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5863 • BUILDING PERMIT TOWN OF QUEENSBURY No. 5863 WARREN COUNTY, NEWYORK PERMISSION is hereby granted to Donald Butler OWNER of property located at Luzerne Road Street,Road or Ave. 0 r � ' lv in the Town of Queensbury,To Construct or place a Swimming Pool H 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. rt 1. OWNER'S Address is R. D. #3 (p Glens Falls, N. Y. n 2. CONTRACTOR or BUILDER'S Name Concord Pools • 3. CONTRACTOR or BUILDER'S Address Clifton Park, N. Y. - r sJ 4. ARCHITECT'S Name Fi ID 5. ARCHITECT'S Address 0 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 16 'x34 ' inground pool per plot plan and application No. submitted. Cl) 8. Proposed Use Private Swimming Pool . ro $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 1979 (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 theTown of Queensbury this 8th Day of June 1979 SIGNED BY L • '�� ` Q for the Town of Queensbury Building and Zoning Inspecttof TOWN OF QUEENSBURY (Space inside block to..be filled in by WARREN COUNTY, NEW YORK Building Inspector) • Alication for Application No. pp 1'rrmit Issu(e(l Iq. BUILDING AND ZONING PERMIT I'orl„il Expires. ►g. /.'lline District • \' I I ui• "I Work, THREE (31 Copies of a PLOT PLAN, Drawn to scale • •\1)1'r"\(5I by showing the actual dimensions of the lot to be built kcinurKs- 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 QUEENSBURY 0' DATE • A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK n-) E .� D.ANSWER ALL OF THE FOLLOWING. ��� LLL P The undersigned hereby applies for a permit to do. the following work which will be. done in accordance with the description, plans and specifi- A.M. P.M. • cations, and such special conditions as may be indicated on the permit. 7_I8 1 9 110111112)1I213141516 The owner of this property is:, 'A1 �J L. c.J Gi(,!4-L_l) •• ✓J v%z. C=/._ R. �7 / G U 2, /� /Ll F /c U 4 (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) J • (P.O ADDRESS), C0/! Ctr2 D . Po Ul S Address . .Cii /lvi� di✓a /C At 1 • Name of Builderc� Co ' C cU/C'U P' /S . • . Address t` e, Name of Plumber "" Name of Mason �-'0 A--C d/L 11 /moo u/n . Address �� `' . • Lot Number. 7.r 7 Unit Estimated value of proposed work 3 -fi r Name of Village 44`% . . . n Name of Street 2-U'Z SA/(+' <`_4 Side of.street: north ❑, east tit, south ❑. west 0 Nearest Cross Street up.M. . .oe .S ✓/ Distance from this ri-oss street ,e2 d Ft. Property is north 0,south 0,east X,west ❑from•Cross Street If on Corner, which corner, northeast 0, northwest 0, 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 ❑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 • ❑ ❑ Other work. Describe: Two-car detached garage / /7 9/iv H 7/ chi/m.,. /Pae4 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, site 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 �e c, ft. ' Size and use of existing buildings, if any F h N P. i _m Size of proposed building t ft.x . . or. . . . ft. Height (from grade to ridge) ft. . • Front yard . . :l e ft. Side yards . . . . 3. S ft. and 79 d ft. . Rear yard re 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 what2 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 butleting 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 .Oci r of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and eo.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 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 m4 this Signature OWNER,OWN AGENT,ARCHITECT.CONTRACTOR N'` - day of � C1. /_;,= 19...7.1 NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By . 1 . I I ' • I . , I I --. - .- __ - _ , . . Ore )1 . --- I _ _ . . . . , I . ,.. i 9-> 1 V . } -to-5-7_1, _ _ ,....., 1 1-- 1,, 5 - ....- . I-- !---- NI I t--- 1-- -7 1 , . . v 0 • L --- „t ' . • 4 _ _ . , . - • ._ . . , . 1 . - I I 1 • ,C‘pl iiia c. PA . 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