8562 BUILDING PERMIT
TOWN OF QUEENSBURY No 8562
WARREN COUNTY, NEW YORK
C-1
PERMISSION is hereby,granted to John E. Daley, Jr.
OWNER of property located at . Lot 14 .Lady Slipper Drive 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 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is Lady Slipper Drive _
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
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Bob Baker Pools
3. CONTRACTOR or BUILDER'S Address 0
Quaker Road fi
Glens Falls, New York ~
4. ARCHITECT'S Name r
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5. ARCHITECT'S Address H.
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
16'x32' pool per plot plan and application •
No. submitted.
8. Proposed Use
H.
Swimming Pool w
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$ 15. 00 PERMIT.FEE PAID —THIS PERMIT EXPIRES Tarmary 1 19 R 9
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(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.) 1-6
Dated at the Town of Queensbury this 12th Day of June 19 8 4 -
SIGNED BY ///aL : for the Town of Queensbury b
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Building and Zoning Inspector f?tf O
. ' TOWN OF QUEENSBURY
(Space inside block to he 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 -------�
\ Al(' n1 Work i ,
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\p1"n"`'`1 by j—in/X, V—'.
showing the actual dimensions of the lot to be built ► cillarKS'
upon, The exact •size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION..
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_ 7~ /X � DAr�' TOWN Or QUEZNf'Bf.3R`f
. A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ` ® E 0 E a ,v E
ANSWER ALL OF THE FOLLOWING. •
The undersigned hereby applies for a permit to do the following work JUN 1. 1 19
which will be done in accordance with the description, plans and specifI- Phil 71-ecee j
cations, and such special conditions as may: be indicated on the permit. 7I819R/412iz 6,
The owner o)his prpper is: 6�
.JOkii. r, ile; e i l°c.�. . Loc1y 'D ...o p r •d o
(NA'',E) � (P.O.ADDRESS)
The person responsible for •su ision of the work insofar as the Building Code andthe Zoning Ordinance apply is:
T2 n Y• 1.- f e i`i 0!,. g1,).l QCy..//� .-./.r oeK . /)�!Cyr
(NAME) / I (P O ADj3RESS) /
Name of Builder. �0.'. .4.341Aa,�- B�-/ Address
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work 3 v ��
Name of Village
Name of Street Side of street: north 0, east 0, south 0. west ❑
c
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south ❑,east c i, west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑. 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 ❑
VIVOther work. Describe:. . . . .4(.%% MD:1: 19. . 1 P/ Two-car detached garage
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 buildings) in dotted line and existing
huilding(s) in solid line.v,l
Size of property . ./t� ft. x . . . 2 0 0 ft.
Size and use of existing buildings, if any
In en
3 W Size of proposed building . . . . 6. . . ft.x . . t r.�. . . ft.
Height(from grade to ridge) ft.
Front yard 7 ft.
Side yards . . . (:&. ./.a-. . . ft. and . . . . r a• ft.
Rear yard Apprc CsQ 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?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main buiylding 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 of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.�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 p posed work 9ha I be moiled 'th,whether specified or not,
and that such work is authorized by the owner. (ilt /
Sworn to before me this, Signature ! ✓l f. ..,.
OWNER.bWNE AGENT.ARC E ,CONTRACTOR
day of 19 cJ
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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