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5780 BUILDING PERMIT TOWN OF QUEENSBURY No. 5780 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Roland Duval OWNER of property located at 8 Crestwood Drive Street,Road or Ave. in the Town of Queensbury,To Construct or place a Above Ground 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. ;d O 1. OWNER'S Address is 8 Crestwood Drive Glens Falls, N. Y. R ' C7 2. CONTRACTOR or BUILDER'S Name SL H Same 3. CONTRACTOR or BUILDER'S Address Same 4. ARCHITECT'S Name co C) ri 5. ARCHITECT'S Address U] rt 0 0 6. TYPE of Construction—(Please indicate by X) C7 ( )Wood Frame ( ) Masonry ( )Steel ( ) C. 7. PLANS and Specifications 24 ' diameter and 4 ' deep per plot plan and application No. submitted. 8. Proposed Use Above Ground Swimming Pool 0 $ 10 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1 19 79 (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.) 79 Dated at the Town of Queensbury this 8th Day of May 19 rri O O SIGNED BY /317.- O 41.67..a.e,c1_,)� for the Town of Queensbury Building and Zoning Inspector /% TOWN OF QUEENSBURY t (Space inside block to be filled in by WARREN COUNTY, NEW YORK 'Building Inspector) Application for Application Nth ' pp I'cnnit Issued - iq. . BUILDING AND ZONING PERMIT ' Permit Expires. 'q. . • Y.,,ihinu District . \';i l ue nl Work$ THREE (31 Copies of a PLOT PLAN, Drawn to scale \i,l ""'`I by • showing the actual dimensions of the lot to be built RcmarXf upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB • - MITTED WITH THIS APPLICATION. "Fa: " 8Z}i?" 'i'O�f�t N OF UE .. � _ _ B • 7 i CMG ,- 011 DATE >C� !G t-LZ • A PERMIT MUST BE OBTAINED• BEFORE BEGINNING WORK /MP' 7 'z-il'J ANSWER ALL OF THE FOLLOWING. A.M. P:M, • 1 1 1 i213�a1 . �1� `a , The undersigned hereby applies"for a permit, to s9iol do the following work .i which will be, done in accordance with':the description, plans and specifi- - cations, and such special conditions as may be indicated' on the- permit. • Thowner of this prrty is:,-- '--• • `) Q /),/ . ./� D.Ia•()ol. . . ' .�2.L Gi .I.l�... .......1 :-k�Q .I. . . . . . U.1 v c�. . .�� ', . . . . .ITS /NISI►' (NA"E) 6 • P.O.ADDRESS) J r The person responsible for ..,supervision of the wbrk'insofar as the Building Code and the Zoning Ordinance apply is: . AU./...... . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . (NAME) • (P.0 ADDRESS) Name of Builder • Address Name of Plumber —' ' • Address Name of Mason _ . Address Lot Number. .170: • • • Unit Estimated value of proposed work S • - Name of Villag . L/U.e S• . . :r:5 Name of Street . . . . . .,t-) fnG/ 0 G.?l'C'�fl 1. ' Side of street: north 0, east ❑, south ❑. west ❑ Nearest Cross Street Distance front this cross street Ft. Property is north 0,south Er,---east ci, west ❑from Cross Street" If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY •❑ 'Construction of a new building. Main Building ❑ . One-family. dwelling Addition to a building. ❑ Two-family dwelling ❑ Alteration to a building. family apartment house D. DI Demolition of a building. Store building PS . . . 'g. . .-car attached garage 0 • Other: • • Accessory Building r One-car detached garage • ❑ E. Other work. Describe• � � / •C2/7 • Two-car detached garage Ct ©ve y l-Ou/)O J//rl/ )/) Private chicken house ` /Q _// Private storage building • ❑ 00 / — 4 PIi r- /i/ GIeeitzt ,4,6/ Other: eno.e eel-)d O/'C:A. 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, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH - Show proposed building(s) in dotted line and existing buildings) in solid line. • . Size of property ft. x ft. Size and use of existing"buildings, if any • • • to Size of proposedfuilding ft.x ft. • o Height (from gr,I de to'ridge) . ft. . Front yard i 4 ' ft. Side yards / v � -1 ft. and 13 6 . ft. • Rear yard . . . .4 ) ft. SOUTH If on corner, setback from side street • ft.. .. Note: All distances are net, 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 " 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 be attached, of what material is wall between garage and main buil 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 Willa 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? Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to it,1,, r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.t.p• lets statement of all proposed work to be done on the described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. c Sworn to before me thi®. Signature OWNER'.OWNERS AGENT.AR i ITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • By 3 • • U� -11 8 C Cad