6604 BUILDING PERMIT
WARREN COUNTY, NEWYORK
PERMISSION is hereby granted to
Alexander MacPherson
TOWN OF QUEENSBURY No. 6604
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OWNER of property located at \ > Montray 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 n
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1, OWNER'S Address is 81 Montray Road
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Action Septic
3. CONTRACTOR or BUILDER'S Address
5 Spruce Court
Glens Falls, New York
4. ARCHITECTS Name co
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5. ARCHITECT'S Address Fi
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications
1000 gallon septic tank and dry well per application
No. submitted. cn
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8. Proposed Use
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Sewage system for dwelling
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$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 81
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 19�t1LDay of Sept ember 19 8 0
SIGNED BY • �`'� U� for the Town of Queensbury
Building and Zoning Inspector
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TOWN OF QUE.E.P1SSUn
JuEGEFVE D
)_.\-11 TOWN OF QUEENSBURY S E N 1 91980
BUILDING AND ZONING DEPARTMENT M. 5'9 rc... I
ROADS RD #1 9 ! e '
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� BAY AND HAVILAND GLENS FALLS, NEW YORK 12 801 7�8�9i10�11�121 I 13j4I5j6
APPLICATION FOR A. PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WI IN THE TOWN OF QUEENSBURY
, A I C>c cm der ,i/jC Poi CAS 07
OCCUPANT a S NAME ,/"( (,, /4,4�JO ADDR ESS '/ mtl mTr l
TELEPHONE O1UNERI S NAME
ADDRESS NUMBER OF BEDROOMS
GARBAGE GRINDER? (YES OR NO) TOPOGRAPHY: �LAT, ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY S Y LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
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OTHER PERTINENT INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLICTION AND PLANS- ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN.
DATE g------- 1y—D SIGNATURE OF APPLICANT _, DZ2'(7
LAKE GEORGE PARK COMMISSION APPROVAL:
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date =r—SiC)
Name `1/ff,,r ,��>y,
Location / /..i, Cd,/
Permit No. (p(p O y / Weather
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Remarks
Excatation
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
Ceiliri '
Buil ing Inspector
REMARKS . '