8549 L
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8549
Sb \ WAR N COUNTY, NEW YORK
PERMISSION is hereby granted to Anthony and Gail Brown •
OWNER of property located at 4. 1111 Dixon Road Street, Road or Ave. rt
in the Town of Queensbury,To Construct or place a Ingrouncl Swimming Pool ti
at the above location in accordance to application together with plot plans and other information hereto filed and sy
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
593 Dixon. Road
Glens Falls, New York H
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2. CONTRACTOR or BUILDER'S Name O
4
Adirondack Pools
3. CONTRACTOR or BUILDER'S Address
Main Street
' South Glens Falls, New York
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4. ARCHITECT'S Name
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N.
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) y,
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
15'x31' inground swimming pool per plot plan
No. and application submitted.
8. Proposed Use 0
s✓
Swimming Pool
$ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 1985 5
(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.)
ro
Dated at the Town of Queensbury this 7th Day of June 19 8 4 O O
SIGNED BY AGE a ac.i i for the Town of Queensbury
Building and Zoning Inspector 8/
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 Pormit Expires. .
%uniu District
. \ plot. (II \\•nrk%
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'I'('okc<I hv /2- ris-N
showing the actual dimensions of the lot to be built 1Zemai'KS-
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
l/1J? qq TOWN OF QUEENSBURY
/ a 1 , ) ' et C /.-i S� 'DATE H El 4+ El ll
E D
A. PERMIT MUST BE OBTAINED. BEFORE BEGINNING WORK JUN 5 1984
ANSWER ALL OF THE FOLLOWING. !�wl P.M.
The undersigned herebyapplies-fore permit-to do the followingwork p1'�'
9 PPP 7 8 9 1 ge-c_
1 2o3ii4 5 6
• which will be done in accordance with the description, plans and specifi- ,,.I, I.I o� ° e1. P sI, 1, I., I
cations, and such special conditions as may be indicated on the permit. . . /Lt-1--
The owner of this property is: . � �j
. . . . . . A?:1410/3y. '.fS:. . . .GF1! . . . w. tig0 .r.). . . . .: . . . .g3. .l)ixd ex- . ./:?d. . .��.-/ rs . . . . .
(NA"E) (P.O.ADDRESS) /�!
The person responsible for 'supervision of the rk insofar as the Building Code and the Zoning Ordinance apply is:
4,a ,off / d �'�iL E.. / /Pvuy/
(NAME) (P.O.ADDRESS)
Name of Builder /limn c✓a.c dt. ?cc J_s Address 714A-7h Sf cS, .feet . . ./..f5. .
Name of Plumber Address
Name of Mason Address
Lot Number /S Unit Estimated value of proposed work S -7.5 L49• oU
Name of Village
Name of Street . 193 / ,.x°1Y' Rd- Side of street: north lar, east 0, south O. west ❑
Nearest Cross Street 'RoSpee-t"" Ar/Ve. • Distance from this cross street Ft.
Property is north - ❑,south ❑,east Ti, west. 0 from Cross Street
If on Corner, which corner, northeast 0, northwest 0, southeast 0, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Buittiing
54 Addition to a building. . . _ One-family dwelling 21
❑ Alteration to a building. Two-family dwelling El
❑ Demolition of a building. -family apartment house D.
Store building ❑
-car attached garage ❑
Other:
Accessory Building
�/ 2 /. - • One-car detached garage - • ❑
❑ Other work. Describe: I S A — i 'w`/)1�'4)3 Two car detached garage ❑
( r "�)-Uu_ q 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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in'dotted line and existing
• I4uilding(s) in solid line.
a � rrl/L if�Ct(.e- 0 Size of property ft. x ft.
�
rI T7 10 i 4 Size and use of existing buildings, if any
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—M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . • • • . • • • • . • • • • • . . . . . . . . . . .. . . . . . . . . . . . . • • . . . . . • • • • •
Will any second-hand lumber be used? If so, for what7
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
x ", spacing "o.c., length
Size,wood studs " ft.
"o.c., span
Size, floor beams, 1st floor 'x ", spacing 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 bui,l&ng 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 bca r of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and co.,.pp 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 proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature 0 ER.OWNER'S AGtE T i�... A
QARC I C . ONTRA OR
day of 19.1f.y
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 r-, -
VILLAGE /!- - `F' .. /_. b, - -
%.' ! `_. TOWNSHIP f, ey '.: i-':'v_ 21 t t% COUNTY L!_,,:r' 1 ,:24
STREET AND NO.OR -
ROAD AND POLE NO. "-7-"? "•/ ,..\ , I _,i 7 POLE NO.
BETWEEN WHAT TWO • _
CROSS STREETS IS -' r
PREMISES LOCATED? I'o^' '- ' . f-i^- i-(• 'i SECTION BLOCK LOT
OCCUPANT'S i) • BUILDING -
NAME ;:.,I -// 7, ,.• ( •! .. .'J nr : ! •- OCCUPANCY
OWNER'S NAME - . - --. / - - `^ ////
AND ADDRESS �i, r i=i i '1 ( .. .f_ r::-'/f..i.j.,-) )'-/' I O
r.: .,-,/ r / ! 1.- :`'f/ - /-''
CURRENT 7/ - . --
SUPPLIED BY FROM THEIR OFFICE
BUILDING WORK - DEFECTS
IS NEW❑ OLD RI REMODELED ❑ IS • NEW El ADDITIONAL z. 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 OLD 1-1
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF ! 7 �_ `r, - DATE OF //..: C/APPLICANT —` -" i.r '- APPLICATION /i /�'' j
, •
STREET ADDRESS -� '. /) �-7 i-1rr-/• •
x ;
CITY OR 1 �� ZIP f, i LICENSE NO, .
POST OFFICE �/�i'�-- J"r-% /�..�' CODE /'.-./ r 1! WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
•
Nek-
TOW 'OF'QUEENSBURY
Building Department
Inspectara Report • Date 7/[2/V-(
Name
Location ,r) a' k n
Permit No. 9 Weather
•
14L moot_ - Remarks
Excavation
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 & Rail ngs
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
• Ceiling *
Building Inspector
REMARKS
Pad/N� U 4 `l` /`G2_J
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PrOperiy Poet Het At' Pi&
drown
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