7007 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 7007
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Clark Henderson
46 Algonquin Drive
OWNER of property located at Street,Road or Ave.
• x
in the Town of Queensbury,To Construct or place a Swimming Pool
at the above location in accordance to application together with plot plans and other information hereto filed and O
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. sz
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1. OWNER'S Address is 46 Algonquin Drive 0
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Glens Falls, New York
2. CONTRACTOR or BUI LDER'S Name
Adirondack Pools and Service
3. CONTRACTOR or BUILDER'S Address
272 1st St.
South Glens Falls, N. Y.
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) C•
( )Wood Frame ( ) Masonry ( ) Steel (
7. PLANS and Specifications
22' x 22' octagonal pool per plot plan
No. and application submitted.
.8. Proposed Use
CA
Swimming Pool
N;
10. 00 November 1 81
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 n7
(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.) 0
1-1
Dated at the Town of Queensbury this 2 8 th Day of July 19 81
SIGNED BY u' w( for the Town of Queensbury
Building and Zoni nspector
TOWN OF QU EENSBU RY (Space inside block to lie filled In by
WARREN COUNTY. NEW YORK. Building Inspector)
Application for Application No.
pp I'crmit ls,urd '1g:.
BUILDING. AND. ZONING PERMIT- . ' ri.,-mit Expire . ' ICI.
7.,,i,ih14l)istrict
Value 01 Work% . ...
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THREE (3) Copies of a PLOT PLAN; Drawn to scale... \il cclti nl, ICS'
showing the actual dimensions of the lot to be built.
: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 a a G 1' 7 t G IM!• • . DATE ... . TOWN Cal~ QUEENSBURY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING, WORK, tE O I U
li
ANSWER ALL OF THE.FOLLOWING. ���•I ,
The undersigned hereby applies for a permit to do the. following::work .
which will be done in accordance with theD� 1 1
description, plans and specifi- . ...JULA,M. , P.M.
cations,.and such special conditions as.may be indicated on the permit. 71819110142p.1213141516
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The owner of this property is: .
Ci.vk 1f. � 9 /1- f1 fh4' r- r".een5 b 1-14 / zr
(NA'E) (P.O
Theperson responsibth�e, for,.., •.supervt ion of the work insofar as the Buil;di,ng-,Ccide and the Zoning Ordinance ap Iv k:
- f t'ran C2-erG.. bes l ' . �e r v1 G� ?a l St. .�T• G G� 5 ��G"
(NAME) (P.0 AOORESSI,
Name of Builder. .LY J• . •/4,•Pcr)*ad Address.
Name of Plumber ' ?Address
Name of Mason. Address
Lot Number Unit Estimated value of proposed work S
Name of Village . .aveelt54wfi,77
Name of Street . . /. 1� ,,"�rN• •Pcle'e ' Side of:etreet:-north 0, east,, ., so/
uth 0. west El
Nearest Cross Street . . . /4vi. . 0✓ tre • • - Distance from this ^toss street .�..5� Ft.
Property is north. 0,south ❑',east g west 0 from Cross Street,.
If on Corner,which carrier, northeast ❑, northwest 0, southeast 0. southwest
(Designate by marking with an "X" in the-correct space.)
NATURE OF'PROPOSED WORK OCCUPANCY
0
Main Building
Construction of a new.building. One-family dwelling �
. CI Addition to a building. Two-family dwelling 0
ElAlteration to a building. • • . . . . . .-family apartment house ❑
El Demolition of a building. Store building 0
-car attached garage ❑
Other:
. Accessory Building
�/-�� One-car•detached garage ❑
At Other work. Describe:.) ?. & ro.cm d. •ic°�• Two-car detached garage
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
taiilding(s).in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
IA VI
a - 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 o{�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 x 1',spacing „ o.c.,span ft.
Size, floor beams,2nd floor " ", spacing x o.c.,span . . . . . . . . ft.
Size, ceiling beams x ", spacing span ft.
Size,,roof rafters or beams " ", 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 providd? 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?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to it Ararof my know,Iedge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and coa.plete statement of all proposed work to be done on the described premises and that ail with,
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,r.
and that such work is authorized by the owner.
Sworn to before me this Signature _
OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC.WARREN COUNTY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
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;ADIRONDACK POOLS & SERVICE
271/2 First Street
So. Glens Falls, N.Y. 12801
(518) 79R-5552
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