1986-187 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-187
^ � WARREN COUNTY, NEW YORK
PERMISSION is�eby granted to SCharles T. Locke
OWNER of property located at Cleverdale/Lake George 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 26 Lower Woods Road 1D
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Utica, N.Y. 13501 y
2. CONTRACTOR or BUILDERS Name
Edward P. Carr, Jr. w
3. CONTRACTOR or BUILDERS Address
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Lake George, New York
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4. ARCHITECTS Name m
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5. ARCHITECT'S Address - W
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6. TYPE of Construction—(Please indicate by X)
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11 Wood Frame 1 )Masonry 1 18se1 ( 1
7. PLANS and Specifications
No. 1000 gallon septic tank per plot and application submitted.
8. Proposed Use m
Sewage system for dwelling
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 5 19 88
Of a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n
town of Queensbury before the expiration date.) H.
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Dated at the Town of Queensbury this 5th Day of May 19 86
SIGNED BY old N . ,t) for the Town of Queensbury
Building and Zoning Inspector
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TOWN OF QUEEN
Jorun e2 NMGDEP RTME 1
BUILDING and 20NING DEPARTMENT IN
Bay and Haviland Road, R.D. I Box 98
Oueensbury, New York 12801 MAY l 1986„,
.. P.M.
AM.A'
7ISIg1 lII3 4 '
II_ I 3 e,.`-) alms SEPTIC DISPOSAL PERMIT APPLICATION
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Owner 's Name Charles T. T.orke Tel. 315-711-on32
Address ?6 I nu-er Wnndc Rnad 'Tti ra N V 13501
Person/Firm installing system Fdvard n Ca.rr Tr
Number of bedrooms (residential only) t..n
Total daily flow: (compute @ 150 aal.per bedroom per day)_ 300
Topography: - rolling - steep - (circle one) Degree of slope _%
Nature of soils: sand-loam- lay other- Depth ft.
Ground water-- at what depth? 5 t ft.
Bedrock or impervious material--at what depth? ////t ft.
Percolation Test - Not required / Required -Rate I(//R min/inch.
Domestic Water Supply - Municipal - Well - Other Take George
IMPORTANT !
On a separate piece of paper , submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from ally domestic water
supply or shore-line of lake, stream, pond or wetlands. Include all
dimensions of the system itself.
Description of proposed system: Repair; replace 300 gallon metal tank with
1000 gallon concrete tank. Field to remain
Septic tank size loon gal. the sa e ft
Tile field- Length of each trench _ . Total field ft.
Size of stone 6
Seepage Pit(s) Number / Size ftX-_ft. Size of stone*
•
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 $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
aZ- Sr Af /o_r Nazi 4 Wo eGS.4G Strr/G Woilk wo o-Y
4Y _ \. 4 / 28/86
Signature of Applicants Date
01/86 and/vl
TOWN OF QUEENSBURY
Building Department
Impactors Repast Date .,7 5��"
Name _de -1A -
I.aratiae AreZ014-Alie$
Permit No. 2 /. - / R7 Weather
Remarks
Excatation
Footing Forms
Footing 6 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 6 Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval(....-. ®k[ CEht17D) r
Floors
Insulation Foundation
Walls
CCeeilin
! g Inspector
/ REMARKS
At Ferf /c k OWc 4—'
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date -79,8/
Name l—OC_fr,
Location ff(o ,4 .g N 17
Perms No. 14C —/87 Weather
Remarks
Excatation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Pibg.
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
Foundation
Insulation Walls
Ceiling
jBuilding nspector
REMARKS
g0c*a:—
Cdeaed P. Care 9e.
GENERAL CONTRACTOR
244E RO ♦1
LAKE GEORGE.NEW YORK 12845
15181 7930941
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