832 (A) BUILDING PERMIT
TOWN OF QUEENSBURY No. 832—A
WARREN COUNTY, NEW YORK m
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PERMISSION is hereby granted to Charles Baldwin . H.
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OWNER of property located at West Mountain Rd. Street, Road or Ave. n
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in the Town of Queensbury,To Construct or place a Private Pool ii
at the above location in accordance to application together with plot plans and other information hereto filed and cD
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. u'
1. OWNER'S Address is
Same
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2. CONTRACTOR or BUILDER'S Name el,
Ed Blair
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3. CONTRACTOR or BUILDER'S Address c+ '
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4. ARCHITECT'S Name •
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry (X Steel ( ) Plastic
7. PLANS and Specifications
20' X 40' as per plot plan.
No.
8. Proposed Use
Recreation
10.00
$ PERMIT FEE PAID —THIS PERMIT EXPIRES September 30 1970
(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 25 Day of June 1970
SIGNED BY /,- for the Town of Queensbury
_________,g
Bu- mg and Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
-_ Application tio.
Application for
Permit Issued
BUILDING AND ZONING PERMIT Permit Expires lit.
Zoning District
• Value of Work S
THREE (31 Copies of a PLOT PLAN, Drawn to scale Approved ed by
showing the actual dimensions of the lot to be built kcniark%
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
•
/ TOWN OF QUEENSBURY
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. • J U N 1 61970 . •
The undersigned hereby applies for a permit to do the following work A.M. P.M.
which will be done in accordance with the description, plans and specifi- 71819110111112111213141516
cations, and such special conditions as may be indicated on the permit.
T•a owner of this prop.eyty is:
(NAi.;E) (P.O.ADDRESS).
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(.)."1
(NAMEE)/)// (P.O.ADDRESS)
Name of Builder (. . . L%r� ti�/�--' Address
Name of Plumber Address
Name of Mason Address
Lot Number Unit, Estimated value of proposed work$ =�o ekB a
Name of Village -
Name of Streea'-a,"��, ` .Lj G��' Side of street: north ❑, east/ , south ,❑, west ❑
Nearest Cross Street .1/%�L!= . . �—° Distance from this cross street Ft.
Property is north 43;south ❑,east tr 1,;west ❑from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast ❑, 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 ❑
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
. Store building ❑
-car attached garage ❑.
• Other:
Accessory Building
• One-car detached garage ❑
O er work. Describe: Two-car detached garage•
• ❑
r sec 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 building(s) in dotted line and existing
I uilding(s) in solid line.
Size of property _4 ft. x ft.
Size and use of exi$ting buildin s if an
to '
W Q
W 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)
(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 bui<14ing 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?
Town of Queensbury AFFIDAVIT
County of Warren ss.
State of New York
I swear that to the best of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and complete 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 m this Signature
OWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
cl:J� e2,UBLIC. IRREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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