8449 BUILDING PERMIT
TOWN OF QUEENSBURY No 8449
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to James D. Urch
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OWNER of property located at 12 Hummingbird Lane Street,Road or Ave. d
in the Town of Queensbury,To Construct or place a Above—ground 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.
1. OWNER'S Address is 12 Hummingbird Lane
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Bob Baker Pools -
N
3. CONTRACTOR or BUILDER'S Address
Quaker Road
Glens Falls, New York '0
4. ARCHITECT'S Name - t,
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5. ARCHITECT'S Address •
CD-
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications -.
24 ft. above-ground pool with enclosed deck
tr
No. per plot plan and application submitted. C
8. Proposed Use- LR
Swimming Pool G
IZ
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$ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 84
(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.)
W
Dated at the Town of Queensbury this 3 0th Day of . April 19 84 b
O
i o. � °SIGNED BY `7 ,,biz��� for the Town of Queensbury
Building and Zoning Inspector
TO j'h; N OF QUEENSBURY •
(Space inside block to lx. filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Application for Application No. ..
Permit Issued _19. .
BUILDING AND ZONING PERMIT
Permit Expires. 19
Zoning District
\ alit 1)1 Work/
THREE (3) Copies of a PLOT PLAN, Drawn to scale Al'InTh"I bY
showing the actual dimensions of the lot to be built ItcnuirKS
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. c
i 3 - A TOWN OF QUEENSBURY
3 5- ,
/7 z 7 gy
DATE
IR ECEVE E
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK II
ANSWER ALL OF THE FOLLOWING. APR 2,7 1984
The undersigned hereby applies-for a permit to do the following work AA /SY-Ce-
which will be done in accordance with the description, plans and specifi- ' , 718'19pios . 213)41h'it
cations, and such special conditions as may be indicated on the permit. illi
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The owner of this_property is . .
-41\11171 1D. UP' 1/1 I 7- -14 Ut1-1111111)0611 Lik 0 g,e,...tvx F-A-u,5 tu.c,g. /26(0/
(NA1E) (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
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(NAME) (P O.ADDRESS) .
Name of Builder 62-1-P Cbt-e-V--74a3,914t) CP3M-Address (Si/IMF AS Name of of Plumber seir.--r4---t=P-- POPL--- Address at2Itka) ,„*-1 )---D- OLOCZ.R4-11_6
Name of Mason Address
Lot Number 5- _
Unit Estimated value of proposed work
Name of Village . .Q0LWC:Ii..13L2P--vi
Name of Street 12— 14P 44111111-96BIRD AA ° Side of street: north 0, east 0, south O.'west 0
Nearest Cross Street AH-1 I PPte-14,262-1-- P--D. Distance from this cross street Ft.
Property is north ' 0,south 0,eat V, west; 0 from Cross Street
If on Corner, which corner, northeast 0, northwest El, southeast 0, southwest
. . (Designate by marking with an "X" in the correct space.)
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NATURE OF PROPOSED WORK OCCUPANCY ' .
El Construction of a new building. Main Building
Q Addition to a building. , .
• One-family dwelling . CI
El Alteration to a building. . Two-family dwelling •
CI
CI Demolition of a building. -family apartment house E.
. Store building E
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-car attached garage CI
. ,
Other:
Accessory Building
24 Z-rs ABDIA9c-/!
R Other work. Describe: " , . • , - ----IP:Y-1Z One-car detached garage
.
Two-car detached garage CI
R30 L. IV sivat-v Dbe-K----- Private chicken house - Cl
Private storage building CI
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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
• Ituilding(s) in solid line.
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. Size of property . .41.6 ft x I 1 / ft.
.. 14yn4catsiD Size and use of existing buildings, if any
Rut- PLAN
cu .c
id Size 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) .
- - .
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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.
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
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 tr.,bra i of my knowledge and belief the statements contained i .,<pplication,together with the lane and specifications sub-
mitted,
mitted, area true and co.i.�lete statement of all proposed work-to be done d e described pre and at all uione of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining • • proposed work g all co i wi ,whether specified or not,
and that such work is authorized by the owner. l
Sworn to before me this Signature
OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N:Y.
SPECIAL CONDITIONS OF THE PERMIT:
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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 _/ L �pl� y ss TOW (- q 1 NSHIP \Y ,��3 1'/ COUNTY /,t/U`i
1,4
ROAD AND PO'L LE NO. 4.1� , , ��J J��, i� POLE NO.
BETWEEN WHAT TWO rr r�pp;��l}}�rr +9 y)( //�{ ( `
PREMISES LOCATED? t ��JW fNl -� /(A.?�(t�f' f.P L^ SECTION BLOCK LOT
OCCUPANT'S f {)) BUILDING
12(.1 OCCUPANCYOWNER'S NANI
` J /
AND ADRESSE D V\,9&. IG-; 1s71-1 rids 7 t L/_ ! ` J f
CURRENT 1
SUPPLIED BY FROM THEIR OFFICE
BW
DEFECTS
SUILDING NEW El OLD Ili REMODELED ❑ IS
NEW ❑ ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH
NUMBER OF OUTLETS MOTORS HEATERS Lamp Receptacles CIRCUITS LAMPS
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.
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 OLD
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF IA�V+ r LJ I >7i -{/i DATE OF ��e
APPLICANT 1 _,�_�-( ! rr ��f� �j/ ;�—�} LA
APPLICATION
STREET ADDRESS//��I e7 !, i 1 g 11 K.1( E`/�.'✓ �7
POST OFFICE (�(.L..f�� �''6 L / •1-'7 CODE r, [ LICENSE NO.
WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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