6051 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6051.
WARREN COUNTY, NEW YOR.K
PERMISSION is hereby granted to Charles. and Mary Lashway
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OWNER of property located at 5 Kiley Lane Street,Road or Ave. •
in the Town of Queensbury,To Construct or place a
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.
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1. OWNER'S Address is 5 Kiley Lane
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same
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4. ARCHITECT'S Name I-'•
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
24 ' diameter above ground pool per plot plan and
No. application submitted.
8. Proposed Use
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Private swimming pool
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Dec. 1 1979 b
(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.)
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Dated at the Town of Queensbury this 29th Day of August 19 79
SIGNED BY ; for the Town of Queensbury
Bui ing an Zoning Inspe orc
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TOWN OF QUEENSBURY ' • (Space inside block to Ix filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for Application Nit. :.
. Permit Issued 19. .
BUILDING AND ZONING PERMIT Permit Expires. lg..
/.(,thin_ District
. Valli(' ni Work% •
THREE 131 Copies of a PLOT PLAN, Drawn to scale '\151".'"d lw
showing the actual dimensions of the lot to be built Rem arKf
upon, The exact size, end location on the lot of the.
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
-' — F Ail' /7? VN OF QUEENSEURY
MUST . EGE [IVE D
BE OBTAINED BEFORE BEGINNING WORK
A PERMIT •
ANSWER ALL OF THE FOLLOWING. AUG0 9 1979
The undersigned hereby applies•for a permit. to. do the following work . 4- A.M. D re er'M �t
which will be. done in accordance with the description, plans and specifi- • 7181g11(111112)1121314151ta
cations, end such special conditions as may be indicated on the permit.
The owner of this property is:
. . . . .(., 1.G(JL,4t4. . A. (NA"A_..EI .. • hci-ff (R.O.ADDRESS)
• The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
42 0-) (NAME) -(P.O ADDRESS).
Name of Builder.•. . ,a n? Address
Name of Plumber • Address
Name of Mason Address
Lot Number Unit • Estimated value of proposed work 5
Name of Village . ... . .t.•v e,e/.7.,/,o.,e y'
—``
Name of Street (f`. ec-•J• •a4q. (}' Side of street: north (9, east ❑, south ❑• west 0
Nearest Cross Street Lef)7e,7''k'1 .C%,Ct dz Distance from this r.ross street (0 Ft.
Property is north 0,south ❑,east ill, west ❑from'Cross Street
If on Corner, which'corner, northeast ❑-, northwest ❑,'southeast D.'southwest
. (Designate by marking with an "X" in the'correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. • Main Building
❑ Addition to a building. .. _ One-family dwelling ❑
Two-family dwelling ❑
❑ Alteration to a building. . , • , , . , . .-family apartment house ❑
❑ Demolition of a building.
Store building ❑
-car attached garage ❑
Other:
Accessory Building
�7,,/ / One-car detached garage . ❑
El Other work. Describe:. cr!"l � p't�=-� Two-car detached garage
1 Private chicken house ❑
9-2.w. C.GC). . . �
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
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
l;uilding(s).in solid line.
Size of property As-f, ft. x /,5*-6 ft.
Size and use of existing buildings, if any
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i //a�ct e-L i
s w Size of proposedls i g . .—•l. • • ft.x ft.
• Height (-from gi dtle=terricige) .. . "�``f- ft.
Front yard ft.
Side yards ft. and ft.
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. Rear yard ft.
SOUTH If on corner,setback from side street ft.. .
' Noie: All distances are net,.as measured from street side
. • •• line to nearest part of building.,
. (OVER) -
7-73-N . •
(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 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 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 tt Ads r of my know,Iedge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.p lete 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.
Sworn to before me this Signature h .. .
�3 G� OWNF� .OWNER'S AG NT.ARCHITECT.CoACTOR
c / day of ���,c t�. 19 7/ 111///
NOTARY PUBLIC. WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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