8418 BUILDING - PERMIT
TOWN OF QUEENSBURY No. 8418
WARREN COUNTY, NEW YORK-
'10 U/
Alfred Strazza
PERMISSION is hereby granted to
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OWNER of property located at \"2j 9/3 Montray Road Street, Road or Ave. cn
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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.
1. OWNER'S Address is 93 Montray Road
2. CONTRACTOR or BUILDER'S Name
Norman Ouellette 1°
3. CONTRACTOR or BUILDER'S Address
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28 Lake Avenue K
Glens Falls, New York "C
4. ARCHITECT'S Name
O
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications .
cri
No. 17 'x33 ' inground swimming pool per plot plan
and application submitted.
8. Proposed Use -
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Swimming Pool ,ti
0
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$ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 8 4
(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 24th Day of April 198 4
SIGNED BY G'cd for the Town of Queensbury
Building and Zoning Inspe o
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK . Building Inspector)
Application for Application No.
Permit Issued I 9
BUILDING AND ZONING PERMIT Permit Expires. • 19.
7(iiliiip. District .
\ ;due ttl Work i
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1)1"." 1
showing the actual dimensions of the lot to be built itcmai•Xf
upon, The exact size, and location on the lot of the •
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
id/ 7 V I TOWN OF QUEENSBURY
DATE RECEIIVE D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. ly I R b ig!,!:.. .j210‘2_
The undersigned hereby applies for a permit to do the following work
A.M. P.M.
which will be done in accordance with the deieription, plans and specifi- 71 81911°11112N* 1 4 I 5 I
cations, and such special conditiops as may be indicated on the permit. ., . . s . vi ii , . ./.
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The owner of this property is: . , I 5 TP-.C? -2.-2_ ci . C el/6
, 1NA'4_ 11:.O.ADDRESS)
The rson respons for :supervis on of the work insofar as t e wilding Code and the Zoning Ordinance apply is:
,...€6. . . /.280 I
(NAME) ,) IR 0 ADDRES
Name of Builder. 7Z-7,,.,-vt. 0,,,,,,e,e7<---- Address •'" 8- /.2g9/
Name Of Plumber . . Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S /11i P0010
9
Name of Village
Name of Street . . .',.. . ...22:2. . . fz. 4c0-72-c." Side of street: north $, east 0, south 0. west El
.
Nearest Cross Street 04111'4-'2' ....1.,A,"-J Distance from this cross street Soo/ Ft.
Property is north VI;south 0,east Fi, west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest El, southeast a southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
0 Construction of a new building. Main Building
Q Addition to a building. , . . One-family dwelling 0
0 Alteration to a building. • Two-family dwelling El
0 Demolition of a building. -family apartment house n
• Store building El
-car attached garage El
. . , Other:
.-, • age
Accessory
Building
. gar
. One-car detached 0
[I Other work. Describe:.-•::-"a •
Two-car detached garage 0
- ---0 Private chicken house El
•
• . ( Private storage building El
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 buildingis) in dotted line and existing
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-e,,,,-- .c.-9,-,...,-t..,...— " huilding(s) in solid line. . . .
-1
0 .
41 1 .
1-
v)
w Size of property ft. x
ft.x ft.
Size and use of existing buildings, if any
.
Size of proposed building
* Height (from grade,to ridge) ft.
Front yard ft.
Side yards . ft. and ft.
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?
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,, bard my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.;. 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 pertain' the proposed work shall,� plied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of 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 REQUIRED.
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CITY OR .y f/. - _
VILLAGE ( ,- ; TOWNSHIP
STREET AND NO.OR
'
ROAD AND POLE NO. `-"I, f-„ . /,,o _,,_. POLE NO.
BETWEEN WHAT TWO / G/I/ ' - _
-
CROSS STREETS IS )) `/�1 ) - ' r
PREMISES LOCATED? lyf.•_! - ; .*/--'• .._ -- /., '' t SECTION BLOCK LOT •
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OCCUPANT'S U11{DING ( ,'-' r1 / _
NAME n:;". s',// ./ 7 �1 CO�ANCY 1� G L�
1
OWNER'S NAME _
AND ADDRESS /)r, J r.
' CURRENT - '/ •
SUPPLIED BY • FROM THEIR OFFICE
BUILDING
DEFECTS
NEW❑ OLD❑ REMODELED ❑ WORK NEW El REMOVED ❑
ISIS
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED -
NUMBER OF OUTLETS : No.of Fixtures f4 MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS.
Loca-
tion
Ceiling Side Attach't Switch Pendent Bracket No. Type H'P' No. Watts :Nti. A W.G. NO. WATTS
Wall Ftecept'Is Each Each --Gauge _ EACH
Out-
side
Sub-
base
Base- • ,
ment _
1st Fl.
2nd Fl.
3rd Fl.
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REMARKS: LIST-OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: . 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) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE MAKER
BUILDING • - •
ENTERS OF SIGN '
INSPECTION REQUESTED •
ON OR AS NEAR AS
POSSIBLE NEW 1.1 OLD El
•
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
//�J�
NAME OF l/j 2 41 DATE OF / / -/
APPLICANT /"� _i r'7%, ,/ APPLICATION / >/� y�r
`l / /:�
STREET ADDRESS . - -/':-/ <`/�, /_ C '
CITY OR ' 1 ZIP LICENSE NO. •
POST OFFICE s. _-/�, /- /"/ /!/'I /_') C1 / CODE WHEN APPLICABLE -
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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