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8500 BUILDING PERMIT • TOWN OF QUEENSBURY No. 8500 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ronald and Celina Butler • OWNER of property located at Pitcher 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 O approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. sv H 1. OWNER'S Address is R.D.#3 Pitcher Road sv Glens Falls, New York (D 2. CONTRACTOR or BUILDER'S Name H Bob Baker Pools 3. CONTRACTOR or BUILDER'S Address Quaker Road `t Glens Falls, New York K 4. ARCHITECT'S Name 5. ARCHITECT'S Address F rt a N 6. TYPE of Construction—(Please indicate by X) 0 ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications 16 'x36' oval pool per plot plan and No. application submitted H 8. Proposed Use C1 W Swimming Pool R.� $ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 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.) H. • �R Dated at the Town of Queensbury this 15th Day of May 19 84 rty O • O SIGNED BY 0 Nye for the Town of Queensbury H Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. .. pP Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. Ig. Zoninc. District \ aloe n l \1 �i''-'L-- ` .-'e- THREE (31 Copies of a PLOT PLAN, Drawn to scale �l'I'�''��c<I by showing the actual dimensions of the lot to be built 1zi'nui 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. ���siDATE TOWN /b� OF QUImENSQUI:Y 'I) ECEllyE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK a MAY •; t� ANSWER ALL OF THE FOLLOWING. tfL i�,' J.5 98 _ . l J The undersigned hereby applies for a permit to do the following work A.M. t o.a� >' P.M. which will be done in accordance with the description, plans and.specifi- ' 7181911Ol11j12)11213l41.516 cations, end such special conditions as may be indicated on the permit. � �e e e ! e II a e` _ e yyllJJ.//���� The Awner of this pfoperty.is: .. . 1) kic1. ./1....r, .. ..e .f>/er. . . . . . . . . . ei.ch..... ..� . . . .. U..,N S /3,J/ \ AlNA'.E) • IP.D.ADDRESS) f 1 go I The person responsible or supervision of the work insofar as the Building Code an� the Zoning Ordinance apply is: (NAME) (P.O.ADDRESS) Name of Builder. .-TA- 61—C . . .it S H/9)o•1Je._.- Address Name of Plumber Address Name of Mason Address Lot Number Unit • Estimated value of proposed work I Name of Village Name of Street Side of street: north 0, east 0, south O. west 0 Nearest Cross Street Distance from this cross street Ft. Property is north ❑,south ❑,east i J, west, ❑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 E-) • ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. • -family apartment house ❑ Store building ❑ -car attached garage Q- • Other: • • Accessory Building ram. . . . One-car detached garage ❑ El Other work• . Describe:. V Two-car detached garage ❑ f /,J I�/ °� Private chicken house . ❑ G w o'er- J 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. ld°` `- Size of property. . . 5. . . • ft. x . .1 .S. u. . . . ft. • �°�I- 3orr Size and use of existing buildings, if any I- X°r-r i- it 1 . la Size of proposed building ft.x ft. ���L Height(from grade to ridge) ft. Front.yard ft.' Side yards ft. and ft. P I T e ckll_ cl 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.?. . . . •L--• • • • • • • • • • • • • • • . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . 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, 1icj r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are.a true and coa.pfete 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 penal 'Aa to a proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. I' Sworn to before me this Signature N B C r OWNS OW R AGENT.ARCHITECT.CONTRACTOR /5- 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 -J U V VILLAGE TOWNSHIP STREET AND NO.OR ROAD AND POLE NO. J�i it - POLE NO. BETWEEN WHATTWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S BUILDING NAME ,; %-( r 1 ,, t • J OCCUPANCY OWNER'S NAME AND ADDRESS • • CURRENT SUPPLIED 8Y FROM THEIR OFFICE BW DEFECTS SUILDING NEW'-IL OLD El REMODELED ❑ IS NEW ❑� ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Lamp Receptacles CIRCUITS Loca • - tion Ceiling Side Attach't Switch Pendent Bracket No. Type H.P. No. Watts No A W.G. NO WATTS Wall Recept'ls 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 OLD 1-1 AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF �- ---` DATE OF APPLICANT i.. •• -�`!�• • APPLICATION •(STREET ADDRESS . - - CITY OR ,'�' % r ZIP - LICENSE NO. POST OFFICE - i. •- - .�'%! /r CODE! - / WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING A 9,° /5 -F 6-1- (......-------- A rzals:or D U/9 l-- 50 ° il-i‘a SE- i 11 fit' f Q 1O 1 V COES% c-- Asr M R, 4-- M k..5 , --K 0 nojA "E vt1Q,1-' 4: ?----•7/TC-t-1 Ere ED,----, Pik-ck-e.r sot .