1985-471 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85- 471
WARREN COUNTY, NEW YORK
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PERM ON is ereby granted to Glen C . Freibertxer ( The Loft)
OWNER of property located at 4ae - 4 14Gi 9 Street, Road or Ave.
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
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1 . OWNER'S Address is Lake George , N . Y a 0
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2_ CONTRACTOR or BUIt_DER'S Name t7
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Ron Grimes m
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a CONTRACTOR or BUILDERS Address
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RD # 1
Lake George , New York
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4. ARCHITECT'S Name O
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S. ARCHITECT'S Address
6_ TYPE of Construction — (Please indicate by X) r}
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{ 1 wood Frame { ) Masonry { i Steel { 1
7. PLANS and Specifications new list . box aLnd 150 f t . the field
per plot and application submittedkJo
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B. Proposed Use
Sewage system for restaurant
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$ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES August 26 19 877
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M
town of Queensbury before the expiration date.]
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Dated at the Town of Queensbury this 26thnDay of August t9 85
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SIGNED BY for the Town of Queensbury
Building and Zoning Inspect
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TOWN OF QUEFNSSURY TOWN OF QUEEhJSBUHIY
t BUILDING & ZONING DEPARTMENT IU 8� `Y'
?AGE DISPOSAL PERMIT APPLICAId
1 . ner ' s Name ' f
Address i :f r r 71s � 12 ) Si4l ti
Telephone No .
2 . Property location l # � it �� f? .-> 'I
3 . Name of person or firm responsible for installing system
Telephone No .
Address
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow gallons/day
6 . Septic tank capacity r' / � `i gallons
7 . Topography : flat , rolling , steep
of slope
8 . Nature of soil and depth_
9 . If ground water , bedrock or impervious material is apparent at what
depth does it begin? 1" T- - ft •
10 . Percolation test : A is required
B is not required
Cif required what is the rate minutes/inch
11 . Water supply : municipal , well , other
12 . Type of system proposed : drywell , the field. , other f- r"
Any contractor , corporation , individual , etc . engaged in the construction
of a sanitary sewage disposal system who covers the same before inspection ,
does not have an approved permit , or varies from the . approved application
will be subject to a penalty of $ 250 as provided for in Section 6 . 010 of the
4ueensbury sanitary Sewage ordinance .
Date
-- s3,g'natvi'r;-e-"5f apoliaant
On separ to sheet of paper submit diagram of the proposed septic system
with all dimensions , including distance from any structure , distance from
property line and domestic water supply , etco include all dimensions of
the system itself .
1
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Form 3ew82
TOWN OF Q iEENSSURY
Buildin�c Department
JUMPOdAws Re Uitc
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Name 1
I.aoCANOa ead.ar
perma No.
Rema rkS
ov �' —
Sxca+�a tzon
Footin Farms
Footing & piers
Foundation
Cement Coat
Water roofing
pacicf.i ll
Final Surve
Fran
Sheathin
,Roof Fel t
poofin
Sid.in
Masonr Veneer
Rou h PI .
Rellef Valves
Wall Board
Ext . porches
Finished Floor
interior Trim
Stairs & Railin s
Cellar Dr . Tile
Concrete Floors
pl ry Fixtures
Gar . Fire raofin
,Door Closers
chimne
Water Meter 7nst .
septic A roval
Floors
Foundation
Insulation Walls
Collin
L-1-6
us ding 2nspectar
REMARK'S
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