2864 BUILDING PERMIT
TOWN OF QUEENSBURY No 2864
01) ` 51 . , WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Albany Engineered Systems zr
OWNER of property located at l9 Quaker .Road 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. m
1. OWNER'S Address is CD
Quaker Road
Glens Falls, New York
in
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2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
Pa
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CD
5. ARCHITECT'S Address Ts
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CD
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6. TYPE of Construction—(Please indicate by X)
0
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
p
No. Filter Bed fouled — replacing with new pipe, sand and
gravel .
8. Proposed Use
Sewage
CD
$ 5 .00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 74
(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 9th Day of April 19 74
SIGNED BY % C��iL for the Town of Queensbury
Building d Zonin spector
.. r ,,r <: ,\ TOWN OF QUEENcz t RY
RECEIIVE1. - N, i .fU OFFICE BU.'..i.� _�,NG
e li ' 7 r . tOI{'.!} "17 .11-j APR 9 1974 .>
j>r't.;, �.t xli'.1,'.A.rl1�:� �.•�::f_J sP� t�/�7f.1.
GLENS, FALLS Q NEW YORK E ''uQ �- od e is d
A.M. P.M.
APPLICATIONN FOR A PERMIT TO CLEAN - 718 P 111121 23'46
. A SEWA:Ii )7 C SPOSil . SYSTEM WITHIN THE `I:O N OF QUE NSBU .Y.
OCCUPANT'S NAME AA any�En9ineered Szstems ADDRESS nuaker_Road
TEL-ER-°NE 7a9. . $Ca- OWN E 7,ti S CIA?FRB. J�. .. F .g.,: e_.g,,.QsLSY�s<t. ,. ., ..
:lDRESSp„uaker„ oad lens l�s NUMBPR OF BE OO°,;£S none
..�Rt�1(..YiA G.,,.'a'ci.,'.pr�n.a'livWVN,utNe.,'n,w.vlcturonrw.Mr
GARBAGE GRINDER? no (YES OR NO) TOPCGrtAPHYi FAT, ROLLING, STEEP. • ,
SLOPE; GENTLE SLOPE . O OTHER
NATURE OF SOIL: . CLAY, SANDY., LOA,"4 , GRAVEL, ROCK, ETC n.o. �.�:,. .. ,..., .:�
'.--PERCO ,ATTON TEST --- . - :WATER SUPPLY: NUNICIP-AL: WELL,. OTHER
-4.W1ac.xc ....WwwaaNmem ,....,„. ..ttvWwabW---=+..rrn.+v—......olL.......wL^arw...m.....c+ - .tva+wtm.aw..sar.n--wnm.,w—rn+a+..
�77_� 2e.ea ' DIAGRAM O pri oPOSLD' SEPTIC SYSTEM L„.I hTraae .
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V Imo-_ .4 G I �y1
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a., t.R PERTINENT INF C:RMAT r ON yl •ter. Bed is becomin „_fouleds9 we ,propose to
a?, t o ,t.m?. .,0 ;,.:,e p as ,,i_t_,w. t....msogy.4. i p.e.,,.�.... _and..,.&, r av e,.1:... . „e,...o.... ...., .-,......-...: ...-
•
IT IS ,:HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF E AGE DI xi" 5:AL 'PAC;I L s'TI10 IL., BE MADE IN ACCORDANCE
WITH DETAILS S't-UN A
•
Date_. ril 9 1974 -w ._. ..:....:._: __3 .'r O ;; . :CANT
Sterling .. Akins