8702 5.
BUILDING PERMIT
TOWN OF QUEENSBURY No. 8702
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Leo and Brenda LeClairtd
OWNER of property located att1 / "Dixon Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Inground Swimming Pal
at the above location in accordance to application together with plot plans and other information hereto filed and ti
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
n
1. OWNER'S Address is 167 Dixon Road
F •
•
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Sprague' s Mermaid Pools
3. CONTRACTOR or BUILDER'S Address
294 Broadway rn
Ft. Edward, New York
N
4. ARCHITECT'S Name 5C
0
0
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( 1 Steel ( )
7. PLANS and Specifications
Cfy
No. 17 'x35' oval pool per plot plan and application
submitted.
8. Proposed Use
Swimming Pool
0
0
H
$ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March I 1985
(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 20th Day of August 1984
SIGNED BY `Mad a, for the Town of Queensbury
Building and Zoning Inspe r
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK ' . Building Inspector)
Application for Application No. .
Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. . lg.
/Amine. District
. \ altic of work"
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\i)l"„"(•<I by ,4%!-;/'47 -
showing the actual dimensions of the lot to be built Ilc•nt:i(Kf'
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 OUEEPTSBUR`f
7( , I - 1 g/9/8// rRECI0VE U
DATE
A PERMIT MUST. BE OBTAINED. BEFORE_ BEGINNING WORK Aj:G A0-0E
ANSWER ALL OF THE FOLLOWING. A.M. /5- 6A) P.M.
The undersigned hereby applies for a permit to do the following work 7I$I91101412I1)2I3I4I5I6
�
which will be done in•accordance with the description, plans and specifi- _ ' ! ' ' . ! s
cations, and such special conditions as may be indicated on the permit.
The owner of this property is•
I,Ed / YgR.EA09 iZz C/..47K %6 7?4-xo N ifosd GENT FA,0-SS ivy • ad/
• (NA''4E) (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) . . _
Name of Builder Address . . iti Aedwww4y.,ii .E:aambe4. N)!
Name of Plumber • Address
Name of Mason Address d` _____
Lot Number. . . ./. . . . . . . Unit Estimated value of proposed work S . . . .J .., : :7
Name of Village
Name of Street . ./.t T. .P-VXv1I1. .1.0AO Side of street: north JA, east 0, south O. west ❑
Nearest Cross Street . . 4.4). !.6t-. !U i2. . . 6.6 l'_._D. . . Distance from this cross street . . . ./. ult./ Ft.
Property is north ❑,south at east i 1, west. 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, 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 El
❑ Demolition of a building. -family apartment house ❑
Store building El
-car attached garage ❑
Other:
• • Accessory Building
• • One-car detached garage El
O• ther work. Describe: Two-car detached garage . ❑
/7,J . Private chicken house CI1� x Private storage building El
• • • .0.0A-/ ' ,ne •,l 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
• Iuilding(s) in solid line. '
Size of property ft. x ft.
Size and use of existing buildings, if any
F w
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
x ", spacing "o.c., length
Size, wood studs " 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
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 tr, ba of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.hplete 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. }/ /6717,
Sworn to before me this Signature ( JS-e Lau-4
OWNER.OWNERS AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
r
TOWN OF QUEFNSBURY - BUILDING DFPART? ENT
R. D. *1 BAY PM:) EI •.'I LAND ROADS
GLFNS FALLS, ':F4' YORK
' ' - Phone 792- 5832
DATE: /0/i0Y
TO: ,2` 4. C.Eez.e .-
/G. 7 ,'i-e/vN-. G' i
---1,1--6-,L-4- - ,,,, t7__, /97
Our records indicate that you were issued a building permit
number g 7 0 on /(. 7 /9, J,-- 40,
for the construction of 47,..0„-.c_ • -%
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 •.3s so we can take your card out of the active file.
Next required inspection /-- ---)^_. , em:�
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.
OUEFNSBURY BUILDING DFPARTN'ENT
i
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED,
TEMP.# DATE
CITY OR
i;
VILLAGE ( j ; / %f. ! r; TOWNSHIP ii v COUNTY //1//ji: =-..i
STREET AND NO.OR • f _
ROAD AND POLE NO. POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? .1,'�-- , :;.;-�- r:. (./ : r/ i r' SECTION BLOCK LOT /
OCCUPANT'S BUILDING -
NAME �C U V r.j,f1 1 , :" �- ( 1 ,i ,' OCCUPANCY
OWNER'S NAME ' TEL # '
.- AND ADDRESS IL / !)r-:Y. r;... -'� t: Ll .bl; ir',!>>: ' y f�•, v% // •//
CURRENT
SUPPLIED / FROM THEIR OFFICE
BUILDING WORK DEFECTS
IS NEW❑ OLD❑ IS NEW ❑ ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures f4 MOTORS HEATERS BRANCH OFFICE USE
Lamp Receptacles CIRCUITS
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep• Switch Pendant Bracket No. Type Each No. Each NO• Gauge INSPECTION
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 OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING • OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD 1-1
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 • /t DATE OF
APPLICANT /G i�/ /InJ' , 2O p fLIO ��f - /- r? & APPLICATION_
STREET ADDRESS i(-'i 7 Of I/1 J n ;/ TELEPHONE# 7 ! -
CITY OR l /` `/'' ZIP �j LICENSE NO,
POST OFFICE 1 fr`J 7 / CODE )4? ()(�1 WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR-EACH SEPARATE BUILDING
•
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date iohb p--7.
• Name 4 e_o L e -G •z
Location /6 7 ,O i 1C r Y 2_UQ
Permit No. 2— Weather
0 0 L / %,-� Remarks
Excapation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
• Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors '
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
TO (hd' / //li'/r/
FR®Me�� d'e J,4 �L- C�/�/dam
DATE S“..s ®cJ 4 r
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apt r°° tr--"yq 4
V alt.!6 , fir
1 NJ
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77‘)(414,
114
Finch, Pruyn&Company, Inc/Glens Falls, N.Y. 12301 Call 518/793-2541