1385 BUILDING PERMIT
TOWN OF QUEENSBURY No. 1385
WARREN COUNTY, NEW YOIRK
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PERMISSION is hereby granted to Morgan J . Vitti pgl. 9
OWNER of property located at 26 Pershing Road Street, Road or Ave. f'
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.
t- OWNER'S Address is
26 Pershing Road
Glens Falls , New York
2_ CONTRACTOR or BUILDERSS Name
Owner
3. CONTRACTOR or BUILDERS Address
Owner
4. ARCHITECT'S Name
Owner
5. ARCHITECT'S Address
Owner
6. TYPE of Construction — (Please indicate by XI
i I Wood Frame ( I Masonry ( ) Steel { I
7_ PLANS and Specifications 0*
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No. 40-45 t the field as per plot plan submitted , 0
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8. Proposed Use
Sewage System
$ 5000 PERMIT FEE PAID — THIS PERMIT EXPIRES 11 - 1 - i9 71
(lf 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 elate.)
Dated at the Town of Queensbury this 27 Day of August t9 71
SIGNED BY met d , Atuef3meq jr for own of Queensbury
Building and Zoning Inspect
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TOWN OF QUEEMSBUIRY �;T-OWN OF QuE6❑1���1S9URY
WARREN COUNTY, NEW 'FORK � E go �1 1Tl
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Application for lur} ' 'fL-j � p°
F 10G� 2 ? 1971
A.M. P.M.
4516
A PERMIT TO CONSTRUCT , ALTER OR ENLARGE A SEWA� I � ti is a 6 a & a 1 k
DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE V41 THI N THE
TOWN OF QUEENSBURY
Mail or bring this application to : OWS 2 4 197
Building & Zoning Department
Queensbury Town Office Building
R . D . 1 Bay Road
Glens Falls , New York 12801
This application for a Sewage disposal Permit rrust 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 of applicant :
?�. ,i . Vi,tteng3.
2!5 Persh-Ing ztoa.d
2 . Specific location of property : 2 1'er woad
STREET AND NUN. BER
3 . Application is for .
Alteration or enlargement of existing sewage Aisposal system .
4 . Description of building .
a , number of bedrooms 1
b , garbage grinder
YES OR f.IO
5 . Topography :
tflat , 'roTling , steep slope , gentle s ope , etc .
6 . a . Nature of soil . ( Describe to a depth of 5 feet if the
field is to be used or 10 feet if leaching pits are
proposed , diving thickness of various strata such as
top soil , clay , loam , sand , gravel , rock , etc . )
b . How determined ? ?` .
? , a . Soil percolation test made by
( Refer to Part III , Bulletin 19 NO Y . s , Department of ea th
b . Percolation test notes submitted ?
YES OR NC)
Be Proposed sewage disposal system indicated on attached plan or
sketch? 'Y17S
( YEs OR No
9 . Date when construction will commence At Off_ _ —_
It is hereby agreed that if this: apt li :. ation and attached ;:, l :-3ns
dated or any amendment or rev ! sine : {. hcr4Nof ,
are approved , 'Installat.ion of sewage disposal facilities will be
made in accordance with the details thereof as shown on such
approved plans .
Insta a By : Contractor - , � g tune o pp icant
Owner
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