6196 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6196
WARREN COUNTY, NEW YORK.PERMISSION is hereby granted to William Barrett I~'
OWNER of property located at 9 5 Main St-
Street, Road or Ave.
I:d
in the Town of Queensbury,To Construct or place a RPwa ge 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. rt
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1. OWNER'S Address is 25 Main S t.
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Sanitary Sewer Service
3. CONTRACTOR or BUILDER'S Address
53 Fourth St.
Glens Falls, N. Y.
4. ARCHITECT'S Name
N
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ly
5. ARCHITECT'S Address
En
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6. TYPE of Construction—(Please indicate by X) CDD'
( )Wood Frame ( ) Masonry ( ►Steel ( )
7. PLANS and Specifications
1000 gallon dry well per application submitted.
No.
En
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8. Proposed Use
Sewage system for dwelling m
ct
m
$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 80
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(If a longer period is required an application for an extension must be made to the Building and,Zoning inspector.of the I"
town of Queensbury before the expiration date.) �
Dated at the Town of Queensbury this 21st Day of November 19 79
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SIGNED BY .for the Town of Queensbury
Building and ing Inspector
TOWN OF QUEcNs� .,.
REGEFVE
TOWN OF QUEENSBURY NOV 2 .1 1919
BUILDING AND ZONING DEPARTMENT 511b. "ki'BAY
/3 0_ 3 'j GLENSND FALLS,LAN NEW YORKDJ12801 RD1 7M9p101111.:2n.m i j. i9.
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APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM,WITHJ THE TOWN OF QUEENSI3URY
(I:CUPANT°S NA'.2El ADDRESS
TELEPHONE 41h' ' O'MNER9 S NAME
ADDR ESS NUMB ER OF B EDROOMS _
GARBAGE GRINDER? (YES OR :CIO'1 TOPOGRAPHY; FLAT? ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAYS SANDY, LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
/00-0 ?dor—C._
OTHER PERTINENT INFORMATION
.7.T IS HEREBY AGREED THAT IF THIS APPLICTION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
. WITH DETAI S SHOWN.
DATE g SIGNATURE OF APPLICANT 04/66412
LAKE GEORGE PARK COMMISSION APPROVAL:
sigiatureY
e.) (date)
wee
•
•
- _TOWN OF UEENSBURY
Building Department
Inspectors Report Date /'—2 3 •- '
Name _ p -•
•• Location 23 *;PG' �' -
. Permit No. 4,0 1 9 (p Weather
Remarks
Excaf7ation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill •
Final Survey
Framing
Sheathing
Roof Felt
Roofing
tiding
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 .
Foundation
Insulation
Walls
• Ceiling
•
Building -spector
REMARKS