6549 BUILDING PERMIT
TOWN OF . QUEENSBURY
No. 6549
WARREN COUNTY, NEW YORK
PERMISSION is hereby.granted to Rose Ajimine
OWNER of property located at`R Cor inth Road Street, Road or Ave.
701
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.
N.
1. OWNER'S Address is 1235 Corinth Road H-
• Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Carlton Tucker
3. CONTRACTOR or BUILDER'S Address
R. D. ##3
Glens Falls, New York
4. ARCHITECT'S Name1-1
O
rt
5. ARCHITECT'S Address O
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
1000 gallon septic tank, 200' tile field with
No. stone in trenches.
to
ID
8. Proposed Use ^z'
Sewage System for dwelling1-1
m
. rt
$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Dec. 1 1980
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rf
town of Queensbury before the expiration date.)
O
Dated at the Town of Queensbury this 29th Day of August 19 80
SIGNED BY /cYge4 ,c t/• Zet-1(, - for the Town of Queensbury
Building and Zoning Inspector r(S'
•
TOWN OF QUBENSBuRY. TOWN OF QUEENSBUR',
BUILDING AND ZONING DEPARTMENT D E 1?10 E II W E IT
BAY AND HAVILAND ROADS, R . Doil
GLENS FALLS, NEW YORK 12801 --d
AUG 1980
50____-0 reAcil t1
A.M.
APPLICATION FOR A PERMIT TO CONSTRUCT 0 ALTER OR EN LARompioNliAli i ifm9
A SEWAGE DISPOS;AL SYSTEM WITHIN TEE TOWN OF QUEENSBURY
OCCUPANT'S NAME
- - _....Q., ,,yis-.. ...._
TELEPHONE OWNER'S NAME Raj, A. -t..).,,;1.-%
..._....______
ADDREss3,2:15- 4,.,„,...;---g. K i_ cc.) • (../2. NUMBER OF 3EDROOMS...3_
--,-------------
GARBAGE GRINDER? (YES OR NO TOPOGRAPHY P. lir.,3 --‘ ROLLING, STEEP, SLOPE,
.„--
GENTLE SLOPE, OTHER. /-7e-F7L-
---- ------------- — - --
NATURE OF SOIL CLAY, SANDI", LOAM., GRAVEL, ROCKS, FTC.___
PERCOLATION TEST WATER SUPPLY: C.--------747"ZIUNICII : , WELLS OTHER
....- _ — ..
'...\-----
----_---_____— _---- - —- ---
DIAGRAM OF PROPOSED SEPTIC YSTEM ..
1
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OTHER. PERTINENT INFOMATION /0 0 0
._....:>. „E7d.).___277ih_ __ 7.s'.7ee •e--_,e.. ......,__7,--e-f.,-)c_4-L--e________.. _
IT IS HEREBY AGRED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION O'ill Sl..WAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN
DATE SIGNATURE.' OF APPLICANT
LAKE GEORGE PARK COMMISSION APPROVAL t .
-- --
ignature)
(datel . .
. ,
•
TOWN OF QUEENSBURY.
Building. Department
Inspector), Report Date 0 3-SG/
Name ilf j t IL(i�!e_ n
Location
Permit No. ( -Lj-C `l Weather
Remarks
Excitation
Footing Forms
Footing & 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 &Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney •
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling29
•
Building nspector•
REMARKS
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