1747 BUILDING PERMIT
TOWN OF QUEENSBURY No. 1747
WARREN COUNTY, NEW YORK - C
PERMISSION is hereby granted to_ Louis G. VanDenborg.
OWNER of property located at 32 Pine Street Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Private Pool
at the above location in accordance to application together with plot plans and_other information hereto filed and s✓
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ~
1. OWNER'S Address is
Louis G. VanDenborg
32 Pine Street
W. Glens Falls, New York 12801
2. CONTRACTOR or BUILDER'S Name
Owner
3. CONTRACTOR or BUILDER'S Address
Same as above:
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( 1 Steel ( )
7. PLANS and Specifications W
- - N
ro .
No. 16'X32' as per plot plans submitted.
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8. Proposed Use cn
fi
Private Pool
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 9-1— 19 72
(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 8 Day of May 19 72
SIGNED BY � for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
(Spare inside block to he filled in by •
WARREN COUNTY, NEW YORK Building Inspector)
Appl•ication for \`'plic lti"" NO. •
Permit I,tiued Pi .
BUILDING AND ZONING PERMfT I',.rl„ia Ixpires Pi
Y('nin;_ I)''trict
able (il Wiwi, s, . . .
THREE 131 Copies of a PLOT PLAN, Drawn to scale \1'I""" `I l'' • • - - • . • . •
showing the actual dimensions of the lot to be built ltI•n,:ol., . . . . . . . . . . . • • - - •
upon, The exact sire, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. ----T---------..----__
TOWN OF OUEENSBUI Y
RECEIIVE
DAT,. J d u/- Fe.-1 /)1),
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAY 5 lJ l(-
ANSWER ALL OF THE FOLLOWING. (17.M18.
,M P.M.
The undersigned hereby applies for a permit to do the following work j A , g 10i1111211I2I31415J
91
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. i
The owner of this property •s: /
D. v. S .. . .Cs.,. eC .� fJu./t�� c>2. ,. �
:P 0 ADDRESS) . �� 6-4--/fr.T74,.7.Z/5,-S .
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) K2_,-.27,-..,,,,-,,,,,,, IP 0.ADDRESS)
Name of Builder cO U /c`S f • •Address ,,� . 'S,- -- 5/ ', C -.6-�is/ '4y
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work f
Name of Village
Name of Street Side of street: north 0, east 0, south 0. west
Nearest Cross Street . . Distance from this cross street Ft.
Property is north 0,south ❑,east i i, west 0 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 Biaiigiing
❑ Addition to a building. One-family dwelling ❑
0 Alteration to a building. Two-family dwelling ❑
❑. Demolition of a building. . . .-family apartment house El
Store building . ❑
-car attached garage ❑
Other:
Accessory Building
%"o a - One-car detached garage ❑
Other work. Describe: v Two-car detached garage ❑
Private chicken house • ❑
Private storage building El
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, sire and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH
Show proposed buildings) in dotted line and existing
huilding(s) in solid line. /
Sire of property �� ft. x . l `�1 It.
Size and use of existing buildings, if any
a-
s Ew
Size of proposed l�a°rtg . . ��� . . ft.x 3� ft.
I-Ieight(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, es mannered from street side
line to nearest part of building.
(OVER)
0
(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?
Finishof interior walls
If garage is to he attached. of what material is wall between garage and main built ing 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 anv private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queenshury AFFIDAVIT
County of Warren ss.
State of New York
I swear that to the best of my knowledge and belief the statements contained in this application,together with the plane and specifications
sub-
mitted, are a true and complete statement of all proposed work to be done on the described preues and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE.and all other laws pertai mt
ning to the proposed work shall be complied 'th,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signet
O Pf NER'S 1'.A ITECT.C NTRACTO
. . day of. .19 %�-�/
NOTARY PUBLIC, WARREN COUNTY, N. Y
SPECIAL CONDITIONS OF THE PERMIT:
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