1865 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 1865
07(32) c ,9
PERMISSION is hereby granted to Paul H_ Nayl or
ro
OWNER of property located a4Di vi si on Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Private Pool z
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. D. #2
Division Road
Glens Falls, New York 12801
2. CONTRACTOR or BUILDER'S Name
Owner
3. CONTRACTOR or BUILDER'S Address
Owner
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications d
No•18'X34' as per plot plan
cn
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8. Proposed Use
Private Pool 0
•
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 10-1— ,19 72
(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 22 Day of
June 19 72
SIGNED BY /(. for the Town of Queensbury
v Building and Zoning Inspector
PLe.ase SiC: ru 'ba�k—
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY,`;, NEW YORK Building Inspector)
Application for \1'1�►i(atior, No.
Permit Issued I1r.
BUILDING AND ZONING PERMIT I'orr„i: 1 spires . 19
Y"ninr District
\ ;doe of Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'1'r."`'ll by • •
showing the actual dimensions of the lot to be built item.11-1.
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 OUEENSBURY
DATE •a`O ° Di
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUN 2 2 1972
ANSWER ALL OF THE FOLLOWING. A.M. P.M.
I A 16 . §
The undersigned hereby applies for a permit to do the following work ,7 18 1 ,9 1 I� 1 111 1 1 2 1 3 1 4 Ifi
which will be done in accordance with the description, plans and specifi- II
cations, and such special conditions as may be indicated on the permit.
The owner of this prqperty is: I . -• .._ •
(NA.`°E) IP 0 ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) IP.O.ADDRESS)
Name of Builder s 1 Address
Name of Plumber Address . . . .
Name of Mason Address .
Lot Number Unit Estimated value of proposed work$
Name of Village . . .CA. u --e -,s 1Jv '�
Name of Street �1�'‘- .--1--'' ed.. Side of street: north ID, east 0, south 0. west 0
Nearest Cross Street Distance from this cross street `3 d a Ft.
Property is north a],south ❑,east i i, 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
El Construction of a new building. Main Building
q Addition to a building. One-family dwelling El
❑ Alteration to a building. Two-family dwelling El
O. Demolition of a building. -family apartment house ❑
Store building . El
-car attached garage El
Other:
• Accessory Building
One-car detached garage ❑
❑ Other work. Describe: / t"'� '-1 'a�� / a 0 L' Two car detached garage El
-. /..??1 .q �/ au.n Private chicken house El
�—
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 end 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
I N
. m Size of proposed building . . . /.8. . . ft.x . . =3 Y 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, es measured from street side
line to nearest part of building.
(OVER)
(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 " 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.
Site, 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 bulging to be constructed?
Is thereto'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 installedP
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 knowledge and belief the statements coma' in this application,tortber with the plans and specifications rob-
milted, are a true and complete statement of all proposed work to be,j on the described premises and that all • of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws penal _ to the proposed ork s complied whether specified or not,
and that such work is authorized by the owner. ,�
Sworn to before me this Signal �BtCPa1_�
OW ER.OWNER'S AG rgh-CONTRACTOR
day of 1
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT: - . --
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APPROVED
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. , DATED
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BUILDING' & ZONING I SPECTOR
TOWN OF QUEENSBURY
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