6396 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6396
WARREN COUNTY, NEW YORK
Sandra R. S - ' - -PERMISSION is herebygranted to awn
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OWNER of property located at _ 73 Main Street Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Swimming Pool ;t)
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at the above location in accordance to application together with plot plans and other information-hereto filed and
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is 73 Main St.
West Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Sprague' s Mermaid Pools
3. CONTRACTOR or BUILDER'S Address W
247 Broadway
Fort Edward, N.Y.
4. ARCHITECT'S Name cn
rt
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
25' octogonal shape inground pool per plot plan
No. and application submitted.
s
N.
8. Proposed Use 1
F,.
Inground Swimming Pool
ro
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Oct. 1 198
(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 16thy of June 19 8 0
SIGNED BY " for the Town of Queensbury
ilding and Zoning.Ins
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TOWN OF QUEENSBURY `- . (Space inside block to lie filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application No.
Application for i'c•rtnit Issued 19.
9.
BUILDING AND ZONING PERMIT l'�•rmit Expires. '
Zoning District
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\alo of Work,, •
\(►I�rrnc•cl by
' ' THREE (3) Copies of a PLOT PLAN, Drawn to scale. •.`j`ii►.'i
showing the flatus' dimensions of the lot to be built
upon, The exact size, and location on the lot of the
- building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
TOWN �,O nF ITQU��EE��(N{SBUR
3 0 - o ,,,a 7 I-/i - g6 DATE R ",� / e� L7 Y' IE D-
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK •
JUN 's 6 1980
ANSWER ALL OF THE FOLLOWING. 9 r` -'Pk G i •
A.M. �O"
The undersigned hereby applies for a permit to do the following work 7IgI9I1o11112I112I3)4I5I6,,
which will be done in accordance with the description, plans and specifi- I ;
cations, and such special conditions as may .be indicated on the permit.
Th owner of this property is: ^
'�3 rn S-� &.lens. a.I 5 .,1vv.lV /,to/
pLt c11� „
al�c R.H . .�. . . . . . ?11 . . . . . . . . . (P.O.AflRESS)
INA•'EI i
The person respite for •supervision of the work insofar as the Etuildip)g Cede and the Zoning.Ordinance apply :
--F's o ). .--.r.i?.I. . .SI caq u.�. . . . . .``.17. .S6e. c�c�.�. . . . .r-t.•. .EA %�
S D�' Ui1° . . . . . 1MEt
Name of Builder Address- ,
Name of Plumber Address
Name of Mason Address
Lot Nut}tber
Unit Estimated value of proposed work S . 6 i o-r-r7
Name of Village .-.-1- -m.,:a.Q- . • uee. ss (:11A.C 4. ,_./
Name of Street I ' )�, % S4 Side of:•street: north Ud, east D.south ❑. west` 0
Nearest Cross Street
Distance from this ^ross street Ft.
Property is n,rth 0,south ❑,east i i,west 0 From Cross Street.
If on Corner,which corner, northeast ❑, northwest ❑, southeast C southwest
(Designate by marking with an"X" in the correct space.)
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NATURE OF PROPOSED WORK OCCUPANCY
Main Building
• Construction of a new building. One family dwelling El
❑ Addition to a building. Two-famiiv dwelling 0
• ElAlteration to a building. , . . . . . .-family apartment house �
❑ Demolition of a building. Store building 0
• -car attached garage 0
Other:
- • - Accessory Building ❑
/ t One-car detached garage ❑
E Other work. Describe. 1 r °V ' + ••� e ` •' •' Two-car detached garage 0
Private chicken house
Cr. l� Private storage building 0
15+.
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 1/ Show proposed building(t) in dotted line and existing
0/ tiuilding(s) in solid line.
Size of property /0 0 ft. x Odft.
Size and use of existing buildings,,if any
N i po.o/ 015-I O(/ G Jeh
ii �` Size of pro d buildin
poseg ft.x ft.
Height'(from grade to ridge) . ft.
fL
a1.- / Front yard
Side yards /L1
/ ft.
ft. and S G ft.
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if CO1.. tVl?) Rear yard /31 'go/lit ft.
7 SOUT H
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 ",spacint "o.c., length • ft.
", spacing ...,. "o.c.,span
Size, floor beams, 1st floor "x ft.
Size, floor beams,2nd floor
"x ", spacing "o.c.,span ft.
Size, ceiling beams "x ", spacing "o.c., span ft.
", spacing "o.c., span •
Side, roof rafters or beams "xft.
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?
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 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?
AFFIDAVIT
Town of Queenshury
County of Warren
State of New York
I swear that to to b a r of my know,Iedge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true end co,a. 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 the proposed wor shall be mplied with,whether specified or not,
and that such work is authorized by the owner. f ��`�
Sworn to before me this Signature "' OWNER. . ER' AGENT,ARCHITECT.CONTRACTOR
day of 19..,.....
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
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TOWN OF QUEENSEIRY.
Buildinff Department
Inspectors Report Date L> ' 2 7-f (-)
Name •
Location 2 /7c:/43.
Permit No. C,3 9(y WeettamT
• • Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat J
Waterproofing
Backfill ,I J
Final Survey _
Framing
Sheathing / "-712
Roof Felt
Roofing
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Siding
Masonry Veneer
Rough Plbg. J
Relief Valves
Wall Board
Ext. Porches
Finished Floor _
• Interior Trim 1
Stairs & Railings
Cellar Dr. Tile
Concrete Floors _
Plbg. Fixtures
Gar. Fireproofing
. Door Closers
Chimney . I
Water Meter Inst.
Septic Approval
Floors ' J
Insulation Fo?inatiiin
Walls
Ceilinc
Building Insp .,`o.
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REMARKS .
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