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8821 BUILDING PERMIT TOWN OF QUEENSBURY No. _ 8821 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Donald Sokol OWNER of property located at (9Helen Drive Street, Road or Ave. in the Town of Queensbury,To Construct or place a Swimming Pool p~, at the above location in accordance to application together with plot plans and other information hereto filed and l:n approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. O 0 1. OWNER'S Address is H . 40 Helen Drive Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Sprague' s Mermaid Pools 3. CONTRACTOR or BUILDER'S Address O 294 Broadway Ft. Edward, New York H m 4. ARCHITECT'S Name I-i N- C CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) • ( )Wood Frame ( ) Masonry I )Steel ( 7. PLANS and Specifications 19 ')(37 ' inground swimming pool per plot plan and No. application submitted. �. .i w 8. Proposed Use ro Inground Swimming Pool o $15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 85 (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 19th Day of October 19 84 SIGNED BY '—k C .. 9 for the Town of Queensbury Building and Zoning Inspector e TOWN OF QUEENSBURY (Space inside block to be filled in by WARRENCOUNTY, NEW YORK • Building Inspector) Application for Application No. : Fop Permit issued 19. BUILDING AND ZONING PERMIT Permit Expires. 151. Z iiiii_ District \ alur (II Work,# THREE (3) Copies.of a PLOT PLAN, Drawn to scale •\I'I'�"c c<I,by 'crL � showing the actual dimensions of the lot to be built Itc'marKS. • upon, The exact size, and location on the lot of the • building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. f 6( TOWN OF QUEENSBLIRY • DATE U E 0 E F �4JE 11-11 � A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK -\f l ANSWER ALL OF THE FOLLOWING. • LW;1 1. ba 9B4 9hereby appliesP A.M. 2- The undersigned fora permit to do the. followingwork � L► J I r P•IVI• which cations, tal be done in accordance nd such special conditions asthe may bedescription, t plans the permit.i- 71� 41 19110�7 1JJ2!° F2i° j'�15�� The owner of this property is: 0o N j i . So/r'o // /�ti a3. (NAME) (P.O.ADDRESS) The person responsible for s}'pervision of the work-insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P.O.ADDRESS) Name of Builder SP,P/1 c6/E /0,/.r Address Name of Plumber Address Name of Mason Address Lot Number Unit Estimated value of proposed work 3 7, O°0' /�'"`' Name of Village . Q 0e-e') & k'•_r Name of Street . . . . i(/l i. Pr ri:04) . . . -.& Side of street: north east 0, south 0. west 0 Nearest Cross Street . /( . r?n) / a Distance from this cross street Ft. Property is north ❑,south ❑,east i i, west ❑from Cross Street If on Corner, which corner, northeast ❑, northwest ❑,southeast [l, 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 . Cl ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. p -family.apartment house E. • X Sill/m A( /I,ie rev( Store building ❑ -car attached garage ❑ • • Other: • �; • Accessory Building • One-car detached garage ❑ ❑ Other work. Describe• Two-car detached garage ❑ i f ci i X 37 ) A-3 h9•u+. Private chicken house ❑ 1 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 buildings) in dotted line and existing IIuilding(s) in solid line. Size of property. . . . Z.2. . . . ft. x . . ./ a ft. Size and use of existing buildings, if any 1- y kU;NlG s W Size of ro s / p� 17 w p po . . . . . . J.�. ft.x . . . .�.�.-. . . . ft. Height(from grade to ridge) ft. Front yard ••7 0 ft. Side yards . . . . . . :.• •4 s . ft. and ft. Rear yard '3 J • 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 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 tt; barof my know,ledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.,.�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 sed work shall m 'lied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature �"'"e`� G NER.OWNER'S AG T•ARCHITECT:CONTRACTOR day of �'-� 19.f�.=7/. 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. TEMP.# DATE - 1/U'/ '.Cr 7 CITY OR VILLAGE TOWNSHIP 6 Li CC aif ‘;,j'` /// COUNTY t�L/f/f?fle h--' STREET AND NO.OR / ROAD AND POLE NO. //C k 4 7 j41 POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S BUILDING NAME 0Q/L!1/6 _}o 4'o (_. OCCUPANCY OWNER'S NAME +-1J AND ADDRESS IJOIli/1// -s;_,rj oLI // :,//ii-' AO TEL.# . CURRENT SUPPLIED BY FROM THEIR OFFICE BUILDING WORK AIN"r- ✓411 DEFECTS ' IS NEW CI OLD El IS NEW 14 ADDITIONAL REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. Fixtures&NUMBER OF OUTLETS LampfRec Receptacles MOTORS HEATERS CIRCUITS OFFICE USE Loca- ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side Sub- base Base- ment 1st Fl. 2nd Fl. 3rd Fl. • REMARKS:-LIST OTHER ELECTRICAL.DEVICES NOT SET FORTH Aft_OVE: DO NOT USE THIS SPACE. ..S-L(,//r'l /11 /r G /CC / / / ///..47 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 OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS} y /� APPLE OF ANT ddiii//�/ // ✓U/� G� Z . DATE OF %i- /_ • i7 /`/ / APPLICATION J STREET ADDRESS �/ `P-' �J� �J / 1-r. TELEPHONE# CITY ORPOST OFFICE i��////. '�/l F/C//< (l CODE ZIP r, WHEN APPLICABLE 46 EL(REV.1/84) ( A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING SPRAGUES MERMAID POOLS COMPLETE SALES & SERVICE BROADWAY FORT EDWARD, N.Y. 12828 (518) 747-9270 134C.k //i) IN .41 • Poo L_{� In vs • PA." G"