8581 BUILDING PERMIT
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TOWN O.F QUEENSBURY 8581
No:_
WARREN COUNTY, NEW YORK ,
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PERMISSION is hereby granted to Pat Brean •
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lessee •
Obi of property located at V Indiana Ave. and Corinth Road Street, Road or,Ave.
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in the Town of Queensbury,To Construct or place a ,Above-Ground 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. V
1. OWNER'S Address is
John Winslow, property owner V
• RD Luzerne Road
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name •
V O
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name . 0
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5. ARCHITECT'S Address - _
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• 6. TYPE of Construction—(Please indicate by X) - V
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( )Wood Frame ( ) Masonry ( )Steel ( ) •
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7. PLANS and Specifications •
above-ground pool round
No. • per plot plan and application submitted
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8. Proposed Use • •
. Swimming. Pool -
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. $ 15. 00 PERMIT FEE PAID-THIS PERMIT EXPIRES January 1 19 8'5 a
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (1
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• town of Queensbury-before the expiration date.) - V G
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Dated at the Town of Queensbury this 21st -Day of June. _ 19 84
SIGNED BY q. 0 '- for the Town of Queensbury '
Building and Zoning Inspector
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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
• \ :iIIR of \\'ork,$ '
THREE (31 Copies of a PLOT PLAN, Drawn to scale ,\p1',-o)(Al by iZ-4
showing the actual dimensions of the lot to be built ►tcn,arKs'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
;7,7 — f i _ n. / . . . . . a-o.f . �'`.%. .. . . . . TOWN o Qtt USURY
. . . DATE c � ' E r"�? ��, 1"' �r
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK I; iJ
ANSWER ALL OF THE FOLLOWING.
The undersigned.hereby_applies for a permit to do .the following work. .elf, is If%
which will be done in accordance with the description, plans,and s ecifi- �q ��i� P.M't4
cations, and such special conditions as may be indicated on the permit. (9 � ° y I.)1121_3I_4a16
The owner of this property is: . is
• -iti k 13
C.UILN.b/Z..Tk9r�G���., e0.�.•-1Jtr�... . /�
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(NA`4E) (P.O.ADDRESS) /
The person responsible for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
CcA r® (NAME) (P.O ADDRESSI.
Name of Builder Address
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S
Name of Village
Name of Street -y� Side of street: north 0, east El, south 0. west ❑
Nearest Cross Street . .CO/1I4JTf /2Ll Distance from this cross street Ft.
Property is north 0,south 0,east west 0 from Cross Street
If on Corner, which comer, northeast l 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 ❑
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-car attached garage ❑
Other:
• 0 Accessory Building
One-car detached garage ❑
Other work. Describe:. : A 44 1 '.p o.a L., • Two-car detached garage • ❑
Carl 6 ot)e_ GiZOJA 0_.) Private chicken house ❑
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
• I uilding(s) in solid line.
Size of property 1.O ). • • • ft. x cQ07-) ft.
Size and use of existing buildings, if any
s W Size of proposed-b isig . . . . ,ft.x . . 2.7.1. . . ft.
Height(from grade to ridge) 4 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.2
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 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 l4 of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.i fete statement of all proposed work to be done on the described premises and that ail provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the p work shall be complied with whether e ified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
0 OW.NE 'S AGENT.APCHITEtT.CONTRACTOR
C � ,^, /�
day of °vim 19. ..(
NOTARY PUBLIC, WARREN COUNTY, N. Y.
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SPECIAL CONDITIONS OF THE PERMIT:
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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 R i )e e�� '-. �o,'Z,. / TOWNSHIP Sy j✓A. e- COUNTY ii,yJAs-./2 (A)
STREET AND NO.OR Ti�OAD AND POLE NO. f2,�`- ( 30 1. J/a- Ai rJ A ,JC POLE NO.
BETWEEN WHAT TWOCROSS STREETS IS r i J
PREMISES LOCATED? I/1 j'�,i I AM- (7/-I/f, SECTION � -1 BLOCK I I LOT ( t•o
OCCUPANT'S / BUILDING c D g� f
NAME Pia ./:r/£',.r,,..1,r/ OCCUPANCY tjI,��}i Lr... J 44�; . I I ,1( �/0 '✓c)
OWNER'S NAME ` t � / /� /
AND ADDRESS t ---i S /IJ , Ai- �. itJ - G•••••C.I .2..Cf,✓Lnt i n C.A , 1,.., (/e?l,•1.}-,+C�aAV/ 12
CURRENT "j� ,."
SUBYRPLIED /1 f - i__,/ M f1 J, ; .' - I c,_ FROM THEIR OFFICE
BSUILDING W/NEW - OLD❑ REMODELED ❑ IS
NEW ❑ ADDITIONAL ID REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMP S
Loca-
tion
Ceiling lot Attach't' Switch Pendent Bracket No. TypeH.P. No. Watts No. A W.G. NO WATTS
Wall Recept'Is EachEachGauge 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 PI
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF ran &-c. ,1 DATE OF !/-. ' if I I--' ( APPLICATION '"
�rl „�ri -� � �.'�—
STREET ADDRESS � � ,./`l /C"...,12 711;f .- C j , a�I= r'1 L.. JO/ •/C/-
CITY OR (` ZIP n 9 / LIO NSE NO-
POST OFFICE v !� r CODE r(i! WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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