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7404 BUILDING PERMIT TOWN OF QUEENSBURY No. 74 o4 WARREN COUNTY, NEW YORK �. PERMISSION is hereby granted to Richard and. Judy Mates FAI �f Sherman A*�''B17'L a Street. Road or Ave. � OWNER of property located at ! Fi 911 in the Town of Queensbury, To Construct or place a S W at the above location in accordance to application together with plot plans and other information hereto filed and tj approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Q-1 rl C t . OWNER'S Address is 481 Upper Sherman Ave . Glens Falls , New York w 2. CONTRACTOR or 13UI LDER'S Name if! Adirondack Pools and Service 3. CONTRACTOR or BUILDER'S Address 27I First. Ste South Glens Falls , New York 4. ARCHITECT'S Name .P Dd F-' C~ 5. ARCHITECT'S Address ''CI fD Fi 6. TYPE of Construction — (Please indicate by X) Q F{ 5 ( I Wood Frame f } Masonry f ) Steel ( I Aa i. PLAINS and Specifications IS r X3 6 t inground pool per plot Plan and 0 ts No. a,pplicati.on submitted su m 8. Proposed Use Swimming Pool s $ 1 n. PERMIT FEE PAID — TEAS PERMIT EXPIRES October 1 1982 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the - town of Qusensbury before the expiration date.) 0 Dated at the Town of Queensbury this 2 2ri Day of ,rune l9 $ 2 O s _.SIGNED BY for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY j.space inside black tcw lx• filletl ill b% WARREN IGC1[3fi3T•Y. NEW YOPt1C Building lnspt"orl Application No Application for I'rrF„ i, I %.Nu d 19 BUILDIN6 AND ZONING PERMIT 11 1 sr• ,", 1--.1>i, kn 7( , C rurr 1]��,rie', THREE ( 3 ) Copies of a PLOT PLAN. Drawn fo scale Ix, •r,,:r rIGS showin the actual dimensions of the lot to be built upon, T e exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, 'TatiR, m C)IF ell frATF A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK " F111213141 r �ANSWER ALL OF THE FOLLOWING, AP.MiThe undersigned hereby applies for a permit to do the following work � � '8_j #•�"t which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permlta The owner of this property is: TC� �{�1 C: �'i C G 'tf ! 6n+'f l� �E !!:� L..dh5 J'� JN �' ,14i4? 4. . . 1i � .`l�. . -�?�' J� - - . . . - �P c� ii3ocees5, . . . - . . . . . .� . . . . . . - . . . The person responsibits for supervision of the work insofar as the Basilding Code and the Zoning Ordinance apply is: . - KNAMEI . - - . IP O ADDRESS) _ R '� 110.Ls < Sc-r2 � ., c£ �',. . 1 , . . .s Name of Builder . . . . . . . . . . . . . . . . . . . . . . Address - - - . . Address . . . . . . . . Name of Plumber . , , . . - . . . . . . . . . - - . - - . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . - . . . . . . . Estimated value of proposed work S J Unit . p po Lot Number . . . . . . . - - , Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street ��L• . . � � RL' • . . . - . . - . . . Side of street : north A , east ❑ . south Cl . west 0 ;0,Q h from this. Distance fro this cross street Nearest Cross Street Property is north ❑ , south , east L, J , west 0 from Cross Street If on Cornerr, which corner, northeast �i . northwest El , southeast 0 . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY 0 Construction of a new building. One-Family dwelling Main Btaittling CJ Addition to a building. Two-family dwelling © Alteration to a building. -family apartment house © Demolition of a building. Store 'building -car attached garage n Other: . . . . . . . . . . . . . . . . . . . . Accessory Building tine-car detached garage / 5 rRlc ' Sr'� Two-car detached garage Other work. I]escribe: .f. . . . . . . . .�, ` . .�. � � ',/� Private chicken house v . 'fit. �. .z+ . . y U t, . . . . . . . l� . �'. {rp . - . . . . . Private storage building 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 4 size of the property, the location, site and setbacks of pro- posed buildings. and the location of all existing buildings. NORTH Show proposed building(O in dotted line and existing lauilding(s) in solid line. Size of property . . . . . . . . . . . . . . . ft. a ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . . . . . . . . . . ­ . . . . . . . . . . . . . . . . . . . . . . . - "' Size of proposed building . . . . . . . . . . ft. x • . . . . . , . . . ft. Height (from grade to dge] ft. ri Front yard . . . . . ft. Side yards - . . . . . . . ft. and . . . . . . . . . . . . . . . ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II on corner, setback from side street . . . . , • . . . . . . . . . ft, SOUTH T N Note: Al! [JiStQriCES are riEer as measured fr©t'rl street side line to riEQresr dart of building. ry 7 i6VERl (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 he a cellar? . . . . . . . . . . . . . . . If so, material of cellar floor . , . . . . _ . , . . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? . . . . . . . . . . . . . . . . , - Material of roof . . . - . . . Size. wood studs - - „ ., , . . , . x . . . . . . . . . . . . . . ", spacing . . . . . . . . . . . . . . "a.c., length ft- Size, floor beams, 1st floor . . . . . , , . . . , . .� . . . . .. . . . _ . ' x . . . . . . . . . . , . I . . '", spacing . . . . . . . . . . . . . . "o_c., span . . . _ . . . . . . . . . , ft_ Size, floor beams, 2nd floor - . . . . . . . . . " x . . . , , . . . . , , , . "'. spacing . . . - . , . . . . . , . "o.c., span . . . . . . . . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . . . . . " x . . . , . . . _ ". spacing - , . , , . "'o,c.. span . , , . . . . Sire, roof rafters or beams " x . • • - • • ft. . . . . . . . . . . . . . . . . . . . . . . . . . . ", spacing; _ _ . . . "rx.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? . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . , , . . . . . . . . I . . . . . . . . . . . . . . . . , . . . . . . . . . . . . - - Is there to he 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 any private well . _ . 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . feet Will drainage system be provided with required traps, cleanouts. and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . , . . . . Town of Queen,shury AFFIDAVIT County of Warren State of New 'York I swear that to it jkp grof my knowledge and belief the statements contained in this application, together with the plain, and specifications suit milted, are a true and co., late statement of all proposed work to be done on the described and that au ' ions of the BUILD- ING CODE, THE ZONING ORDINANCE, acid all other laws pertaining w :LrS [I cant ed whether specified or not, and that such work is authorized by the owner, �Y Sworn to before me this Signature .. . . .. . . . . . . . . �. o..�. . „-. .-W NER, A ENT, AR FtlTE CT. CONTRACTOR - -- - - - - . . . _ day of. .. . . .. . . ..... .. . . 19. .. . . . NOTARY PUSIt,7C, WARREN COUNTY, 11. v. SPECIAL CONDITIONS OF THE PERMIT: By ,. .. . __. .. .... .. .. . . .. .. .... . . . ... . . . . . . .... . THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET. ALBANY, NEW YORK 12207 _- Date August 12 , 19 8 2 application n o. on fire 0 0 7 ?._ 6 0 -- 3 `L' A THIS CERTIFIES THAT y only the electrical equipment as described below and introduced by the applicant named on the abErrx aipyAlscatlan number in the premises of Richard Judy P':ate s P 481 Upper Sherma7- Avonye . New York (Que eriabury in the following location; ❑ Basement ❑ let Fr. ❑ 2nd n. outside Section Block Lot was examined on 8 / 14 / 3 2 artd found to be in compliance with the requirements of this Beard. FIXTURE PTACLES SWITC�IES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANOESCEW j FLLKWESCEMv AMT. K. W. AMT. K. W. AMT. K.W. AMT- K. W. AMT. H. P. DRYERS FiJRNACE MOTORS FYTURE APPIiANCE FEEDERS SPECIALRECPT TIME CWCKS DEill, UNIT HEATEE"S MULTIALITLET DIMMERS -- SYSTEMS AAM K- W OIL H. P. GAS H. P. AMT. N04 A. W. O. wMT. AiAP. AMr. AJr1►S. TRANS. AM7- H. P. NO, (� FEET AMT. WATTS - 5ERVNCE p15CONNECT NO, OF 5 E R V I C E AMP. TYPE METER 1 X TW 1 JR' 9w S�I 3vV S F AW NO, OIF CC. COPID. A. W. G. NO. OF HI-LEG A. W. G. NO. OF NEUTRALS A, w. G. EOIIIP. PER 4 4F CC. CONO. OF HIAEG OF NEe1TRAl OTHER APPARATUS-. 1 - 2 v am.—? s Gl'1 Tl.is ce � r ficate covers compliance at the date_ of InSpe.ction un1 y? ecause of unusual. enviro-nments IL Is advi- sable to have frr�t ,' c':d /o'r repairs Trade by a qual.ifie.d person . 4 �31 Upi) er 5hexrman Drive �7 G?c�axs Falls , iuew York 12801 1.., BRANCH MANAGER + 1� COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. U BUILDING DEPT. COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS, FILE THIS COPY WITH BUILDING D``yyEPT. WHEN REQUIRED' r''�� ` CITY OR '� I'f .4� TOWNSHIP '�1 df �^ '�;; �(' r! - COUNTY Ft 't VILLAGE '+ r POLE NO. STREET AND NO. OR j' �,j(.,-, �� ,: �...._ Ef �'i r' ROAD AND POLE NO. e� BETWEEN WHAT TWO _ LOT CROSS ST R SETS IS '�{,: . . ,� I AV j- " ' SECTION BLOCK PREMISES LOCATED? BUILDING OCCUPANT'S �[f� .Z.% ) OCCUPANCY NAME 7� + ;'.�7 i' yr OWNERS NAME �j ""T �" /`�, _ - �.- t' = • f - .G �;_.. AND ADDRESS ! t i IC I" +3 OFFICE "URENT ./" FROM THEIR OFFECTS �--I SUPPLIED 'I 1hti+ ;.} If'`' J /{ /{ f,a�'� WORK REMOVED L..J BUILDING REMODELED Irk iS NEW ADDITIONAL Q IS NEW © OLD ❑ LIST BELOW ALL EQUIPMENTYvw ) ICII YOU INSTALLED BRANCH NUMBER Of LA04Ia3 No_ of Fitrtutes MOTORS HEATERS CIRCUITS NUNWER OF OUTLETS Lamp Rocepfadee Loea- M.P. No. F M.V. tion S{ds Attrch't SwMmh pendent Brockrt No. TYpa Esch No' Eaeh etrpe I Coming Wall Rscop'h Out- side Sub- boas Bose- mart 'bt FL 2nd Fl. 3rd F1. DO NOT USE T"IS SPACE. R 1 N R L CA D VICE NO S T ORTH A V ' "7 This application is intended to Gpvar the above-misted e4uipment to he ipspectod but if st tame of irup+Gtlenr Thera louttd additional egviPmaM not ebow misted, you era 4udtorixed to make the ctr *`etfon end idlest the fee t4 COsar the additional oWipment. es provided " the ePP11Gant. ELECTRIC 51GN TOTAL WATTS SIZE OF FEEDERS LAMPS MAINS EXPOSED GAS TUBE SIGN TRANSFORMERS OF VA CHARACTER CONCEALED (CAPACITY) OF WORK (NUMBER) WORK TO BE COMPLETED SIZE OF SIGN STARTED MAKER SERVICE OF SIGN ENTEo H fNSPECTION REQUESTED NEW OLD Q ON DR AS NEAR AS POSSIBLE AVOID 6ELAY BY GIVING FULL AND,�,AICCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, PRINT NAME A1i1IJ AQDRESS� 'J III "� �' DAXEAPPLICATION V { IL � f-�.1 f 9 11�i NAM£ OF r/fJ C �{ f-i ' APPLICANT f STREET ADDRESS ZIP i LICENSE NO. CITY OR ,.. P' !,_�`"-> 1 :- ;. .' F .� +� CODE " WHEN APPLICABLE !POST OFFICE 46 EL (REV, 1/621 A SEPARATE APPLICATION )MUST BE FILED FOR EACH SEQA�tATE BUII�DIvNG� __ � `J + , err �QD vY Vq fi S L4 y' P f I +Y} Grp Uwc3.fl 1N 1 q�c �q � olpf [ i J � .-' r 16