6476 BUILDING PERMIT
TOWN OF QUEENSBURY
WARRENCOUNTY, NEW YORK No
PERMISSION is hereby granted to Abram and Mia t'. +rto,,
OWNER of property located at 15 Parkview Avenue Street, Roador Ave.
in the Town of Queensbury, To Construct or place a SWijnminq Pool IQ{
at the above location in accordance to application to rt
pp gather with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
ECONTRACTOR
ddress is 15 ParkvieW Avenue
Glens Falls , NeW York
or BUI LDE R5 Name
Bob Baker Pools
ut
OR or BUILDER'S Address Ia
tS
Sisson Road. X
South Glens Falls , N . Y , �.
as
4. ARCHITECT'S Name
C
(D
G
S. ARCHITECT'S Address M
6_ TYPE of Construction — {Please indicate by X)
{ T Wood Frame { ) Masonry ( I Steel
i. PLANS and Specifications
r-
24 ' diameter above-ground pool per plot plant
No. and application submitted. .
S. Proposed Use rG
O
O
Swimming Pool ::A �-.
$ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Nov 1 7980
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Dueensbury before the expiration date.)
Dated at the Town of Queensbury Jthis 2 3rd Day of Ju lv tg 8 0
SIGNED BY /✓ D Ong (? r Clg for the Town of Queensbury
Bui ding and Zoning I -O.'-'
TOWN OF +QUEENSBURY (:Space inside bloick to be filled ir, ln�
Vw^RRKN COUNTY. NEW YORK Building I�x��cssw}
AI�Ca#>lon for Applitrtioll N".
PP Permit ]s.utxi 14 .
BUILDING AND ZONING PERMIT 1�, , ,►,i, r:x}sire 19 ,
itIItc ,.1 Ncyork
THREE ( 3 ) C�opias of a PLOT PLAN. Drawn to scale
showing�g the actual dimensions of the lot to be buift
upon. The exact sire. and location on the lot of the
building to be created or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF ouE£NsE3ui-z .
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK LM l 2, J 198
ANSWER ALL OF THE FOLLOWING.- A .
f �`
The undersigned hereby applies for a permit to do the following �rrrak A.M. 1 $ 4 5b •�
which will be done in accordance with the description. plant and specifi- 7� $ �910� ?}
cations, and such special conditions as may be indicated on the permit.
The owner of this p o rty is: �,� /rt' 7"rd /S- . M R 1}[, I//
(MR .t Fy fp n. AODRESSI / . • • /
The person respansibic for syu7pervision of the work insofar as the Suildixfg.Code and the Zoning Ordinance apply i.:
(NAME, e -9 _ - - . [V o ^00AESS, .
Nameof Builder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address - , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - . . . . . .
. . . Address . . . . . . . . . . . . . .
Nasise of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . _ . . . . . , . . . . . . . . . . . .
Lot Number . . . . . . . . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work S . . . . . . . . . . . . . . . .
Names of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Street !-ate . f''±�k !c' fS l!I .tr4-? . / ✓�� . _ . . . . . . . . Sado of,aireat: north 0, amat 0. mouth ❑ , west C]
Nearest Cross Street R. , . S '1" . . . . Distance from this ~rocs street . . . . . . . . . . . . . . . . . . . . i S .
Property is narth 0 , south ❑ , east i i , west ❑ from Cross Street
If on Corner, which corner, northeast [3 , northwest ❑ , southeast 0 Southwest
(Designate by marking with an "X" in the -correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
E:1 Construction of a new building. Main Building
0 Addition to a building. One-family dweSling
0 Alteration to a building. "Two-farniiv dwelling
0 Demolition of a building. family apartment howw ED
Store building
. . . _ -ear attached garage 0
{3ther
Accessary Building }
One-car detached garage
[ , Other work. Describe: . . . . . . . . . . . . . . . . . • . . Two-car detached garage
a Private chicken house
r � F-i, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private storage building 0
Other: . . . . . . . . . . . _ . , . . . . . . I . . . . . . . . . . . . . . . . . . .
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of ot¢upaticy.
Indicate on the plot plan street names, the location and
size of the property, the location, sime and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Shaw proposed building(s) in dotted line and existing
%uiidingf s) in solid line.
Size of property .4r . . . . . . . . ft. x . . t2Lb ft.
Size and use of existing buildings, if any . . . . . . . • • • .
. . . . . . . . . . . . . . . . . . . . . . . . . . .
Size of proposed building . . . . . . . . . , ft. x ft.
Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . ft.
Front yard . . . . . . . . . . . . . . . . . . . . . . . . . ft.
Side yards . . . . . . . . . . . . , , . ft. and . . . . . . . . . . . . . . . ft.
Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft.
fo U T N If op corner. setback from side street . . . . . . . . . . . . . . . ft_ . .
!Note: All distances are net, as nressrretd from street side
` tine to nearest part of building.
(O v a n)
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? . . . . . - . . . . . , . . . . . . I . . . . . . , . . . . . . . . . , . . . .
• . . . . . . twhicknew
Material of foundation walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . , . , . . . . . -
Willthere be a cellar? . . . . . . . . . . . . . . . Il so, material of cellar floor . , . . . . . . . . . . . . . . . . . . . . 4 . . . - • - - - . . . . . . . . . . .
Type of roof: Sloped or flat? . . . . . . . . . . . . . Material of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Size, wood studs . . . . . . . . . . . . . . . . . . . . " x . . - . , . . . . . . . . . . ". spaciat . . . . . . . . . . . . ."o.c., length . . . . . . . .. . . . . . ft.
Size, floor beams, 1st Roar . . . . , . . . . . . . " z . . . . . . . . . . . . . . . spacing . . . . . . . . - . . "o c.: apart . . . . . . . . . . . . . . ft.
Size, floor beams, 2nd floor . . . . . . . . . . . " It . . . . . . . . . . . . . . . ", spacing , . . . . . . . . . . . . ."o.c-, Span . . . . . . . . . . . . , . ft.
iling beams . . . . . . . . . . . . . . . . . . " x . . . _ . . . . . . . . . . . spacing . . . . . . . . . . . . . ."o.c., span . . . . - . . . . . . . . . ft.
Size" ce
Site, roof rafters or beams . . . . . . . . • • • " x . . . . - - • . . . ", spacing - - • . . . . . . . . . . . "o.c., span . . . . . . . . W . . , . . 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 buijding to be constructed?
. . . . . . . . . . . I . . . . . . . . . . I . . . . . . . . . . . . . . . . .
Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . • • . . . . . . . .
Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OU burner or cool? . . . . . . . . .
Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimmey 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AM DAVIT
Town of QueenshurY
County of Warren
4tate of New York
I ewes that w tr A.Fbq of my IcrvowJedae and belief the atamaaaq aantsitrad in this applieatioe. ts +etter With rise �s�s wndtiater milted, are a true and co.. ete statement of aU ,Proposed work to be dorm as the da�awt'badd prenders�+usd that all of the BUILD-
ING CODE« THE ZONING ORDINANCE, and all orlrar laws pertaining w proposed workhall lip �he f or not.
and that such work is authorised by the ownw.
Sworn to before me this Sienatw'e�/
. . .p1iVN0 R. 4vYrtEi1'S AQEt17, n.MICMtrECT, C4M7RwCTOF1 .
day of 3 19 .
N 4YARY p0.18t.1C. WARREN COUN"rl'. N. Y.
SPECIAL CONDITIONS OF THE PERMIT-
.............. .......................... ..... ............
TOWN OF QUEE'NSSURY
Building DOPurtment
juspectews RGp % D �
Na.oe
Lr Mation Wsatiacr
Permit o:
Remarks
ExcaVation
Footin Forms
Footin & Piers
Foundation
Cement Coat
Water roofin
Backfill
Final survey
Framin
Sheathin
Roof Felt
Roofi.n
Siding
Mason r Veneer
Rou h Pjb .
Relief Valves
Wall Board
Ext . Porches
Finished Floor
Interior Trim
Stairs & 14ailin s
Cellar Dr . Tile
Concrete Floors
pl III , Fixtures
Gar . Fire roofin
Door Closers
Chimne
Water Meter Sn.st -
se tic A roval
Floors
Fcrunda ti On ....
insulation galls �-
C�ilin
Building Inspector
REMARKS
•; sIBF—
BL1ILD1NG DEPT. COPY OF APPLICATION FORM 4Fi-EL, NEW YOHK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED,
CITY OR
VILLAGE GJLm= fftlls STREET AND NO, OR TOWNSHIP +f,uy COUNTY Warren
ROAD AND POLE NO- 15 1`141 Y1 &W Ave
6ETWEEN WHAT TWO POLE NO.
fREO11 I STREETS
OCATEDT
OCCUPANT'S SECTION BLOCK
NAMEll BUILDING LOT
OWNERS NAME r�� OCCUPANCY
AND ADDRESS A bmn x. � ort Iu 1 .5 p&ri VjL*w
..7 i v+ieml Gl,efts lMllllie . ' 128D3
BSUPPLIEb
(BUILDING FROM THEIR 4iF f
NEW dtD19E REMODELED Q OFFICE
WORK DEFECTS
IS NEW 3m ADDITIONAL REMOVED LIST BELOW ALL EQUIPMENT WHICH YC1U (INSTALLED
NUMBER OF OUTLETS No- of Fi*tu rp 6
Lou- Larne Reawta me MOTORS HEATERS BRANCH
lion Coiling A
CIRCUITS LAMPS
wan RecaPYN
Wall Switch PensMnt BY+c4at No. Type H. No. E� No- Q,*We WATTS
Out- NO- EACH
mI
Sub-
bass
Baro-
fwent
1*t FI,
.Ted Fi.
3rd Fe,
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE;
DO NOT USE THIS SPACE,
This aPpiieatioo is intended to cewr the abore-listed eryt to
'You are au7horized to make the intpeotion and edfuat the fee to co ver 'the addiLRonel 'a7u4 at t.
SIZE OF �ticnal
mn* es proxided Iry the applicant. OwAlO rreet not mba o listed,
MAINS FEEDERS ELECTRICSIGN TOTAL
CHARACTER LAMPS WATTS
OF WORK EXP ED GAS TUBE SIGN
CONCEALED TRANSFORMERS OF
WORK TO BE STARTED {NUMBER) VA
SERVICE COMPLETED .512E OF SIGN (CAPACITY)
ENYERN MAKER
INBPIECtION REQUESTED OF SIGN
ON OR AS NEAR AS
P'DSSIBLE �►�,rl.r
�J NEW F1 OLfi
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED,
NAME OF DEAN ELECTRIC
APPLICANT DATE OF
STREET ADDRESS APPLICATION
V
CITY OR
POST OFFICE P 14 0ME 79020�4778'01 2iP LICENSE NO.
CODE WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
PAIrK 1P a e c
Vk
*- �°' '