6527 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6527
. WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Kenneth C. Pulver
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OWNER of property located at 66 Helen Drive Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Inground 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. ro
1. OWNER'S Address is H
66 Helen Drive
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Sprague' s Mermaid Pools
3. CONTRACTOR or BUILDER'S Address
247 Broadway rn
Ft. Edward, N. Y.
4. ARCHITECT'S Name
F-'
CD
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5. ARCHITECT'S Address C'
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6. TYPE of Construction— (Please indicate by X)
•
( )Wood Frame ( ) Masonry ( 1 Steel ( )
7. PLANS and Specifications
16 'x35' inground pool. per .plot plan and
No. application submitted.
H
8. Proposed Use
fi
Swimming Pool
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Dec. 1 19 8 0 0
H
(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 1 4,1-h Day of August 19 8 0
SIGNED BY l7 �/f^�2� for the Town of Queensbury
Buildin and Zoning Inspector / ! -
TOWN OF QUEENSBURY t- (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Alication for Application, No.
pp Permit Issued 19. .
BUILDING AND ZONING PERMIT Pg.rmil Expires. lg. .
406illz District
Aiw 0I Work i
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1iIn'' ill bY
showing the'actual dimensions of the lot to be built lten,,irXS
upon, The exact size, and location on the lot of the
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION, .
q-ci — 4 _ 10 g:/// 20 TOWN OF QUEENSBUR
' DATE , REC- nwE --7,
A PERMIT MUST BE OBTAINED BEFORE'BEGINNING WORK_ AU(� 190
ANSWER ALL OF THE FOLLOWING. 0 0o _ t a; d
AM. 1The undersigned hereby applies for a permit to do the following wodc 7I 8I91�I11I12)1i 2I 3I 5 16
which will be done in accordance with the description, plans and specifi- � 1 ' M M W
cation, and such special conditions as may .be indicated, on the permit.
The owner of this property '.;j
(NA•'E1 (P.O.ADDRESS)
The person responsible for -supervision of the work insofar as the Buil;dijig.C,ode and the Zoning.Ordinance apply is:
CON77Za.G'tA/L — Aga.l,C— -5-01)ri2 q�1e. ��-t�. �I�GU . .(I Y
(NAME) �''TT • (P.O ADDRESS)
Name of Builder Ate d' 'e-e' Address- .
Name of Plumber Address
Name of Mason Address
/70 Estimated value of proposed work S . A.i"�-d
Lot Number Unit P Po
Name of Village Tom' ci'c Qa ^ezed ,'
Name of Street tt/t7 F,AJ Side of,aireet: north 0, east. 0, south O. west_
Nearest Cross Street EZ-E—A/ 57- Distance from this ^ross street . ... . .. 1.QO. . . . . . . . Ft.
Property is north I south 0,east [ west 0 from Cross Street
If on Corner,which corner,northeast V,northwest 0, southeast 8—southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Building
O Construction of a new building. One family dwelling 12
Q Addition to a building. Two-family dwelling 0
O Alteration to a building. _ , , , . . .-family apartment house El❑ Demolition of a building.
Store building ❑
-car attached garage C
Other:
Accessory Building
One-car detached garage 0
❑ Other work. Describe: 45---re nn Two-car detached garage ❑
ok- Q. Saiim//)9li29 / C)I_ Private chicken house 0
(i!' Private storage building ❑
-F Jee alkekreiPL o r pta-u-- Other:
%h YutOs
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.
NORTH Show proposed building(s) in dotted line and existing
lluilding(s) in solid line.
Size of property'. . 1.2S ft. x 1.JO ft.
Size and use of existing buildings, if any
N oe
m Size of proposed building t' G' ft.x 3 S ft.
Height(from grade to ridge) . ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
7 SOUTH If co corner,setback from side street ft.. ..
Note: All distances are net, as nsaasured from street side
line to nearest part of building.
(OVERT
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
If
x ",spacing "o.c.,length • ft.
Size, floor beams, 1st floor "x ", spaeiltg ...:,. "o.c.,span ft.
x ",spacing . ,"o.c.,span ft.
Size, floor beams, 2nd floor
Size, ceiling beams "x ", spacing "o.c., span ft.
Site,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 chilhney 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 bc,,r of my knowledge and belief the statements contained in this application,together with the plans and.pecifications sub-
mitted,.are a true and co.:. lete statement of all proposed work to be done on the described premises a d that a provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the roposed work shall be o mplied with,whether specified or not,
and that such work is authorized by the owner. ��^ �G e.
Sworn to before me this Signature �rl JJJ OWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of 19
-- NOTARY PUBLIC. WARREN_COUNT'Y, N. Y _ . •
SPECIAL CONDITIONS OF THE PERMIT:
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