6555 -BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6555
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to
Woong Man Lee
OWNER of property located at 64 Helen Drive Street,Road or Ave.
sy
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. O
1. OWNER'S Address is C4 Helen Drive
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Bob Baker
rn
3. CONTRACTOR or BUILDER'S Address
10918 Sisson Road •
c
South Glens Falls, New York ~'
m
. 4. ARCHITECT'S Name CJ
Fi
C
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) _
7. PLANS and Specifications
16 'x32 ' . per plot plan, specifications and H-
No. application submitted
H.
8. Proposed Use
ro
0
Swimming Pool 0,
$10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 81
(If a.longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 2nd Day of September 19' 80
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector e
TOWN OF QUEENSBURY ' (Space inside block to lie filled in b,
WARREN COUNTY. NEW YORK Building Inspector)
A lication for • ppli`ation tio.
PP Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. 19. •
%uiiiu . District
V1iliie of Work:
THREE 131 Copies of a PLOT PLAN, Drawn to scale; ''11"1" 11 1 Y
showing the actual dimensions of the lot to be built ltenl,(rgr
•upon, The exact.size, and location on the lot of the
• building to be erected or altered- MUST BE SUB •
-
MITTED WITH THIS APPLICATION. . '
TOWN OF QUEENSBURY
fib — 4-/ _ (0 7 - VaI.36. . . . . :. . . . .DATE ' 'pA PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SEP '; 1980
ANSWER ALL OF THE FOLLOWING. A.M. /p r j ee 9.M 1The undersigned hereby applies for a permit. to do the following •weds alai ell 1 .1a al
7I8I9I1911I12)1I2I3I4I616which will be done in accordance withthe description, plans and spei:ifi• 1cations, and such special conditions as maybe indicated on the permit.The owner of this prn�rty 's: I �Q� /'Fe17REGNFE
y,
(NA•aEl (P.O.ADDRESS)
The perso responsibifor •supervision of the work insofar as the.Buildipg;Code and the Zoning Ordinance apply is:
eya,re A.
(NAME) • 1 .O ADM
).
Name of Builder Address- , .
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work$
Name of Village // ` '
6''
Name of Street �i t I)i Stde of:ftreet: north .D, east. Di south ❑. west 0
Nearest'Cross Street Distance_from this 'Toss street Ft.
Property is north 0,south 0,east i,west 0 from Cross Street.
If on Corner,which corner, northeast 0, northwest 0, southeast tJ southwest
• (Designate by marking with an"X"in the-coriect space.)
•
NATURE OF PROPOSED WORK •OCCUPANCY
El Main Building
Construction of a new building. One-family dwelling Ci
. ❑ 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 j. T % t L. ' • Two-car detached garage 0
/gx, 3 2 _ 111 Private chicken house ❑
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.site and setbacks of pro-
posed buildings and the loation of all existing buildings:
NORTH Show proposed building(a) in dotted line and.existing
titiilding(s) in solid line.
Size of property (0 b ft. x ft.
Size and use of existing buildings, if any
,n
0 m Size of propo MC 3 2— ft.x ft. .
Height(from grade to ridge) ft.
Front yard ft.
Side yards • eA l- ft. and , ..4 ft.
Rear yard . . .off•,1` ft.
7 •SOUTH Hop corner,setback from side street. ft.. ..
Note: All distances are net, as measured from street side
line to nearest part of building..
r
(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.
Siie, 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 chittiney 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 tr, la r of my knowledge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true and co.�.plets statement of all proposed work to be done on the described premises and that a provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whee r specified or not,
and that such work is authorized by the owner. fp`J /I„„ f= -�
Sworn to before me this Signature < �� � NER.OWNER'S ENT.ARCHITECT.CONTRACTOR
day of 19 .
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
LITHOGRAPHED IN U.S-A.--ADDISON-WESLEY PUBLISHING CCH ANY. INC.. READING. MASS. .a-W DaTEb-olnt O 5V
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