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8451 BUILDING PERMIT TOWN OF QUEENSBURY No. 8451 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Douglas C. Goodman • OWNER of property located at 57" Old Forge Road - • Street, Road or Ave. in the Town of Queensbury,To Construct or place a Inground swimming pool at the above location in accordance to application together with plot plans and other information hereto filed and 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.- 1. OWNER'S Address is 57 Old Forge Road N Glens Falls, New York - n • 2. CONTRACTOR or BUILDER'S Name • - O Bob Baker Pools - - Iv 3. CONTRACTOR or BUILDER'S Address QuakerRoad Glens Falls, New York 4. ARCHITECT'S Name J 0 H 5. ARCHITECT'S Address a' 0 N 6. TYPE of Construction—(Please indicate by X) O ( )Wood Frame ( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications 16 'x32 ' inground pool per plot plan and application No. submitted. • 8. Proposed Use Inground Swimming".Pool 0 s✓ 15. 00 November 1 84 ¢' $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 cn (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 3 0th Day of April 19 84 SIGNED BYfor the Town of Queensbury p Building and Zoning Inspector �=� 0 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 1•:xpires. 19 . Zoning District . \ ;ilia; FF1 Work i THREE 13) Copies of a PLOT PLAN, Drawn to scale '\1'►"1""'`1 b • showing the actual dimensions of the lot to be built I<c•nlarKS' 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 OF QUEEN'S-BURY I I ! — 3 /a--7! /DATE [-j-.16 i:J tl -E, 0 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A '1 19 '� ANSWER ALL OF THE FOLLOWING. t s Few / h.�n. The undersigned herebyapplies for a permit to do the followingwork Pt.1Vlo 12 Z 3 4 6 which will be done in accordance with the description, plans and specifi- .. I _ i m-' � °'�' a�a a a a cations, and such special conditions as may be indicated on the permit. , The owner of t is property is ' "'0 e v (P.O.ADDRESS) (NA'•4E) The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME)� / ) (P 0 ADDRESS) �j J ' J�r� �Fir�l... .p .../.. . Address /WA-.'c'� ,1,--t7 ( Name of Builder uG/ f:.. Name of Plumber - • 't �' ` ' ' Address ' Name of Mason ' �' Address Lot Number Unit� Estimated value of proposed work$ . . e961, A:''Name of Village .QL•,`t�'.'.S/'!f.�•<40/' - e - G' a Side of street: north 0, east 0, south O. west 0 Name of Street . . .v. .�.:"•0�•�• •�•�� Nearest Cross Street . .h 1.r.Pr �. . • •, — Distance from this cross street /TO. • . Ft. • Property rt is north 0,south 0,east [ ,west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ' ❑ Construction of a new building. Main Buiitding ❑ 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: 45 f�� 1�f� ` /L'r �j/C�l �� Accessory Building / One-car detached garage ❑ 0 Other work. Describe. 1 A glrA o11i1 Two-car detached garage El�J Private chicken house ❑ 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, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing • 1tuilding(s) in solid line. Size of property ft. x ft. Size and use of existing buildings, if any I- U s ,7 3_ , 7 36, idSize of proposed building ft.x ft. Height(from grade to ridge) ft. Front yard ft. 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 r (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? Finish of interior walls If garage is to be attached, of what material is wall between garage and main bui.Jding 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 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•bci i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.i lete statement of all proposed work to be done on the described premises and that allprovisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertainingthe proposed work 'all be complied • whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature ��?9 OWNER.OWNERS AGE T.ARCHITECT,CONTRACTOR 'A..�✓1, /...day of ?°�7../-7 19 ey 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. his 5 // /er 57, CITY OR VILLAGE % �i 'r�'✓%/,�s/, , TOWNSHIP :Lc..-�,. f/�s COUNTY 44 - - RADSTREET AND O.OR < — jaw J' y F L ROAD AND POLE NO. //_ (�� %,jam{�®1,Y �,r r'�� p al POLE NO. CROSSST SETS SWO 41-ii I Ai e A-1 q s iiii &di: ,%eg/Y/ PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S , `� ` _ BUILDING - NAME f/A ciOa .� 0,047ik.ra OCCUPANCY OWNER'S NAME f11 ��JJ AND ADDRESS a 4" C/f4 I) X +,.,y/J�* ,�cpi�. CURRENT '/ �y- PPLIED BY FROM THEIR OFFICE BBY SUILDING WNEW❑ OLD❑ REMODELED ❑ IS NEW ❑ ADDITIONAL❑ REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NNUMBER OF OUTLETS Lamp of Receptaclespres MOTORS HEATERS CIBRCUIT LAMPS CIRCUITS Loca- tion Side Attach't H.P. Watts A W.G. WATTS Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each No. Each No. Gauge NO. EACH - Out- side Sub- base Base- ment 1st Fl. 2nd Fl. 3rd Fl. - i 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 OF SIGN BUILDING INSPECTION REQUESTED • ON OR AS NEAR AS POSSIBLE NEW Ell OLD . AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION, ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. 1 i ' NAME OF � ✓J -��'✓ DATE OF Z.`7 Z` APPLICANT '� ' �� 'v..�1`fy1 APPLICATION f STREET ADDRESS .ram7 72— /. t / :'`•�''L.e • n - POST OFFICE!-%f�-�.�✓ //= - j '� COZIPDE ! WHEN APPLOICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING - /9 a ti7 6°9" D F c'/ 7f 6/ rs 4fs Ay/. QL F---41'a6r6