8009 3 BUILDING PERMIT
TOWN OF QUEENSBURY No 8009
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Charles and Carol De Mars
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OWNER of property located at Big Boom Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Above—Ground Ponl
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. -
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1. OWNER'S Address is R. D. #2 Box 680B
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
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same
4. ARCHITECT'S Name bd
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5. ARCHITECT'S Address PJ
6. TYPE of Construction— (Please indicate by X)
( ) Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications -
4 'x24 ' above—ground pool per plot plan and o
No. application submitted.
8. Proposed Use II
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. Swimming Pool •
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$15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19B4 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 this29th Day of July - 19 83
SIGNED BY .� , '. L94/Fe' for the Town of Queensbury
Building and oning Inspector
TOWN OF QUEENSBURY - BUILDING DFPART7ENT
R. D. *1 BAY AND Y_FVILAND ROADS
GLFNS FALLS, NFY.' YORK
Phone 792-5832
DATE: Jc.-/i, F,/-
TO: 6 e,4 w21.
-a„ 7.
Our records indicate that you were issued a building permit
number 2i ,005 on „
for the construction of
Our files show that the required inspections are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact -Is so we can take your card out of the active file.
Next required inspection
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
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Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to make arrangements to update your file.
OUEENSBURY BUILDING DFPART! ENT
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TOWN OF •UEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Alication for Application No.
Pp Permit Issued _ 19. .
BUILDING AND ZONING PERMIT Permit Expires. 19.
7oniin;:. District
. \ aloe ol Work'
THREE (31 Copies of a PLOT PLAN, Drawn to scale •\1'pi."‘(•(1 b
showing the actual dimensions of the lot to be built 1tcmarKS
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
iCEllVE
BEGINNING WORK if
A PERMIT MUST BE OBTAINED BEFORE JUL � 91983
ANSWER ALL OF THE FOLLOWING. _ fit. ,
The undersigned hereby applies for a permit to do the following work A.M. �',�o /'e-e. P.M.�
which will be done in accordance with the description, plans and specifi- 7I8I9I11)11)12)1I2I3I4I5I6
cations, and such special conditions as may be indicated on the permit.
The//owner
of this property is: ,'e
C�.f�c..6�/�S. .c. .0.i..' �. ���?�'� RP AA- �a7!f F'u. .'.C`r��l* 6,/� .�./) j-0
- (NA•.4E) (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P 0.ADDRESS)
Name of Builder Address
Name of Plumber Address
Name of Mason Address
Lot Number. . .d.. Unit ..sv„,4_;Z. • . . Estimated value of proposed work i
Name of Village _4)<<' '-',-L6A 6
Name of Street .>0 .If .az / • c Side of street: north 0, east 0, south 0. west ❑
Nearest Cross Street Distance from.,this cross street Ft.
Property is north ❑,south ❑,east iii, west 0 from Cross Street `•_
If on Corner, which corner, northeast 0, 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
i One-car detached garage IV-Other work. Describe- yr7'�� X Two-car detached garage ❑
J 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
huilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
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a m 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-M
(coned.)
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?
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 IA; v4 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.�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 po wok shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature. �t-1--
OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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