6564 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6564
3 0� WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
Robert S . Jordan
OWNER of property located at Lot 66 Helen Drive (St. No. 58) Street, Road or Ave. tr
(D
in the Town of Queensbury,To Construct or place a Swimming Pool rat
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.
c-I
1. OWNER'S Address is O
58 Helen Drive n
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
N
Same rt
rt
4. ARCHITECT'S Name
oIJ
• lD
5. ARCHITECT'S Address C C7
K
H-
lD
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications 2 0 'x3 4 ' inground pool per plot plan
and application submitted.
No.
8. Proposed Use
C!]
Swimming Pool •
N•
1-
•
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Jan_ 1 19 81 Fd
(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.)
Dated at the Town of Queensbury this 5th Day of September 19- R
SIGNED BY ,e.:4for the Town of Queensbury
Buildingg andInspector
9 P
ns
TOWN OF QUEENSBURY `- . (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
A lication for Application
No.
pp Permit Issued 19. ..
BUILDING AND ZONING PERMIT Permit Expires. 19. - '
7.onin;: District
•
,I l ur 01 Work,% .
THREE (3) Copies of a PLOT PLAN, Drawn to scale. 'Ai'1 ""11 hY
showing the actual dimensions of the lot to be built lten,arKS'
upon, The exact.size, and location on the lot of the •
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. . cc-- .
CI0 — ‘`�' �4 )6/c7 6 eek J;na TOWN OF QUEENSF3U i V,
PATE n
A PERMIT MUST BE OBTAINED
BEFORE BEGINNING WORK /Q /" � B
ANSWER ALL OF THE FOLLOWING. SEP J 1980
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-
cations. II-and such special conditions as may .be indicated on the permit.
The owne of this prope is:
. . . . . 7f .6,7 chid. ' /9/ 8 64 J- vs G-LGA,is s 44 / I
(NA',E) (P.O.A RESS)
The person responsible for -supervision of the work insofar as the Buil"dipg.Ccide and the ZoningOrdinance apply is:
(NAME) • (P.O ADDRESS)
Name of Builder Address. ' .
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work$
Name of Village . . l2.G 7�,/-
Name of Street . .S8• k/t'ef.Zy Side of,otreet: north -❑, east. ❑,south ❑, west ❑
Nearest Cross Street . 1' �'n/" l� Distance from this ^rocs street . �� Ft.
Property is north ❑,south ❑,east i i,west 0 from Cross Street
If on Corner,which corner,northeast ❑, northwest 0, southeast C southwest
(Designate by marking with an "X"in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building ❑
El Addition
dwelling Addition 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 ❑
❑ Other work. Describe. Two-car detached garage ❑
/ Ali'2Uu".p pop/ Private chicken house ❑
Private storage building ❑
' � (-3� ���. 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,site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTHShow proposed building(a) in dotted line and existing
t*lding(s).in solid line.
Size of property . . . /'. .1r . .. . . ft. a . /.C" . . . . ft.
Size and use of existing buildings,if any
l
i W Size 1of proposed b g . . • • •9:z ft.x ')1 ft.
Height(from grade to ridge) • . ft.
Front yard / ft.
Side yards . . i/U ft. and 7) ft.
Rear yard 2—Q ft.
lOUT H 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 II
",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 or coal?
Will a flue-lined chimney be provided?, . Depth of chithfey 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 Queenshury
County of Warren
State of New York
I swear that to tt•, i r g of my knowledge 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 BONING ORDINANCE,and all other laws pertaining to ro work sha mplied "th,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature OWNER.OWN R'S AG .ARCHITECT.CONTRACTOR
day of 19 . .
NOTARY PUBLIC.WARREN COUNTY. N. Y. . . . .
SPECIAL CONDITIONS OF THE PERMIT:
By
TYPICAL. LAYOUT
FOLLOW ALL STATE AND FEDERAL SAFETY AND BU11.0ING ODORS.
-_ _— OMTTOPIAA.COMIC/MITI MICH ISRACR
-� AND AALIMTAfLIt INCHMlAC[MI N fTALU1TiO
1 ) ic>i:t .1 1..
O.
'votlwro•.
\\\ 0 ACTUAL POOL 10CA7IOh \,. .-..1
a — IrOATf.AREA
...//1
vN. S. P. I.
. 6tifillinii r ` TYPE II OIMENSI(HIAL SPECIFICATIONS AS
— t — — I APPLIED TO WEATIIF.RKIIIO TYPE II: POOLS
/'J'•d LB. c.d. ,.o,. `
TYPE II
1. OVERHANG or DIVING HOARD FROM EDGE OF ,
PLAN LA1211- an." ' ea,...,.v...w
POOL IS .1211" PLUS OF MINUS 3".
2. WATER DEPTH UNDER TIP or DIVING BOARD ' -
•• •`"• IS A MIN IMOM OR' 7 2" AT PO INT 'A'.
3. MAXIJ1 4 BOARD LENGTH 0.0". "
1 OVER WATER 0
.
.', i,.1,'.1', 31^ ,.r..ia,...,,. 4. MAXIMIRI BOARD HEIGHT 0 E
,,: •, --T S. DIVING BOARD MUST BE CENTERED IN 771E
ADAM MOLT
"'"'" "" • '°" '^""""^^ •A•rnne+E WIDTH OF THE POOL.
•
„ 6. CIIEC.0 MANUFACTURERS' SIVECIFICICCIOIIS FOR`
M III DANN DIMENSIONS OF FULCRUM LOCATIONS.
•
5 `I. sN 'p ' -- 7. SAFETY LINES HUST HE MECHAMICALLYATTACHED
t•COlN'ACt Y[D SAND A OR ONE SIDE SUPPORTED BY BUOYS '
'' UNDISTURBED [ANTN
ti B. TITO SETS OP STEPS OR LADDERS ARR`FNMA/IRED
1 a t, '!.,. ,d• , ; \ L. ....,a•.. WITS THIS SIZE' b�OL..
•
;,,•. 9. 314" MINIMUM WATER DEPTH. •
10. WEATNERX1PO SAFETY SIGH TO BE DISPLA:i.ED.
4i �i. _LDNDITIIQJUL._S1ECTIDN A'A' ;, aI
.. i ft6.'Y�=.� .f` -••• _ +••"1 : , 1
t;. KIDNEY TYPE II POOL . 1M1O17T um,D EARTH ^w•• .
20'. X 36'10" X 161''X 0' SCCTl9N 'I-D' :� 1t 1.
.,. " n J ,
'' N' KO'DIVING,BOAROS OR SLIDES TO BE USED UNLESS MEETIIRC} �+
lid •
' EUUIPKEET'',MAIRUVACTURERS SPECIFICATIONS. LOCAL corms•'1' ,' ii li AND N. E. P. I. STANDARDS. ,
roots A. KEEP POO[, FILLED MITH WATER AT ALL TIMES. •'�t .,
FOLLOW ALL STATE AND LOCAL BUILDING CODES. )
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