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1233 BUILDING PERMIT TOWN OF CCU EENSBURY No. 1233 � y ) ^p WARREN COUNTY, NEW YORK � '✓ 1 4+C. m a PERMISSION is hereby granted to Tr'ilimTl Gleason mW OWNER of property located at Sig Ag Road p p Street, Road or Ave. in the Town of Queensbury, To Construct or place a 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_ 1 . OWNER'S Address is R. Do #2 BLa Saar Read 2. CONTRACTOR or BUI LDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Same 4. ARCHITECT'S Name Same 5. ARCHITECT'S Address Sate 6. TYPE of Construction — (Please indicate by X) b rIL { 1 Wood Frame { ) Masonry ; I Steel { I 7. PLANS and Specifications No. 4 ' X24 ' Diann. as per specifications) submitted . 8. Proposed Use Above Ground Pool $ 10 . 00 PERMIT FEE PAIL] — THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Clueenshury before the expiration date_} Dated at the Town of Queensbury this 7 Day of June i9 71 SIGNED BY .rl 1 0 4ti"- * for the Town of Queensbury / ./ Buildi Zoning Inspector TOWN OF QUEENSBURY ( Space inside hock to }x• filled in bN' W/4f3FtEN COUNTY, NEW YORK ut �■�'a����" >rI Application for _%pplicatioii NA " Z`rpi. 0 \� E 11crrnit Issmod . Irr BUILDING AND ZONING PERMIT Pu mit 1�: jFD.._ . . . . lrrariirq Distrir-t ti .rlrar nt 1�' THREE ( 31 Copies of a PLOT PLAN, Drawn to scale BUILDING & ZClNI " G INSiPECTOR showing the actual dimensions of the loft to be built Ito rir;rr4 TOWN OF QUEENS[3'URY 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 QUEENSSUF2Y DATE „r�y �.�,� A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 40 J U xV 7 1971 ANSWER ALL OF THE FOLLOWING. A-M, P.M, The undersigned hereby applies for a g 7 $ ? 1L011I 12� 11213141516 9 Y Pp permit to do the following work � . � . i . , � r , which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. -f'h.� owner oft is property is: /� y qy y 1/' .r!r7� J7'Z /.?. 4r a ./� r� iNA 'F1 4P.O. AObR S51 ff 'I"he person resp�onsibia for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . . . . . . . . . . . . . . . .�. . . . . . INAM£i . . . . . . . . . iP.O. ADORES SI . , . . . , . - . Name of Builder , J7 P �- <E�. . . . . . . . . . . . . . . . . . . Address . - - . , . . . . , , - . . . . . . . . . . . - Name of Plumber - . . . . . . . . . . . Address - Name of :mason - . . . . . . . . . , - - Address . . . . Lot !Number . . , . Unit . . . . . . . . . . . . Estimated value of proposed work >l . . . Name of Village . . . . . r F . . . . . . . . . . . . . . . . . . . . Name of Street . . . . SO; ? � / C ` . . . . . . . . . . . . . . . Side of street_ north . east © , south [] . west C] Nearest Cross Street . . . . c?�"!r:!f z . . /�Cf . . . . I - , , , . . Distance from this cross street . . . . . G'ko. Property is north ❑ , south © , east ; , 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 BwR ling Addition to a building. One-family dwelling [ i... J Alteration to a building. Two-family dwelling [. [_J Demolition of a building. d I I -family apartment house j Store building -car attached garage [_ . . . . . . . . . . . . . . . Accessory Building One-car detached garage Jt,rc r work: Describe: . . . . . . . . . . . . . . . . . . Two-car detached garage C' QG s!'z �',;%fJ ',r��p1/2 fir f Private chicken house [ F X Private storage building . . . . . . . . . . . . . . . Other. _ _ . . _ _ . . . . '. N I X SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy, j I Indicate on the plot plan street names, the location and f size of the property, the location, sire and setbacks of pro- _.._ 14ORTN _ posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing_ huilding(s) in solid line, 1 Size of property . . . . . . J .jp . . . ft. x ft- I Size and use of existing buildings, if any I Id . . d d T . . . . . . . . .�. . . . . ' m Size of proposed bt b2 Ytg . , . . t. x . . . . . . . . . . fl . Height ( from grade to ridge) . . . . . . . . . . . . . . . . . . . . . ft. Front yard . . . . . . . . . . . . . . . - - - - - - ft, Side yards . , - , - „ , ft- and . . . . . . . . . . . . . . . ft. Rear yard . . . . ft, sauT nr If on corner, setback from side street . . . . . . . . . . . . . . ft, jNote,, All distances are net, as measured from street side line to nearest par# of building. tOVE:W (cont'd.) rst' ILDING SPECIFICATIONSi Kind of construction: Wood frame, fire safe, etc.? . . . . . . . . . . . . . . . . . . . . • . • . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of Foundation walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . . . . 1 . . . . . . . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous Foundation? . . . . . . . . . . Will there be a cellar? . . . . . . . . . . . . . . . If so, material of cellar floor . . . . . . . , . . . . . . . . . . . . . . . . . , , , , , . , . . . . . . . . . . - ype of roof: Sloped or flat? . . . . . . . . . . . . . . . . . . Material of roof . . . . . _ . . . . . . , . . . . . . . . . . . . . . . . . . . _ . . . . . . . . Size, wood studs . . . . . . . . . . . . . . . . . . . . or x . . . . . . . . , , . . . , . ", spacing . . . . . . . . , . . . . _"o.c., length , . . . . , . ,F , . . . . 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 . . . . . . . . . . . . . . . to, spacing . . . . . . . , . . . . . . "o.c., span . . . . . . A . . . . , . . ft. Exterior finish . . . , . . . , , . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . With what material? . . . . . . . . . . . _ . . . , , , . . , . . . . . . . . . Finishof interior walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main buij4ing 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 ss, State of New York I swear that to the best of my knotoodge and belief the statements contained in this application, togetdser with the plans and specifiratiow wsh- mitted, are a true and complete statement of ail proposed work to be done on the described premises and that rsll of the BUILI?- ING CODE, THE ZONING ORDINANCE, sad Al other fags iniing to tSre proposed work aball be comma with, specified or not, and that such work is authorised by the owner. ,h Sworn in before me this $i�ssature .. . . 17r,w .... ... .. .... R. OWNER'S AGENT, ARCHITECT. CONTRACTOR . . . . . . . .. . . . . . . . . ... . . .... . . . .day of. . .... . . .... . . .... . . . ... . . .... . ..... . . . ..... .----- 19.. .. .. . NOTARY PUBLIC, WARREN COUNTY. N. Y, SPECIAL CONDITIONS OF THE PERMIT: By ... . . ..... .. .... .... . .. .... .. . ......... .. .... .. ...... .. ........ ...... .. •...... ,_.. .,.... ........ ........ . F 71k� NA) E BUILDING & Lur%I UEENS BURY tQWN OF Q 4011:00 I0000w6ew— 14e4fe(?e—:rA7