8560 BUILDING PERMIT
TOWN OF QUEENSBURY 8560
WARREN COUNTY, NEW YORK No.
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PERMISSION is hereby granted to Anita and Frey Frejborg
OWNER of property located at 55 Helen Drive pQ,
Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Inground 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.
K
I. OWNER'S Address is
55 Helen Drive b;
Glens Falls, New York 0
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2. CONTRACTOR or BUILDERS Name
Sprague' s Mermaid Pools
3. CONTRACTOR or BUILDERS Address to
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294 Broadway x
Fort Edward, New York M
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address fD
FP—LANSand
nstruction—(Please indicate by X)
Wood Frame ( )Masonry ( )Steel ( ,)
Specifications En
38 'x16t inground swimming £
No. g pool per plot plan and
application submitted.
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8. Proposed Use
Swimming Pool
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0
$ 1 . DO PERMIT FEE PAID—THIS PERMIT EXPIRES _ ~-
San 1 19 _
(If a longer period is required an application for an extension must be made to the Building and Zoni
town of Queensbury before the expiration date.) ng inspector of the O
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R+Dated at the Town of Queensbury this 12 th Day of June 19__U_ �•
SIGNED BY f�lr1 0. /V for the Town of Queensbury
Building and Zoning I nspe r
TOWN OF QUEENSBURY •
(Space inside block to lx. filled in by
WARREN for
NEW. YORK • Building Inspector)
Application for Application No. :
Permit Issued 14. .
BUILDING AND ZONING PERMIT Kspires. 19.
%nnin.: District
• \ aliu• of Work 1 -
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\Pprm cti 1i• /300,6,Voy
showing the actual dimensions of the lot to be built ItcmarKs"
upon, The exact size, and location on the lot of the •
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.2
Co /5',/ y TOWN I(I �\
O�n F QUUEE `!
NSBUR
y 7 I DATE R E V U —�1
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ..�
ANSWER ALL OF THE FOLLOWING. Jai r 81984
The undersigned hereby applies for.a permit-to do the following work - km. d S'. .P.I .
which will be done in accordance with the description, plans and specifi- 7 $y 191
10! A111'?,1 415I)2I316
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cations, and such special conditions as may be. indicated on the permit.
rior9
The owner of this roperis: Fre_ .
Atli' a N, j—rey Fr-°S 6or5 SS' I-je,ieLi oDr C( galls it/ \/ mot
(NA•-„c�1 (P.O.ADDRESS), /! l
The person responsible for .supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P 0.ADDRESS) n �- _ /�
Name of Builder. SXsraq �� S kiwi ma; ndo1S Address 29q t'o`1dC_tXi�y r�, �CQ,J�rAI�Q'
Name Of Plumber P cl Address • J
Name of Mason Address ee
Lot Number Unit Estimated value of proposed work S /0,0 D Oi — J. t.+� t.�tlt
Name of Village 9 �b
Name of Street elk. Side of street: north ❑, east 0, south ❑. west ❑
Nearest Cross Street t t l"1 Ptt S¢ Distance from this cross street Ft.
Property is north ilii ,south C2r,east [-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 ❑
❑ Alteration to a building. -family apartment house ❑
El Demolition of a building. Store building ❑
-car attached garage ❑
Other:
. Accessory Building
. . One-car detached garage
cgr Other work. Describe- ' Two-car detached garage ❑
S i tr W► to 3 t k IC Private chicken house ❑
J Private storage building ❑
• r ii j e ru ..t • Other:
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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
. Ituilding(s) in solid line.
Size of property (//7 0 ft. x /OCR ft.
Size and use of existing.�}buildings, if any
wI O PJC t t
s id, Size of proposed is ig 3 k ft.x . . f 6. . . . • 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)
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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 what7
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 buUding 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 n�,�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. 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 pertaini 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
/ g,uOWNER.OW ER'S A ENT.ARCHITECT.CONTRACTOR
day of 244‘.
"'n� 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By •
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BUILDING DEPT...COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. '
FILE THIS COPY WITH BUILDING DEPT.WHEN IREQUIRED.
CITY OR • -
VILLAGE :. .v (v{ : .. ! TOWNSHIP I' COUNTY •.X; `, .. —' -
STREET AND NO.OR - ' - -
ROAD AND POLE NO. ) I !: ) t—;•' I POLE NO.
BETWEEN WHAT TWO t J' 1:
CROSS STREETS IS -
PREMISES LOCATED? +'1 - ' 1'- t.' • ' ' SECTION I' BLOCK LOT
OCCUPANT'S - BUILDING ' i,
NAME OCCUPANCY' I;
OWNER'S NAME yt f • j
AND ADDRESS Sit, f, i },''I ! 9_3{_:. ii .;t, f
CURRENT .1 -..' p
SUPPLIED
BY ,r• ,t- FROM THEIR - OFFICE
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BUILDING WORK - DEFECTS
IS NEW CI OLD❑ REMODELED ❑ IS NEW ❑ ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion Side Attach't H.P. !Watts A.W.G. WATTS
Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each No. I Each NO• Gauge NO• EACH
Out-
side '
Sub- I`
base
Base- . •
ment
if.
1st Fl. I; .
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2nd Fl. 1
3rd Fl.
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REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: • I', DO NOT USE THIS SPACE.
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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) I (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE MAKER 1! -
ENTERS
BUILDING - OF SIGN
INSPECTION REQUESTED i'
ON OR AS NEAR AS n n
POSSIBLE NEW I I OLD I I
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST',BE FILLED IN OR APPLICATION MAY BE RETURNED.
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NAME OF {—, ,-. '7 DATE OF i/
APPLICANT f .a ,"`}t 1 � - I. APPLICATION i - -
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STREET ADDRESS — -
CITY OR J I .. :P ZIP LICENSE NO.
POST OFFICE ' -' ` - - — -i.-- CODE - , WHEN APPLICABLE - '
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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No. Own.