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8811 BUILDING PERMIT TOWN OF QUEENSBURY No. 8811 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Donald P. Sipp . C1 OWNER of property located at 21 Courthouse Drive Street, Road or Ave. -. sv in the Town of Queensbury,To Construct or place a Inground Swimming Pool R� at the above-location in accordance to application together with plot plans and other information hereto filed and ro. approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Cl) 1. OWNER'S Address is 21 Courthouse Drive Bx 1834 - Lake George, New York 2. CONTRACTOR or BUILDER'S Name Sprague' s Pools 3. CONTRACTOR or BUILDER'S Address N 294 Broadway Fort Edward, New York 0 n 4. ARCHITECT'S Name rt 0 G (D 5. ARCHITECT'S Address C7 6. TYPE of Construction—(Please indicate by X) ( ) Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 17 'x31' inground swimming pool per plot plan and No. application submitted. 8. Proposed Use 0 Swimming Pool R' cn $ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1985 5 (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.) ro Dated at the Town of Queensbury this 16th Day of October 19 84 08 �J SIGNED BY �'JG(.4 a- / for the Town of Queensbury Building and Zoning Inspector ' /N. TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK • Building Inspector) Application for Application No. : ►�. PP Permit Issued BUILDING AND ZONING PERMIT Permit Expires. 19. Zoning. District - —`� . \ alocnl Work$.\i,l •,,c c•<I by //�/G/uu)�� _," 194 • n THREE (3) Copies of a PLOT PLAN, Drawn to scale s" / -- showing the actual dimensions of the lot to be built l:c ma,•)(S' upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. pp // t_ tdYCl/2,2 /fen TOWNREGME . 7 OF QLTEEN SBURY 1 �. 1 j,✓ DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � �; 2 �� ANSWER ALL OF THE FOLLOWING. jC�`'"- s198 The undersigned hereby applies for a permit to do the following work A.M:' P. which will be done in accordance with the description, plans and specifi- 718I9110)3.1�1 1)co 1,..c,r2,,NA )41516 cations, and such special conditions as may be indicated on the permit. ' ` ` ` ` ` ` C The er of this p aper is: 04/i '/i _ �fJf� go/ /P.S'i Z//!e 6'eorc/e , /Zc•XS- (NA,4E) ,/ / • (P.O.ADDRESS) J The person responsible for •supepisio of the work insofar as the Building Code and the Zonin Ordiinance apply is;,� SD2,1 of 4 e /o /S //0,1/rl AO.r2 r" Z;w�`�d' / Cl (NAME) IP 0.ADDRESS) Name of Builder Address Name of Plumber Address Name of Mason Address ' Lot Number Unit Estimated value of proposed work 3 Name of Village 0( Name of Street . . . .��u/ �4!4e• • ,/ /e Side of street: north 0, east Ej, south D. west El t Nearest Cross Street . .f?/22e4//.uoOG 'P/Z Distance from this cross street /6-0 Ft. ''\ Property is north ,south ❑,east i i, 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 Building ❑ Addition to a building. One-family dwelling ❑ ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ /� Store building El///!/�.ci `z, 'v.� dT i?2;mn/ite pD / • -car attached garage ❑ l/�J / � Other: Accessory Building • / One-car detached garage (] Other work. Describe: 7 ,X / Two-car detached garage ❑ 1 T r o U� `k p a O / Private chicken house El 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 . huilding(s) in solid line. . Size of property ft. x ft. • • Size and use of existing buildings, if any • F u, s m 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) . • 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 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 Ba j 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.i.j 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 sh eomplied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature C 71, OWNER.OWNER'S AGE HITECT.CONTRACTOR day of 19 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. • TEMP.# - DATE CITY OR VILLAGE TOWNSHIP COL}J C--tom/A1G'`/1/}edoOUNTY r O STREET AND NO.OR _ ROAD AND POLE NO. e C2- f-h-3e �� jam., POLE NO. BETWEEN WHAT TWO CROSS STREETS IS __ ` PREMISES LOCATED? fl.f � 0F f_' f-+Edsu wGn73 SECTION BLOCK LOT OCCUPANT'S y�,¢j� BUILDING NAME p'�1`-, ��d+_l A /'� "y/1�,� OCCUPANCY OWNER'S NAME / /7'7 f Y 1 AND ADDRESS /3 r- /, 3'1- G - (. �:' , ! ! C / z.G` TEL.# CURRENT SUBYPPLIED 47/ d A_ 0 FROM THEIR Z- ,e' /,j fr,4/_L5 OFFICE IS NEW (-(- /'/�� OLD❑ ISORK NEW El�� DEFECTS LS" El-ADDITIONAL ADDITIONAL LI REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.NUMBER OF OUTLETS f Fixtures MOTORS HEATERS BRANCH OFFICE USE Lamp Receptacless CIRCUITS Loca- ONLY tion • Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side Sub- base Base- went 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 OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS POSSIBLE NEAR AS /IJ NEW 111 OLD I I AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAMEAND RESS / NAME OF i �.� /` `� �j DATE OF / APPLICANT '%'�' �' APPLICATION %/ 7;� -f y_ y STREET ADDRESS _,. )4 /�j- _ ( -=-! -�T`�/i- ✓!:_i .-�r . TELEPHONE# ! Z '�- ' J CITY OR j ,,.i�r �,. - , ZIP /_-i y!' :""LICENSE NO. POST OFFICE - -� `r(� ='l��-� CODE _1 WHEN APPLICABLE 46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING TOWN OF QU•EENSBU Y Building Department Inspectors Report Date___*-) F Name Location a ( f v s Permit No. f5 1 ! Weather � 6 "00 �� v L Remarks Excavation �Y Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. I Relief Valves f Wall Board / Ext. Porches y Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers �. Chimney Water Meter Inst. —_ Septic Approval Floors Insulation Foundatibn Walls Ceiling 2 (2.d&N Building Inspector REMARKS SPRAGUES MERMAID POOLS COMPLETE SALES & SERVICE BROADWAY FORT EDWARD, N.Y. 12828 (518) 747-9270 Birk A c • Y m Poo L �` 17 / � Z �, 11 ld O d .`7h LO`C)5 eF ��,