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8047 • BUILDING PERMIT TOWN OF QUEENSBURY No. 8 047 WARREN COUNTY, NEW YORK ~ ‘aCitc. 13) PERMISSION is hereby granted to Paul Van Amburgh OWNER of property located at 5 Whippoorwill Road Street, Road or Ave. W 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 5 Whippoorwill Road Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Bob Baker Pools u' 3. CONTRACTOR or BUILDER'S Address rd 1-0 Quaker Road Glens Falls, New York N• 4. ARCHITECT'S Name ~' 0 RJ 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 16'x36' inground pool per plot plan and application submitted. CD 8. Proposed Use Swimming Pool N• w b $ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March..1 (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 17th Day of August 19 83 1/4/) SIGNED BY for the Town of Queensbury Building nd Zoning Inspector nO TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK • Building Inspector) Application for Application No. ' PP Permit Issued 19 • BUILDING AND ZONING PERMIT Perniii Expires. 19 'Lolling District . \ aloe n1 \\'o'rk 4( THREE (3) Copies of a PLOT PLAN, Drawn to scale •\P)l".'"(•d by showing the actual dimensions of the lot to be built Remark."'" upon, The exact size, and location on the lot of the . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. t� 'f li —17"8 LwN OF QUEEN��LIR , 3 s)r`).5 DATE El 0 I' d E 0 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Lul ANSWER ALL OF THE FOLLOWING. de-ta i 619a c�The undersigned hereby applies for a permit to do the followin work /l' which will be done in accordance with the description, plans and pecifi- �7i�� 1(}11�,1�,�� ` `�,6 cations, and such special conditions as may b_a indicated on the permit. ` The w of this pr perty is: v/tAl /1"l h.'r, 11 b, w,,,,vp,wm k ,(_). • _ % (-7,,, 5 (NA`•:E) (P.O.ADDRESS) The person r..eaNnsibie,f supervision of the work insofar as the BuildingCode and e Zronin .Ordina ee apply is: 5 i JO Name of Builder Cs0.7g,0E�Q. ` Address �14 � o Ct\""1 `\ �1c Name Of Plumber Address • Name of Mason Address Lot Number Unit Estimated value of proposed work S Name of Village Name of Street Side of street: north 0, east 0, south 0. west ❑ Nearest Cross Street Distance from this cross street Ft. Property is north ❑,south ❑,east i i,west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest 0, southeast Q. 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 0 ❑ Alteration to a building. Two-family dwelling 0 0 Demolition of a building. -family apartment house ❑ Store building ❑ -car attached garage ❑ Other: • Accessory Building Z-D Describe- 0 • IN rink itci One car detached garage ❑ Two car detached garage ❑ 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- . posed buildings, and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing ltuilding(s) in solid line. . Size of property ft. x ft. • Size and use of existing buildings, if any WI' l s m .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 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? AFFIDAVIT Town of Queensbury County of Warren State of New York I swear that to tt: a i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.i.pplete statement of all proposed work ne on the described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other la ePaining 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 —` �� •._ . . "`'��'r OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • • • By TOWN OF QUEFNSBURY - BUILDING DFPARTN'ENT R. D. 01 BAY P.D YAVILAND ROADS GLFNS FALLS, NFY' YORK • Phone 792-5832 DATE: TO: - ? L" —— • .S' v;►''/ ``�� --e 477 Our records indicate that you were issued a building permit number ?O Y 7 on c 47K, "w -rz'-Vtt�� . for the construction of 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 .:s so we can take your card out of the active file.. Next required inspection 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. OUEFNSAURY BUILDING= DFPARTYENT mil/ Z1 BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR - VILLAGE 1 - t (r it TOWNSHIP 'I t ` ✓• h COUNTY LP 1 (-r i,h, STREET AND NO.OR _. t ROAD AND POLE NO. • 1, (i , t),;•..i i ;, ( . k \ POLE NO. BETWEEN WHAT TWO ;', CROSS STREETS IS PREMISES LOCATED? j Th, SECTION BLOCK LOT OCCUPANT'S ;' / / BUILDING NAME �-_.._,!, 1 4 f ;'L. \ -„ .f�) ( �.L'd c.v.. OCCUPANCY -j'- . \ OWNER'S NAME i -- - `1a `/ AND ADDRESS `1i 1 i j' ./. ---•\ 'ti'(,.- ,.C- :I '-_--- / 1 b. 7 =J .�:>( <,,, f` /,•�;f✓ <- t'/:.�( CURRENT - l� `4• ,f /.> SUPPLIED !,,/ BY /...,JF.� J�.✓4I-'. ,1' /2'Y:;a/f :?7• _LC FROM THEIR `,/-:•!�w.R'! L.7".lf�/‹, OFFICE BUILDING NEW El OLD V REMODELED ❑ IS NEW ❑ ADDITIONAL f " REMOVED ❑ IS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED. No.of Fixtures& BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS Loea- tion Side Attach't CeilingSwitch Pendant Bracket No. Type H.P. No. Watts No. A-W-G. I F M.V.Wall Recep'Is Each EachGauge 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 MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED - ON OR AS NEAR AS ,�,� /% 11 �J i POSSIBLE •..-"..J",r'.fr ('� /-,l, 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 ,� ' }` ;, APPLICANT '-'.'t. ,�./ `r ir`.: •i I'��t t,t, `•(--�' DATE OF ._., f>�.....- } APPLICATION / , i STREET ADDRESS . - `� i,:: : ,/`.ii `•", I/' �'-r_ `). l ZIP - LICENSE NO. POST OFFICE CITY OR �'--� \ -L�' • . ' II. - CODE % , WHEN APPLICABLE 46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING \� 1 6----s.),______ • P a , . a . o , . . r i . i, -b(s.- 0)q -----D.,....:,. . .. . .. . ,... . , , , . --T1±---------f-\-: , r,n .. . \,,,s, . � i 1 / I ..i. 0 r 1