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8682 BUILDING PERMIT TOWN OF QUEENSBURY No. 8682 WARREN COUNTY, NEW YOIRK I - t L)5 PERMISSION is hereby granted to James R . Cu—in m OWNER of property located at [ 4 Hall Road Street, Road or Ave. W Swimming Pool in the Town of Queensbury, To Construct or place a fi at the above location in accordance to application together with plot plans and other information hereto filed and n approved and 1n compliance with the Town of Queensbury Building and Zoning Ordinance. 0+ 1 . OWNER'S Address is R .. Do # 1 Hall Road Glens Falls , New York 2. CONTRACTOR or BUI LDEWS Name Adirondack Pools 3. CONTRACTOR or SWLdER'S Address xy 0 W South Glens Falls , New York o' 4. ARCHITECT'S Name S. ARCHITECT'S Address B. TYPE of Construction — (please indicate by X) I ) Wood Frame { ) Masonry I ) Steel 1 ) 7. PLANS and Specifications 20 ' x401 inground swimming pool per plot plan E No. and application submitted . 8, Proposed Use Swimming Pool 0 0 $ 15 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 , 1g 85._,_._ {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 7 th Day of August 19 84 SIGNED BY �? ci t� G� /.J � for the Town of Queensbury Building and Zoning Inspector TOWN OF 'QUEENSBURY ( Space inside block to his filled i„ b% WARREN COUNTY. NEW Y.ORK Building Insfvrctorl \ppl is atic,,, No, Application for I,c l nli, ls,uvtl l� BUILDING AND ZONING PERMIT 1',•i III iI FX1)1res THREE 131 Copies of a PLOT PLAN. Drawn to scale �Iyir< }< ,•d h� � : •n showing the actual dimensions of the lot to be built lt,•"':,� kS upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. `TOY'W N C]]pl` {(y�Q[l'ElRI�f'f��fSBLJ F2Y���1rrr,,,{{{S — � — �►• r . -�� �.� . � � '� 't'fAIF tl�J � VY L� � 17 � ` t ' i A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK {IL't1 *i1�1' AUG V 1984 ANSWER ALL OF THE FOLLOWING. FHIP 04C I woo The undersigned hereby applies for a permit to do the following work p'W yy P*M* which will be done in accordance with the description, plans and specifi- ,?j819�.� • . 1 , 1 , . � . cations, and such special conditions as may be indicated on the permit. The owner of this property is: (NA 4EI IF D ADDRESS) �• The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . jNAME] " y . . . . . . . /• - . +p o ADDRESSI . - Name ©€ Builder C .t- .tom o A ..r- . . POO . ! � . . . . . . Address - - . - - - - . . . . . . .war. . �. Name of Plumber . . . , . Address . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason . . . . . . . . . . . . . . . r . . . . . Address - Lot Number . . . . - . . . . . _ . Unit . . . . . . . . . . . . Estimated value of proposed work S . . . . . . . . . . . . . . . . . . . . . . . . . . Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . .,f{Qkl . . . . . . - . , , . . . . . . . . Side of street : north 0, east 0 , south 0© , wess Nearest Cmss Street . TgF .4V .j4.jf . . . . . . . . Distance frr,m this gross street . . . . . . . . . . . . . . . . . . Ft, Property is north ❑ . south M east z , west ❑ from Cross Street If on Corner, which corner. northeast 0 . northwest Cl . southeast ❑ . s0uthwe:st (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. C1 Main BuRding nc;��family dwelling P19 Q Addition to a building. Two-family dwelling D l� Alteration to a building. . _ . I _family apartment house Q ❑ Demolition of a building,. Store building 0 - -car attached garage Cnher: d I . . . . . . . . . . . . . . . Accessory Building . . . . . . . . py "s One-car detached garage Q Other work. Describe: . +I�t' 3. .e, a . f-. . . . . Two-car detached garage Q Private chicken house Q• ^ � � 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 ."► rgYt Show proposed building(s) in dotted line end existing Hai �r� tSuilding{sl in solid line. Size of property . . - . Ct. x . . . . , . . . . . . ft. Size and use of existing buildings, if any • • . Size of proposed building . • . . ft. x . . . . . . . Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . . . ft. Front yard ft. Side vards . . . . . . .. . . . . ft. and ft- Rear yard . . . . . . . . . . . . . . . . . . . . . ft. PAL SOUTH If on corner, setback from side street . . . . . . . . . . . . . . . ft. No le : Aft distances are sees, as measured from ssrerI side line to nearest part of building. ry {bV ER] f �73l MM l (cont'd. ) BUILDING SPECIFICATIONS, Kind of construction : Wood frame, fire safe, etc. ? , . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . . . . . . . . . . . . . If so, for what? _ . . . . . _ . . . . . . . . . . _ . . . . . . . . . . I . . . . . . Material of foundation walls . . —`4 r.c ..C- . ckP..-lt C .0. . . . . . . . . . . . . . . . . . . . . . . . . . 'Thickness . . . . . . . . . . Depth of foundation wails 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 . gth . Size, floor beams. Ist floor , . , , . . , . . . , . '" x ", spacing . . . . . . . . . . . . . . ""o..c., span . . . . . . . . . . . . . . Size, floor beams, 2nd floor . . . . . . . . . . . " x . . . . . . . . . . . . . . . " spacing . . . . . . . . . . . . . . "o.c., span . . . . . . . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . . . . . . " x - , , , , . , . . . . ". spacing "o.e., 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 bu}Iding to be constructed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . tail 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? . . . . . . . . . . . . . . . . . . - - , , , . . . . . . I - 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 Queenshury AFFIDAVIT County of 'Marren State of New York 1 swear that to or. b�itof my knowledge and belief the statements contained in this application, torether with the plane and specifications sttb- mitted. are a true and co.:.plete statement of all proposed work to be done on the described prenstsea and tlattt an of the BUII„D- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining the proposed work shall be complied wi�eerr specified or not, and that such work is authorised by the owner. ,!� Sworn to before me this signaFtir3 xt fT ' ` ` e 2C r't_4' C3WNER. OWNERS AG ENT., /4gCHITECT, CQN7RACTOR . . . .. . P day of . . . . .. . .4. . . .... . . .. . . . .. . . ... . .... . . .. .. . ... . . 19 . . . . . . . . . .. . . . . ... NOTARY PUBLIC. WARREN COUN7'Y, N, Y. SPECIAL CONDITIONS OF THE PERMIT: IIy . __. . _... . . .. ... . . . ..... . . . .. . . . . . . . .. . . ..... . . . .. . . . ..... . . ... . .. . . .--..... . .. . . .. . { TOWN OF CMEENSIlUp y glzildiuAr r Name -- Domm Rom! N°."' "I�, � —.� Weatb011r ewe r . 1Sxaar}a t Remarks Footin Fvzms Pc,ot.z & Piers Foundation Clement Water Eoofin BaclFfill Final curve P.ram.in Shea thin Roof pelt: Roofin Sid-in l"d'8sonr Veneer Rou h PI Relief Valves Wall Board Isxt . Porches Finished Flcor rnterior Trim stairs & Rallin s Cellar JDr . Tile ConCrete Floors Pi Fixtures Gar. Fire roofin Door Closers Chimne Water Meter rnst . Se tic A rrval Floors Insulation foundation AVal'1 Ar Ce-ll3 001, � ^ Bu.ildingr rnsPector J�t RE�AR'KS NEVY ORK BOARD OF BUILDING DEPT. COPY FILDE APPLICATION WITH UILDING DEP YWHEN REQ'UIREDIRE LINDERWRI7ERS- THIS Copy TEMP. COU ./.l,F"1 !c' t"' CITY OR ,i /' ... TOWNSHIP iJ "` `�!•' 1f. '_' NTYi VILLAGE U-A 'L _ POLE NO. RpAQ ANQ TOLE NO. /. .. - Ii x7'E'x BETWEEN WHAT YWO ,4'�I BL K 3 LOT EC -ION PREMISE BUILDING �+ OCCUPANT'S , - ! OCCUPANCY NAME J�o'7�r}JJ"~ 7 ?f" TEL. III .)„ f• R `i•- OWNER'S NAME . r. .s- ,eC..''J f^. .n..�,.. i.0 / r AND ADDRESS . _ rt �' �` OFFICE S U IMPLIED >� . , �,.+1 FROM THEIR DEFECTS By —JM WORK REMOVED ❑ BUILDING OLQ ❑ IS NEW ADDITIONAL 0 is NEW ❑ LIST BELOW ALL EQUIPMENT WFIICIi YOU INISTALLED BRANCH OFFICE USE No. of Fixtures & MOTORS HEATERS CIRCUITS ONLY NUMBER OF OUTLETS LSWW Recaptadrs Lrlo�i+ H.V. Na Ea�ott Ns. g.W,;aa' INSPECTION - pi1hH SWdI flacepAtt"hN SSrntdl pendsnt Bracket, No. Two Each Cklt- side Sub- be" BeaO- 11�eIIt IIt Fl. and FI. 3rd FI. r DO NOT USE THIS SPACE. NOT SET FORT" ABOVE: REMARKS: LIST OTHER ELECTRICAL DEVICES swig lent to be imPec This appticaiion " '"tended to carer the abors-listed tsd ttrrt i# ri erne M inapeetion then is 1pund etlditiMtat •gaiprvut t not Watts listed. t tha fee to core. the eddttlond equipttenI as Pro+ eM •ppticattt- you are authorised to make dre inspeatibn and adltrs ELECTRIC SIGN TOTAL WATTS SIZE OF FEEDERS LAMPS MAINS EXPOSED GAS TUBE SIGN VA CHARACTER CONCEALED TRANSFORMERS OF ICAPACIYYI OF WORK (NUMBERI WORK TO BE COMPLETED SIZE OF SIGN STARTED UNDERGROUND MAKER ENTERS OVERHEAD OF SIGN ILOI Fl INSPECTION REQUESTED ftF OLD ON OR AS NEAR AS POSSIBLE AVOID DELAY BY GIVING FULL ANO ACCURATE tNFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION Y BE RETURNS PRINT NAME AjI ADDRESS' 1 DATE OF 7 APPLICATION_ ,e _ pPPLEjCANT '� "-Y�f - [�/ � � + � I� YELEP'F40NE # STREET A.,._e EteS ■' � ,, ,,�+ LICENSE II , +CODEx —BEN APPLICABLE CITY Oft FE OFFICE - 't } 46 t1 (REV. 1/e41 . A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING . bl- kLyga 4^4 *' kp'6 -AY. POOL , 4t Otm Na�� t