6709 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6709
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to James F . Carolan, Jr.
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OWNER of property located at Glen Lake Road Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Sewage Alteration
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.
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1. OWNER'S Address is 46 Bullard St.
Norwood, Mass, 02062
2. CONTRACTOR or BUILDER'S Name
Jay Sweet
3. CONTRACTOR or BUILDER'S Address
R. D. #1
Lake George, New York
4. ARCHITECT'S Name r
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5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
( ) Wood Frame 1 1 Masonry ( I Steel 1 1
7. PLANS and Specifications
500 gallon septic, pump and dry well per CD
No. application submitted.
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8. Proposed Use
Sewage system for dwelling ~rt
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$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19
(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 2nd Day of December 1980
SIGNED BY � +- 6 for the Town of Queensbury
Building and Zoning Inspector
1 TOWN OF OUE `PISBU1 Y TOWN (O��11F((QUEENSBU c
3� BUILDING AND LONI.Nu DEPARTMENT' lJ LS V
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' BAY AND HAVILAND PADS, R. D. #1 —
GLENS FALLS, NEW 'Y RK 12801 DEC 11980
A.M. G'c"= Pc' ; .' ` P.M.
7)8)9)10)11)12)1)2)3)4)6I6
APPLICATION OR A PERMIT TO CONSTRUCT, ALTER OP ENLARGE l o r
F, DISPOSAL ,� �� �ti ���rd 3
F� Sf.'tAG.�. ' .,YST1a:_ WITHIN Tt?F` TOWN OF C�tJF'EP7SBtfF�' mass.
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OCCUPANT'S NAME _T Ca ADDREE fi� ��1�� J7r
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TELEPHONE OWNER'S NAME 11 o u ✓Q}-.... e . _/..,t._ _ 4_ ed/u41,rf-
ADDRESS NLThIEER 0a.' BEDROOMS �j'
GARPAGE GRINDER`? YES OR NO.; TC!POCRI'+.PHY: FLAT, RC c.LLNC» t;TEFP,
SLOPE, GENTLE SLOEr' OTHER
NATURE CF SOIL: CLAY, SANDY, LOAF, AtiFf.; ROCKS, ETC.
PERCOLATION TESTWATER SUPP?_Y: N DN.ICIPAL, WELL ; OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTLi
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SuTEIL°P PEFTINENT INFORMATION
IT IS HET-EBY A( REED THAT.' IF THIS APTLIC.ATION AND .PLANS PPP APPP!evF'I),
NS`i` -LLM.EON OF SEWAGE DISPOSAL F.!C`i.LITiES WILL BE MADE IN ACC OPD,NCT
WITI DEr.%'7'•3 LS SF'_OWN e
DATE QGt o2-2.-- SI zN�\TUR.E OF APF-IICArr 6i-C_ G'l .
LAKE GEOI GE PARK COMMISSION APPROVAL
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /7-2-rSb
Name
Location c/e,„„ l o ffs%
Permit No. G 7 0 7 Weather
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 & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
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Building Inspector
J REMARKS
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