6346 •
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6346
113WARREN COUNTY, NEW YORK
Michael White
PERMISSION is hereby granted to n
OWNER of property located at 4 Helen Drive Street, Road or Ave. (131,
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 rt'
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N
1. OWNER'S Address is 4 Helen Drive
Glens Falls, N. Y.
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2. CONTRACTOR or BUILDER'S Name
Same -
3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address •
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications H
16 'x32 ' per plot plan, specifications and
No. application submitted.
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8. Proposed Use rb
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Swimming Pool H
$ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES Sept. '1 19 80
(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 16th Day of May 19 8 0
SIGNED BY ./8) iJ . for the Town of Queensbury
Building and oning I ctor
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe,etc.?. . . ...... . . . . . . . . . . . . . . . . . •" " " " " " " " " • " ' . •• . . . . . . .
Will any second-hand lumber be used? -A- 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 •
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Size,wood studs
"x ",spacing "o.c.,length • ft.
,.x ft.",spacing . . , "o.c.,span
Size, floor beams, 1st floor .
Size, floor beams,2nd floor
„ x '•, spacing . . : ; "o.c.,span ft.
Size,ceiling-beams "x _ ",spacing "o.c., 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 building to be constructed?
Is there to be an opening between garage and.building?
Kind of heating system Oil Willer or coal?.
Will a flue-lined chimney be provided? . Depth of chiiiiney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Willa 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? '
AFFIDAVIT
Town of Queensbury
County of Warren '
State of New York
I_swear that to tt-bey i of my knowledge and belief the statements contained in this application,together with the plats and specifications sub-
mifted,-are a true end-co.,.pletc statement-of-all-proposed-work-to-be-done-on-the-described premises-and_that_aUlrovisions 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 me this Signature s 4 J_P • � '
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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TOWN OF QUEENSBU.RY (Space inside block to he filled in by
WARREN COUNTY. NEW YORK Building lnspecuir) -
Alicafion for .'P1'li`atiOi N".
PP I'rrmn issued 19.•
BUILDING AND ZONING PERMIT Permit Expire''. 19. . •
.i,ninm District
Value of ‘Vork,j - '
, THREE (3) Copies of a PLOT PLAN, Drawn to scale. A1)1"m c'cl 1w
showing the actual dimensions of the lot to be built 14(411:11-Kf
upon, The exact size, end location on the lot of the
building to be erected or altered MUST. BE SUB- • '
MITTED WITH THIS APPLICATION. . ` '
TOWN OF QUEENss't3Li e. ---
9° — 171 — W V:i i- (/ i fa' - -
DATE o�6pry), D
A PERMIT MUST BE-OBTAINED BEFORE BEGINNING WORK MAY ! b 1980
, ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to do the following.:work 7 M.
g g ti01iiIi2i 2 3 14 5 6
. which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may.be indicated on the permit:
The owner of this property is:
./� y c.�:z.e.k R. 4 .M - A, .W -`z-- . T Mr t'Q,,, IP y•i V-2
( A•;E) 1P.0.ADDRESS)
The-person responsible for -supervision of the work insofar as the BuikIij}g;Code and the ZoningOrdinance apply is
,ti. -4,1-,c4 R. ,s-:— q 1 .4 - 0�; G .,�s VALs . . . .t 2-b 1 l
(NAME) • (P.O ADDRESS)
Name of Builder ^^•1. 1V-`u &.0 Address. ' • . .
Name of Plumber " l Address
Name of Mason `` ` Address
Lot Number. . . . .y . . . . Unit( Estimated value of proposed work$ . ' I goclol7o
Name of Village . .... 4 .3 _ - ----
Name of Street �rw.e Side of,aireet: north. 0, east• ❑,south ❑. west. D
Nearest Cross Street . .1 .'N0-'k Distance from this -ross street / S-e ' Ft.
Property is north a,south 0,east i i,west 0 from Cross Street, ,
If on Corner,which corner,northeast 0, northwest ❑, southeast C southwest
(Designate by marking with an"X"in thecorrect 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 ❑
❑ Demolition of a building. - - . • . . -family apartment house D.
Store building • 0
-car attached garage ❑
Other:
Accessory Building
One-car detached garage . ❑
• Other work. Describe:. . . T,v.J G 4. P9cA Two-car detached garage0
. . . . -11- / 3 2' 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,size and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
- I•k,.,v7-uL S . kuilding(s).in solid line. ry . 6��l
Size of property ,'( - 8 ft: x a7�. 1- ft
(e B t, Size and use of existing buildings,if any
in
e 5 id Size of proposed building . . . . r'!. . . ft.x .1 .L-. . . . . ft.
rr. Height(from grade to ridge) . ' ft.
Front yard ) 0 ft
Side yards 7 0 ft. and 5 6 ft.
Rear yard . . .a. I ft.
7 SOUTH If op 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 .
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