6508 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6508
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Michael and Sarah Hayes
OWNER of property located at 5 Helen Drive Street, Road or.Ave..
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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 (D
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. H
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1. OWNER'S Address is "5 Helen Drive
Glens Falls, N. Y.
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2. CONTRACTOR or BUILDER'S Name
Sprague' s Mermaid Pools
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3. CONTRACTOR or BUILDER'S Address -
247 Broadway
Fort Edward, N. Y.
4. ARCHITECT'S Name
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5. ARCHITECT'S Address �p
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6. TYPE of Construction—(Please indicate by X)
( ) Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications 2 0'x4 0 ' inground pool: per plot plan
and application submitted.
No.
8. Proposed Use
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Swimming Pool H.
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES DPr._ 1 19 RO
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.) - O
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Dated at the Town of Queensbury this 5th Day of August • 19 8 0
9 2
SIGNED BY , � for the Town of Queensbury
Buildiry and Zoning Inspector .i
TOWN OF QUEENSBURY t • (Space inside block to he tilled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for '''`''"a``""
pp I'ertnit Issued 19.
BUILDING AND ZONING PERMIT I'g.r mit Expires.. 19.
Zoning District
aloe nl 1Vork,{ •
THREE (3) Copies of a PLOT PLAN, Drawn to scale. Ai'I"•''"'`I hy •
showing the actual dimensions of the lot to be built Itemargr
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. ' •
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.90 — /4 —10 -2. . .ic16,1,.e . cr. /.1E,WO. fO
VIfN (O(�F QUEEMN5131J :
/ DAT 1 n
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �� .,,� �
ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to' do the following workA•M• P.M.which will be done in accordance with the description, plans and specifi- �7I8�9ij10,11J12i1P0'1101I9,
cations, and such special conditions as may be indicated on the permit.
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The ow e):of this propeirty i j / l
. . . /.i,C/���.ek. c Jard-:Q.i. . .A'� .e-c . AXen. . )-v.is 6-x� i LP yj.4.g
NJ (P.O.ADDRESS()
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The person responsible for •supervision oMhe work insofar as the Buil:ding:Code and the Zoning Ordinance apply is:
(NAME) • (P.O ADDRESS).
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Name of Builder. . . /�r.e. ...��'5�. . . .0'1 erYn ci;., •.• ,DOA dress• . c : . 1-Usi?l w .,, ( T.•k-cite-qt ylf
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S •
Name Of Villagel
Name of Street rfle-ir' Side of,etreet: north ❑, east ❑, south ❑.west 0
Nearest Cross Street . /*l .Y.r Distance Iron, this -ross street . / Ft.
Property is north ❑,south ❑,east west 0 from Cross Street•
If on Corner,which corner,northeast 0, northwest ❑, southeast C southwest
(Designate by marking with an "X" in the correct space.)
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NATURE OF PROPOSED WORK OCCUPANCY
❑ Main Building
Construction of a new building. One=family dwelling CS
ElAddition to a building. Two-family dwelling ❑
❑ Alteration to a building. , • . . . . .-family apartment house ❑
❑ Demolition of.a building. Store building ❑
-car attached garage ❑
Other:
• Accessory Building
One-car detached garage ❑
0 Other work. Describe. Two-car detached garage
111 6,,-.e'lt n e/ p o-a/ 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(t) in dotted line and existing .
buildings) in solid line.
Size of property eg^ ft. x f J 2-f ft.
Size and use of existing buildings,if any
F. F .
in
W peel •�D ft.x '� it.
i W Size of proposed.bbii1ding
Height'(from grade to ridge) ft.
Front yard 27 'G N .7%;:i./.'-ea:t 7 ft.
Side yards i ;‘) ft. and 1 ft.
Rear yard . . 3.O ft.
SOUTH If opcorner,setback from side street ft.. ..
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Note: All distances are nit, 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.
" x ", spacing - , . ."o.c.,span ft.
Size, floor beams,2nd floor
Size, ceiling beams "x ", spacing "o.c.,span ft.
Size, roof rafters or beams "x ",spacing "o.c.,span ft.
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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 burner or coal?
Will a flue-lined chimney be provided? . Depth of chit3ttiey foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed?
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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 Queenshury
County of Warren •
State of New York
I swear that to tc bard my knowledge and belief the statements contained in this application,.together with the plans and specifications sub-
mitted, are a true and coa.plete 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, limber specified or not,
and that such work is authorized by the owner. J/
Sworn to before me this Signature `t'. GCS " '" p1
WNER.OWNER'S GENT.*RORIE T. NT
day of 19 VVV
NOTARY PUBLIC.WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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