insulation — Walls • _ Ceiling Building Inspector REMARKS / • 0 'IJ_ 1 1 . . . ., . , . __ . _ • . _ _ . . __ • . . . . . , , . _ ti . t o p x I • • N --__ II 1 ',(1, ---- ,- • . . ,. 00. r ' .. .. p 45,1;C:'.0' i ' , 1 . 7:2' 1 ' , Il ;�J H �f/ � f N / . - -- y c . • f _ ;k t'NE1( _ _ I I