1985-555 BUILDING PERMIT
TOWN OF +QUEENSBURY No, 85- 555
WARREN CD'UNTY, NEW YORK
PERMISSION is hereby granted to MORICAN MOTEL �
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OWNER of property Iac1?,ced at 5 Route 9 nort' h of Route 149 Street, Road or Ave.
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in the Town of Queensbury, To Construct or place a Sewacre Alterat.1 n :J
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. rrt
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1 , OWNER'S Address is RD # 1
Lake George , New York
2. CONTRACTOR or BUILDERS Name
Condon ' s septic and Drain service Inc .
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3. CONTRACTOR or BUILDERS Address
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17 Grant Avenue
Glens Falls , New York
4. ARCHITECT"S Name 'O
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5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X)
( ) Wood Frame I ) Masonry l I Steel l f
7. PLANS and Specifications
repairing distribution box per plot and
No. application submitted .
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B. Proposed Use W
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Sewage System for motel �
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PERMIT PEE PAID — THIS PERMIT EXPIRES Sept . 30 19 87 m
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(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.) 3'
Dated at the Town of Queensbury this 3 01- h Day of 1985
SIGNED BY _- � . Ll for the Town of Queensbury
-' Building and Zoning I nspector r�7 y
TOWN OF QUEFNSBURY "TOWN OF QUEEms,3131: Y
BUILDING & ZONING DEPARTMENT ;c + q+� � : 1
SEWAGF DISPOSAL PERMIT APPLICATIO CI`
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1 . Owner ' s Name 0 �
$ 121 ,
Address U i- /7J fAk
Telephone No . �p"� eD
2 . Property location 3 . Name of person or firm responsible for installing system 0 W;:*��r
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E,,,,/4 U i7.xG Telephone
Address J '� Y .3 rU 4d £_
4 , Number of bedrooms ( residential buildings only)
5 . Daily flow ,mot gallons/day
6 . Septic tank capacity Copou C )^ E. "t'f gallons
7 . Topography : flat , rolling , steep
% of slope
8 . Nature of soil and depths&ryd!�;K rj i'"' a3.0 Fez [�7
9 . If ground water , bedrock o impervious material is apparent at what
depth does it begin?. ft .
10 . Percolation test : A is required
B is not required
C If requsrel what is the rate minutes/inch
110 water supply : municipal , well , other .►
12 , Type of system proposed -. drywell , the field , other" a
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
Queensbury Sanitary Sewage Ordinance ,
Date
sxgnatuxF of applicant
On separate sheet of paper submit a diag�cram__ of the proposed septic system
with all dimensions , including distance Trom any structure , distance from
property line and domestic water supply , etc . Include all dimensions of
the system itself ,. Ok Veoy
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Form 3 - 82
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ToW� VV QUIEEN / URY
Name
W,�atla�
p� �• Remarks
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` Excat�a ton
Forms
Footin J. Piers
' Foundation
Cement Coat
Water roofi.n
' Backfilx
Final Surue
Framin
Sheathin
IF Roof Felt
Roofin
Sidin
wasonr Veneer
Rou h Pl Jill
Relief valves
Waxx Boars
Sxt . Porches
Finished Floor
Interior Trim
dd Staixs & Ra.ilin s
Cellar Dr , Tile
Concrete Floors
P2 . Fixtures
Gar . Eire roofin
Tx�or Closers
Chir+ e ynst
'Water Meter
Se tic A roval Floors
-
Foundation �r--- - �--- �
Insulation Walls -
Cex� ,
uildin� inspector
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REMARKS
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