8504 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8 504
WARREN COUNTY, NEW YORK
200 gni/ow AI
PERMISSION is hereby granted to William Buckinghamtd
OWNER of property located at 14 Sylvan Avenue Street, Road or Ave.
0
in the Town of Queensbury,To Construct or place a 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
14 Sylvan Avenue
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
H
Lee Horning
U)
3. CONTRACTOR or BUILDER'S Address
8 Webster Avenue
Glens Falls, New York
4. ARCHITECT'S Name -
CD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( ) H
7. PLANS and Specifications
18 'x36 ' per plot plan and application submitted.
Nocn
.
8: Proposed Use
H.
Inground Swimming Pool
N.
15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 84 a
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 16th Day of May 19 84
SIGNED BY /1/a.,CL a e for the Town of Queensbury
Building and Zoning Inspector ce
TOWN OF QUEENSBURI( (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. ►g.
7.oninc District
\ Atte nt Work
�
THREE (3) Copies of a PLOT PLAN, Drawn to scale
.\l�lIi-u`ctl by ? S
showing the actual dimensions of the lot to be built Rc inurk5
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 QUEF'NU y
•,L, - ,7 co -- ..,.:-..-'...., A E 0 E V E D
I / DATE 4
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �k.e-
ANSWER ALL OF THE FOLLOWING. A.M.p 2 � ��
The undersigned hereby applies for a. permit•to do the following work �)'I •U L`� al s t`°' ' a . x�
which will be done in accordance with the description, plans and specifi- j.
cations, and such special conditions as may be indicated on the permit. .
The owner of this pro rt is: / �j I
(NA'E.) • • • • (P.O.ADDfSSI
The pers n respons bietfor supervision of the work insofar as jhe Building Code and the Zoning Ordinance apply is:
(NAME) (P 0.ADDRESS)
Name of Builder. . .��� . . . :�''!`-1':-' Address
Name of Plumber. ✓4. /ii7 Address
Name of Mason
G.3;✓.4t Address
Lot Number Unit Estimated value of proposed work 3 "5 C":'-�
Name of Village . . . .0 r:. % ,,:",-1•.-:? •`.) ,
Name of Street I a r��'`" A "', .Side of street: north 0, east_]; south D. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south ❑,east i i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast E. 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
) •-. One-car detached garage
Cam" Other work. Describe: "-) I "-'i Two-car detached garage i ❑
? X � Private chicken house ❑
I 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, sire and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
I uilding(s) in solid line.
Size of property / G�--' ft. x I` ' ft.
Size and use of existing buildings, if any
ini-
s m Size of proposed-building t . . ft.x .% . . ft.
Height(from grade to ridge) ft.
Front yard ft. '
Side yards 4 i ft. and 4 1• ft.
Rear'yard ' l[' 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 .
(coned.)
BUILDING SPECIFICATIONS.,
i ��'%`
Kind of construction: Wood frame, fire safe, etc.? L%`�''. .�'���° �-. . : :? . . . . . 7(3'-. N/!y.'
Will any second-hand lumber be used? If so, for what2
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 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 tt; ba r of my knowledge and belief the statements contained in this application,to4ether with the plane and specifications sub-
mitted, are a true and co.z.pplete statement of all proposed work to be done on the described)p see and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to thg roposed w'fk all all be
WI with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
N -ER'S AG T,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 '.-,; ),�- ._r 'r ,,fit,%'r-- TOWNSHIP COUNTY �e 1„1•ji 2,2_4
•
STREET AND NO.OR •
ROAD AND POLE NO. I ( ., :": - - - POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S - BUILDING-.
NAME ..r ;" • r OCCUPANCY i-- _ ._4 ./. :'�
OWNER'S NAME •
AND ADDRESS ='
CURRENT _
SUPPLIED f/ ••--
BY :'�-1 ?^, :--�:; ),( FROM THEIR ��;, _ „ i.-- ter. OFFICE
BUILDING WORK • - DEFECTS
IS NEW❑ OLD REMODELED III IS NEW /ADDITIONAL El REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles 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.
•
•
•
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 17 OLD El
AVOID DELAY
/1JBY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF i - DATE OF .r'
APPLICANT f- !- . 1----l :. _r , --' t-, APPLICATION
- /j,- , '-, "
STREET ADDRESS 1.•/.i -"r- - y f/�./'.-__
CITY OR ZIP LICENSE NO.
POST OFFICE , ,-. / ,= -./<. 1 1 "--/- `�� CODE 'Z'----' I WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING.
rya •�r• �s_ia•�a' .'.)!
_ i -,,_iTHE NEW YORK BOARD OF FIRE UNDERWRITERS r�
= 4085674 •' BUREAU OF ELECTRICITY t
k [1a,d 41 STATE STREET,ALBANY,NEW YORK 12207 'r
a '�
Date Application No.on file z,. '; r,`{ 4 �7 5 +
THIS CERTIFIES THAT ..
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of r
s : T 1.:,..�i' aBuc : 'a'_gham 14 nlva n AvenZto, �1Fpi3en' L:25y, .3o�- York ,
= : in the following location; ❑ Basement ❑ 1st Fl. ❑.2nd Fl. Section Block Lot
was examined on v �! �°t and found to be in compliance with the requirements of this Board. r .
,r
11 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS t
CG OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENTRcuav
y VAPOR _ AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P.
t
rC DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r
SYSTEMSy
C 'AMT. K.W. OIL ' H.P. • GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF EET .AMT.- WATTS :
lea. A-
_- T
__ SERVICE DISCONNECT NO.OF S E R V I C E r
AMT. AMP. TYPE METER 1.B'2W 1,9'3W 3,B'3W 3,0'4W NO,OPERC•.COND. OF CC COND. NO.OF HI-LEG OF HI•LEG NO.OF NEUTRALS OF NEUTRAL 'T
F
5' OTHER APPARATUS: Y
h This
-t n at r r�T� a of r:•Yi �,'_ 'iyT only, 1tw�ry`�a'�;. l.1,i. Y
Pool: y..his cu'L`: -24onv, ti.G-T�c f-am9 __eialca the to ill e _L.i .: , r
-I P 1 C:7-R.;.q•,:onczc.r L,1 tt ,, �dvi.sZ `o have. ...._'o.queT_�.L test n and/or .::.^.?i:l=?_i3O L nde 1] a ;y
11Zas3t^vim
.9y.2^.0�".J.J. :.:01. y'kiL::�JVt.iC4
y4 it
T
.)-
.P.
Glens t'n 11.7, New Ye rk 12801 BRANCH MANAGER =
. r
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Per p).-
'fYlYIYlYilY FYIYIYYYYYY?a`Cid YiYYIY YY YYiYYiYY IlleYIleI'YY'CTelai'iii IY IY Y'iliYY YYiiIYiiIY IY'Cr YY YY"IYiIY IY IY I`/IY Y"IY IY YY YY IY IY'CT h'IY-'Y4-
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF EENSBURY
Building Department
Inspectors Report Date 6/i%/?Y
Name f /31r j 4)A
Location
. Permit No. < c/ Weather
'POOL-. P'N41-- J
V Remarks
Exca fia t.i on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches .
Finished Floor
Interior Trim
•
Stairs & Railings •
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures '
Gar. Fireproofing
Door Closers •
r
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
• Ceiling
Building Inspector
REMARKS
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