6349 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6349
1WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Donald LaPlant
OWNER of property located at Ur))Rainbow Trail 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 d
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. O
pJ
1. OWNER'S Address is R. D. #1 ¢,
Glens Fails, New York
. ro
2. CONTRACTOR or BUILDER'S Name
Action Septic
3. CONTRACTOR or BUILDER'S Address
5 Spruce Court
Glens Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address
O
1-3
Fi
w
6. TYPE of Construction—(Please indicate by X) - H'
( I Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No. dist. box and two seepage :pits per application
submitted.
•
8. Proposed Use
Sewage alteration for dwelling
m
.w
$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1 19 80 N
(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.) 1-1
ct
Dated at the Town of Queensbury this 19th Day of May 19 80
1-1
r•h
N
/�
SIGNED BY /� �d-4' • U ,ea for the Town of Queensbury 0
Building and Zoning Inspector
TOWN OF QUEENSEUrt
RECE
TOWN OF QUEENSBURY MAY 1 � 1980
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND ROADS RD #1 A.M. M�
GLENS FALLS, NEW YORK 12801 71 1?11-ORAIA Y�2I 3�II*.
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY - /9- -j
OCCUPANT4S NAME , ADDRESS G44d�
TELEPHONE S° ERQS NAME
ADDRESS' NUMBER OF BEDROOMS
GARBAGE GRINDER? - (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, DY, LOAF GRAVEL, ROCKS, ETC.
PERCOLATION TEST - WATER SUPPLY: MUNICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
Sfycer., ?t4C .
OTHER PERTINENT INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN.
DATE (dr-(6 8S SIGNATURE OF APPLICANT
,lam
LAKE GEORGE PARK COMMISSION APPROVAL: /'
--psi ,natuie
'/ � date
TOWN OF QUEENSBURY.
Building Department
Inspectors Report Date;-5 ors $j
Name A 7c, 0 ,� 1--•
Location ,c/ a,/y!/ lry /)
Permit No. 4 3/¢ 9 Weather
Remarks
Excavation
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
Ceiling
5r 4
Bui ding Inspector
aad
/ REMARKS
• ), $ T oJ(