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8455 BUILDING PERMIT TOWN OF QUEENSBURY No 8455 • WARREN COUNTY, NEW YORK 61.41 t — - PERMISSION is hereby granted to Robert Palmer OWNER of property locat at West Mountain and Aviation Roads Street, Road or Ave. Pzi 0 tr in the Town of Queensbury,To Construct or place a qwi rmn ing Pool at the above location in accordance to application together with plot plans and other information hereto filed and c+ approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ray 1. OWNER'S Address is RD #2 5 Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name - Ray Besset ' 3. CONTRACTOR or BUILDER'S Address • Granville, New York fD tn 4. ARCHITECT'S Name �y 0 • 5. ARCHITECT'S Address • • 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) :W 7. PLANS and Specifications • l8 'x36 ' inground pool per plot plan o No. and application submitted. 0 8. Proposed Use - N Swimming Pool - 15. 00 PERMIT FEE PAID—THIS•PERMIT EXPIRES Dec. 1 19 84 H (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.) fi O Dated at the Town of Queensbury this 2nd -Day of May 19 84 SIGNED BY • ��¢��' �� for the Town of Queensbury O H Building and Zoning Inspector I—� TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No.. • Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. 19. ''hitting District , • \ aliie n1 Work if THREE (3) Copies of a PLOT PLAN, Drawn to scale •\PI'r"\c•(l by showing the actual dimensions of the lot to be built Ilc•m: 'KS' . upon, The exact size, and location on the lot of the building_ to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. //3�/�,� TOWN OP' QUEENSBURY � � _ � � �, � � ` DATE DA PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A'R �� 01984 ANSWER ALL OF THE FOLLOWING. /S,o\ Fes— P.I .The undersigned hereby applies for a permit.to do the following workA $ 9 1 11�12I1121 14f51which will be done in accordance with the description, plans and specifi- rECEIVE 1, . .� - • . II I • cations, and such special conditions as may be indicated on the permit. /� . The owner of this property is: (NA`4E) (P.O.ADDRESS) • The person responsible for • supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) IP 0 ADDRESS) Name of Builder , Ce s s�t Address tizw`''`U Name of Plumber \ O'N'" ._ �r '7 9 4 ` Address 9 Z wa s �- �1 T- l�c� Name of Mason (3 s S e Address G N2-- ''„ k : .c., Lot Number Unit Estimated value of proposed work 3 3, Li S o. Name of Village . . . .(,)-(2,-.e,--"Pr. S. •*.).v:{.-.,,-( Name of Street W 't ` \U'• Side of street: north 0, east 0, south O. west 3" Nearest Cross Street t^--' -.2---, wA-7. \2-6 . Distance from this cross street Ft. Property is north 0,south ❑,east ;, west.. 0 from Cross Street If on Corner, which corner, northeast [4, 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 ❑ Addition to a building. One-family dwelling ❑ ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ Store building ❑ • -car attached garage ❑ Other: . Accessory Building pp • One-car detached garage Eli cl Other work. Describe:. . . .cs Cs'�., Two car detached garage ❑ 2 / Private chicken house ❑ /3 5� 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 buildings) in dotted line and existing • Ituilding(s) in solid line. a.,r, 'Q • Size of property ft. x ft. 1^1 - Size and use of existing buildings, if any H 1 y� ^ 0 y�' s 0 _ Vl ) I, Lo&Zs W Size of proposed building ft.x ft. Height(from grade to ridge) ft. Front yard ft. J 0 411. Side yards '. ft. and ft. Rear yard 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. Site, 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 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 .a 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 II-birJ i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and coa.pplete 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. �/9� Sworn to before me this Signature OWNER. yyNE......EN ARCHITECT,O TRACTOR �l� day of >�� f , ,•Q 19 �6�� NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS:OF THE PERMIT: • • • By BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR VILLAGE TOWNSHIP 4 y ; g .1., COUNTY 1„ j r:Ai,_:2,t STREET AND NO.OR ' 0 P L..) -- ROAD AND POLE NO. - )^ , .,• t' • „„ o j-,l - POLE NO. WHAT TWO `_ CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S ---• BUILDING NAME I , --1-., AN, -•; Q _ OCCUPANCY OWNER'S NAME - AND ADDRESS - :± ) - ( ,i .- ( \,. .. (2 ck ! CURRENT SUBBYPPLIED - l' , l FROM THEIR ��s OFFICE BUILDING WNEW❑ OLD❑. REMODELED ❑ SORK NEW P�1 ADDITIONAL❑ REMOVED FECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No,of fixtures& BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMPS Loca- tion Ceiling Side Attach't Switch Pendent Bracket No. Type H-P. No Watts No A W.G. NO WATTS Wall Recept'Is Each Each Gauge EACH Out- side Sub- base Base- ment 1st Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. • This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) • STARTED • COMPLETED SIZE OF SIGN SERVICE MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW 111 OLD • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF `�" 1 �• DATE OF { ? �1 APPLICANT :` �= t^._. �_ �'"'-y�' , APPLICATION } 3 ! l STREET ADDRESS -�� _� j . '�� , CITY OR f k�C, J_- Ch^ �� y' CODE }L LICENSE igi POST OFFICE v_ [ r , (7 I WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING TOWN OF QUEENSBURY Building Department Inspectors Report Date 7/se-pc( / Name m Di 62, Location 4-01 T o4 I/Gtie,sr ,ki /2-0 Permit No. Weather POD L T di-L Remarks ExcaYation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing. • Sheathing Roof Felt Roofing Siding Masonry Veneer \ Rough Plbg. Relief Valves \ / Wall Board \% Ext. Porches ,/\ Finished Floor it \ Interior Trim a� \ Stairs & Railings / \ Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Fo[tnda ti do Insulation Walls Ceiling ' Building Inspector REMARKS g 3 - - c„t uo�^ lc' 1 0