1740 BUILDING PERMIT
TOWN OF QUEEN.SBURY No 1740
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to William D. Hall
OWNER of property located at Lot 19 Rockhurst Point Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage System
at the above location in accordance to application together with plot plans and other information hereto filed and W
I—'
• approved and in compliance with the Town of Queensbury Building and Zoning Ordinance:
1. OWNER'S Address is
Box 225
Cleverdale, New York
2. CONTRACTOR or BUILDER'S Name
Frank Bushey
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
O
0
No. as per plot plans submitted.
H
8. Proposed Use N
c+
Alteration
0
$ 5.00 PERMIT FEE PAID—THIS PERMIT EXPIRES . 9-1- 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 4 Day of May 1979
SIGNED BY . for the Town of Queensbury
Building and Zoning nspi' pector ( �
•
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for
•
A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A „, � Ir2115:1M"
DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE WI -a '�TOWN OF QUEENSBURY ! E ���Ira Ferp do
Mail or.- bring this application to: SL�MAY 4 `19r2
Building 8, Zoning Department
Queensbury Town Office Building A.M.8 1 9 1101111121 1 1 2 1 3I415j
R.D. 1 Bay Road
Glens Falls, New York 12801 ,
This application for a Sewage Disposal Permit must be
accompanied by a plot plan drawn reasonably to scale
showing all dimensions, the size of the lot, the location
on the lot of the water supply and sewage system.
1. Name and mailing address f applicant: '
AfS a\e,,,„,,' \\-() ). 1\9.
qc,1\ C_c_ GC\IZ\v"2\-- c)(5
2. S ecific location of property: L0�1 l�
P — o�, ��Olw\ '
(STREET AND NUMBER
3. Application is for: � C� 6 �
New construction of private dwelling .
alteration or enlargement of existing sewage disposal system
4. Description of building:
a. number of bedrooms
b. garbage grinder
(YES R\ NO)
5. Topography: G ��,a o v� kup S G
(flat, roli ng, steep slope, gentle slope, etc. )
6. a. Nature of soil. (Describe to a depth of 5 feet if tile
field is to be used or 10 feet if leaching pits are
proposed, giving thickness of various strata such as
top soil, clay, loam, sand, gravel, rock, etc . ) cCN
b. How determined? OS o 0
7. a. Soil percolation test made by
(Refer to Part III , Bulletin 1 , N.Y.S . Department of Health)
b. Percolation test notes submitted?
(YES OR NO)
8. Proposed sewage dispos 1 ystelqi indicated on attached plan or
sketch? G.A pQA" VV) �
(YES QR NO
9. Date when construction will commence _
• It is hereby agreed that if this application and attached plans
dated or any amendment or revision thereof,
are approved,installations of sewage disposal facilities will be
made in accordance with the details thereof as shown on such
approved plans.
\rClOsx\O--
Installed By: Contractor - (Signature of applica t)
Owner
j r • ,
-z =. Sf
^ a.
-,.. �r _ -. q a .. .tea-� r'-r.- - - --_ - _ - _ _
J
{:.
in--rant_ _
- ,`k
ter- ...... ..
_,,, , • ._ -.;.�. r - r _ 'v--La's^-' 7-,-_ ':-:~ x:4�_,.Ii—m,v _ c.!'.▪ ,.
__
- LI ri >:ate-
- - - ` '- - ▪ — -
s ,
s_
a �y�
,yd - •yc -
�F1- - -
,,,,i,,,.2_,-_,,,,-;.,,:i..4--5:_.-;,,,,,_=4„.,7,-,-,..:__..-.-_--,,,,._-.,:_t..,..1▪ __ , .A.-=----7-;=,-.5_-_,-;,-._.:,=-,z--;5.-. 1:4,
M" �0 n n �N ▪ -
� a o r o -
ter. x
- -•,- ,. , -,:_ :,.,- 'r,--N ma\ SAa.".0S4\3. .„\\7b J-
ti
.
S�S "
,.„,,,..-.-...,,. ..„:„7,.,..._.,..1,.:::, , ,:
- n
fi G.
p r� "J
G1
-'am:'
�, � jY A •hJ ▪ _
F"
1
a"
T
7A
•• - _ ua
-
_ t 4 r,-T
_ � it - -it
. _ - 1 - _.NTE - - ,
_ 1
- �1
--` 43
r
f.
a _
- - - - - - - • _-� - - - - - :-tom- - - - -- - _- - - -
,y _ I:'
- - - _ - - ^ - _
:err-''-4_"�•x_-
-d x? n _- -- - _ :-• _ -_ i• Coo _ . _ • _ y __ �
•
•
N• a_ _ _ r ,, am_,;;_ _ .%ii _ _ _ _ -_ ,5 _ _ -• _Y _r_ _ _-tea;' - - k
,fit__• • ,Ma _ _ x, s Y i3•
Y_ - i3 _ - 1 __ _- - • _ - - .—ems __ , - -- - -
f.•= _• , y `.ter.` :',-
.ice{
-"w
v r i_�_•
.,
•.
_iTa - r a , -: 8 �9 _L
a-7 ,
-<3
: 2• :.a a
'� 7x et ,.�• ��\�"\ { _ 1, Cf S 1 a `�" ) 'I. J ..k 2, ) . '.fit\+‘-\