8477 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8477
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Hans Scherer
OWNER of property located at Luzerne 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is m
RD #4 BOX 3
f1
Luzerne Road n.
Glens Falls, New YORK
2. CONTRACTOR or BUILDER'S Name
Edwin Baker
3. CONTRACTOR or BUILDER'S Address
Warrensburg, N. Y. 12885
4. ARCHITECT'S Name
L�
N
ID
K
5. ARCHITECT'S Address
(D
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6. TYPE of Construction—(Please indicate by X) ¢
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
16 'x32 ' inground swimming pool per plot plan
No. and application submitted.
8. Proposed Use H
Swimming Pcdl
$15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 84 E
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the fJ•
town of Queensbury before the expiration date.) 5
•
Dated at the Town of Queensbury this 10th Day of May 19 84
`7� d 0-
SIGNED BY f�/G� for the Town of Queensbury 0
Building and Zoning Inspector }-
TOWN OF QUEENSBURY (Space inside block to Ix. filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Application for Application No. ,
Pp Permit issued _ 19.
BUILDING AND ZONING PERMIT Permit Expires. ►g.
"timing District •
\ u I uc id Work , /� � /
Api),•u,c•cl by FCC
THREE 131 Copies of a PLOT PLAN, Drawn to scale y
showing the actual dimensions of the lot to be built Itc u,:IrKS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.75- .
- /7 617 AL/ TOWN OF QUEENSBURY
DATER E 0 E [I V E D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORKl�'{f�( lei
ANSWER ALL OF THE FOLLOWING. GA.
The undersigned hereby applies for a permit to do the following work A.M. 5°% e� GP lyt
which will be done in accordance with the description, plans and specifi- 7I8)9110)1112)1)213)415'6
cations, and such special conditions as may be indicated on the permit.
The owner of t is roperty is: a.e, � R Du- C 30 .- (P.O.ADDRESS) 4 i, ` .�, Y� � 1
INA"F) .)&()/
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) IP 0.ADDRESS)
E�.w�� -
Name of Builder J` f Address w 6-j1-51_12/`,4.11'Q'l.a f l a g-&s
Name of Plumber Address
Name of Mason Address •
Lot Number Unit Estimated value of proposed work 3 •
Name of Village
Name of Street L"z e,-n a 0 0-L Side of street: north 1, east ❑, south ❑. west ❑
Nearest Cross Street t`'
e,-i a o cJ,r Distance from this cross street 75-( Ft.
Property is north ❑,south ❑,east [—I, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest 0, southeast El, 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
,p One-car detached garage
CI Other work. Describe• I4 3 r° `�"` C p 0 0 Two car detached garage ❑
/eg ' X ,3 Private chicken house ❑
Private storage building El
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 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
w in
_
w W 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 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?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tt 1kea i of my know,ledge 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 al provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain' to a propo irk shall be complied with,whether specified or not,
and that such work is authorized by the owner. !-
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:
•
•
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 I! TOWNSHIP COUNTY I,• _ _ - .
STREET AND NO.OR
r
ROAD AND POLE NO. POLE NO.
BETWEEN WHAT TWO,
CROSS STREETS IS ` _ _ - ____
PREMISES LOCATED?\l'.' 1.t:.1'`-I `�t - ti. l; A A �"1A } i t i +Cl • SECTION BLOCK LOT
OCCUPANT'S l BUILDING ,QC) 6NAME -i;; ,-I ,�-- OCCUPANCY
OWNER'S NAME - ,- - ' _• I • //
AND ADDRESS : 1 - - r' `u_.• X ''.r(1 = :i li ,t'1 / :r i 1 iil / :--//
CURRENT
SUPPLIED
BY ' FROM THEIR OFFICE
BDEFECTS
SUILDING NEW El OLD El REMODELED ❑ WORKSNEW III ADDITIONAL El REMOVED ❑
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'ls EachEachGaugeEACH
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 OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS I
POSSIBLE NEW f I OLD
a
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF • t. DATE OF — II t2Li
APPLICANT ` .. '� • - I"— APPLICATION - - i
STREET ADDRESS ` i_ ' _ �• ` 4
CITY OR -- ZIP t.;/'.I! LICENSE NO.
POST OFFICE - 1 ' i \ \'---, CODE - -'f WHEN APPLICABLE -
A SEPARATE-APPLICATION1VIUST BE FILED FOR EACH SEPARATE BUILDING
3 - - /7
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