8658 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8 658
WARREN COUNTY, NEW YORK
n
PERMISSION is hereby granted to Mary Ann Puricelli
OWNER of property located at Knolls Road North, Street, Road or Ave. .
round Swimming
in the Town of Queensbury,To Construct or place a In ground Pool
at the above location in accordance to application together with -plot plans and other information hereto filed and N,
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
O
1. OWNE R'S Address is Star Route - Ridge Knolls H.
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Ed Baker
3. CONTRACTOR or BUILDER'S Address
•
Athol, New York
4. ARCHITECT'S Name
F✓
H
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5. ARCHITECT'S Address
CZ
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( 1 Steel ( ) --
7.. PLANS and Specifications
16'x32' inground swimming pool per plot plan
No. and application submitted.
8. Proposed Use G
Swimming Pool gyp,
c
N.
$ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 1985 5
N•
(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.)
Dated at the Town of Queensbury this 26th Day of July 19 84 O
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to Ix. filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Application for .\pplication No. .
Permit issued 19.
BUILDING AND ZONING PERMIT P&.i.ntit Expires. 1g.
%Anil►, District
\ aluc• Af \V rk.� /�
THREE (3) Copies of a PLOT PLAN, Drawn to scale \I'I""c('<I hw v t..... l
showing the actual dimensions of the lot to be built Itcn►:,(•)Cc
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 QUEENSBURY
DATE E V U �T 11r�1U1 I
A PERMIT MUST BE OBTAINED. BEFORE BEGINNING WORK ILL��h
ANSWER ALL OF THE FOLLOWING. JUL 2 5 1984
gL�
The undersigned hereby applies for a permit;to do ,the following work A.M.Re- " I'•,
7) ,I �1_
which will be done in accordance with the description, plans and specifi- 11.) )1� ')3)4I5I6
cations, and such special conditions as may be indicated on the permit. t '
The owner o this� re rty is:
?J 71N/ / y. JlN R1Es- r ott.,-� r c r/o%Ls, 6 �iLs t 1Vy G f
( ADORES
The rson responsible for
r sit rvision`of the work insofar as the Building Code and the Zoning Ordinance apply is:
c7 Er� — Cu rarn . .von s rHt i—, NV
(NAME) (P.0 ADDRESS)
Name of Builder Address
Name of Plumber Address
Name of Mason// Address
✓.
Lot Number. . g, Unit Estimated value of proposed work 3 [O f006
Name of Village . QuC 4/Bi-i Name of Street/CA b A0z7tl Side of street: north 10, east 0, south 0. west 0
Nearest Cross Street .l .Dk�it.% Z) Distance from this cross street .000 Ft.
Property is north ❑,south ❑,east El, west 1 k]C from Cross Street
If on Corner, which corner, northeast Ei, 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 ❑
ElAlteration to.a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house D.
Store building El
-car attached garage ❑
Other:
Accessory Building
One-car detached garage ❑
Q O• ther work. Describe: -!V jl�lt � / fl1/UC) Two car detached garage ❑
602- /6 x -;-Z Private chicken house ❑
V 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, size and setbacks of pro-
NORTH . posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
Ituilding(s) in solid line.
. Size of property ft. x ft.
• Size and use of existing buildings, if any
1- I-.
U)
s 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-N
(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 31
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 it b4 i of my know,Iedge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.p lete statement of all proposed work to be done on the described premises and that all rovisions of the BUILD-
ING CODE,THE ZONINU ORDINANCE,and all other laws pertaining to the proposed work shall be complied wi whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature OWNER. WNER'S AGENT,ARCHITECT,CONTRAC.�
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.
TEMP:# DATE
CITY OR
VILLAGE ' I J,, ,'4L - .. TOWNSHIPr.;:./„.r`,,c,�� 77, COUNTY 6C.k'PPFn/
STREET AND NO.OR / "� h !�-r ,�,! --
ROAD AND POLE NO. l.AJ L.,--J 7''�Cj�iZ) /\r l` I II
ROAD /57— /4/00.�G £2,J IZAS W DOLE NO.
BETWEEN WHAT TWO ,{ �+
PREMCROSSISESLOCATED?EETS IS 1 �I,?iE /C)77 if AAIOLL,S /'0.-) 1 1�/ SECTION •1 BLOCK LOT
OCCUPANT'S y y� y/�� �—/-/, y-� BUILDING -�'� / ,a../� _
NAME I J li?P-'V ! IiJAI 6!.PIC E I.L 1 OCCUPANCY /4/V/` 4" 7`/C�/ri ' C(s:�
OWNER'S NAME Jlu / -fpi�,.&L L/ q3,- 357/
AND ADDRESS � �/ Jv' ['�f TEL.# +_.-`
CURRENT f
SUPPLIED /`�j✓ 1 rF 1,/ ,1, n /IU1 t- Lr
`
J l( FROM THEIR 13 F/LL 5 OFFICE
BUILDING �_( WORK DEFECTS
IS NEW OLD❑ IS NEW X ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures& BRANCH .
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUITS OFFICE USE
Lou- ONLY
tion Side Attaeh't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
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 OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING OF SIGN
POSSIBLEINSPECTIO
REQUESTED j, // J 0 iy� / i NEW TI OLD
ON OR AS NEAR AS L/f/`/1 CJ! l,L�G
1-1
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME ANDADDRESSj ' f J
APPLICANT J�1F t/ {1/VAl /VI J�ELL! APPLICATION ,4-&5/54
r _
7� ^mil ` �y1�
STREET ADDRESS Y'i 'tJ7r^ / �1 /� Alntl��1�/AA411�-y +u'- TELEPHONE# /12 ~ -.'/ 7
CITY ORjam// a.
LICENSE NO.
POST OFFICE J z_/L/, S T,,`S CODE il vQ v/ WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
• . aoc' x 2.0O '
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