6959 BUILDING PERMIT
TOWN OF QUEENSBURY.
No. 6959 C+
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to James Patrick and Judith Ann Dee
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OWNER of property located at West Mountain Road Street, Road or Ave. N•
in the Town of Queensbury,To Construct or place a
Swimming Pool
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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.
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1. OWNER'S Address is . R. D. #2
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Same d
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3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name rt'
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5. ARCHITECT'S Address - rt
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6. TYPE of Construction—(Please indicate by X) Iv
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
18 'x36' inground swimming pool per plot
No. plan and application submitted.
8. Proposed Use
. N.
Swimming Pool
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$ l0. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 1981 0
0
(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 19th Day of June 19 81
✓ /�
SIGNED BY �,��, for the Town of Queensbury
uilding and Zoning Inspe or r��t,9
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TOWN OF QUEENSBURY i
- (Space inside block to ix filled in by
WARREN COUNTY, NEW YORK ' Building Inspector)
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Application No.
Application for pc.rmi, ismied 19. .
BUILDING AND ZONING PERMIT Pecniii Expires:
i.iining. District
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Value 01 Work I . .
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THREE 131 Copies of a PLOT PLAN, Drawn to scale. ' Apprinedby
showing the actual dimensions of the lot to be built ' keniargf .
upon, The exact size. and location on the lot of the , 1 building to be erected or altered MUST BE SUB- .-
• MITTED WITH THIS APPLICATION. . .
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. JUNE 81
7 '7" — I— .37_3 DATE . ' 'Will iith'116Rili
• ' \ 40/8 '514 ,,,
A PERMIT MUST BE.OBTAINED BEFORE BEGINNING WORK lli!* C9 WVP,,R
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ANSWER ALL OF THE FOLLOWING. 1 - 86t6 VW,
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undersigned hereby applies for a permit. to do the following woelt •
which will be done in accordance with the description, plans and specifi- .,_ aulaoa
cations, and such special conditions as may ba indicated on the'permit. Akinesmaant) AO Ni1A0.1.
Thum oikhrid• arrtbgt
o JUUITH ANN LEE .WEST MT ROI) GLESA FALLS N.Y,
_., - , • (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Buililipg:Qide.and the Zoning Ordinance apply is:
SAME I
(NAME) • (PO ADDRESS T - ,
Name of Builder SAME Address. ),
Name of Plumber Address
Name of Mason Address .
2( OD
Lot Number Unit Estimated value of proposed work 5 .r100
Name of Village ., .
Name of Street - .
WEST'mr' RoAD
staa af,etreet: north 0, east. 0, south 0. test' r
Nearest Cross.Street • • • •Olit.)•WEST•MT• ROAD Distance from this -ross street 1.500 feet Ft.
Property is north ID,south -0,east 5,west. 0 from Cross Street,
If on Corner,which corner,northeast 1.3, northwest 0, southeast tJ .southwest
(Designate by marking with an "X" in the correct space.)
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NATURE OF PROPOSED WORK . •OCCUPANCY •
El Construction of a new building: • Main Building
D Addition to a building. . One-family dwelling 0
El Alteration to a building. Two-family dwelling ' , 0
El Demolition of a building. . . .,. . . .7family apartment house 0
Store building - • p
-car attached garage 0
Other: -
- Accessory Building
18 BY 36 .FOOT SWIMMINne-car detached garage 0
ii • Other work. Describe. 0 •
POOL wo-car detached garage
Private chicken house 0
Private storage building •• • 0
• •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 building(t). in &tiled line and existing,
litiilding(s) in solid line. /.
,
Size of property ft. x ft.
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Size and use of existing buildings, if any
F- • • .
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• ia \ "
a ui 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 op corner,setback from side street
ft.. .
Note: All distances are nee, 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?
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 orcoal?
Will a flue-lined chimney be provided? . Depth of chi/linty 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 to b,, of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
,.mitted, are a true and co.:.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,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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