6420 BUILDING PERMIT
TOWN OF QUEENSBURY
No; 6420
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to William Reichel .
OWNER of property located at C.(/ ( HillCrest Ave. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage Alteration j
at the above location in accordance to application together with plot plans and other information hereto filed and H
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is •
22 Hillcrest. Ave.
Glens Falls, N.Y. N.
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2. CONTRACTOR or BUILDER'S Name
baniel Drellos
Sanitary. Sewer Service
3. CONTRACTOR or BUILDER'S Address .
53 Fourth Street
Glens Falls, N. Y.
4. ARCHITECT'S Name Ni
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N.
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5. ARCHITECT'S Address 0
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6. TYPE of Construction—(Please indicate by X) •
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1 1 Wood Frame ( ) Masonry 1 1 Steel ( )
7. PLANS and Specifications . .
new 1000 gallon pre—cast dry well per application
No' submitted.
8. Proposed Use
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Sewage system for dwelling m
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$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 19 80
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the • F-'
town of Queensbury before the expiration date.) c'
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Dated at the Town of Queensbury this 25th Day of June 1980 rt
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SIGNED BY �✓ e for the Town of Queensbury
D Building and Zonin�ectd'
TOWN OF QUEENSBUR
,
// Tinil Cg Cli_MNST,I,URY RECEIIVE ]
BUILDING AnD 'ZONING DEPARTMENT
-1) BAY AND HAVIMAND ROADS, R. D.01 JUN 2 b 1980 /
GLENS FALLS, NEW YORK 12801 A.M. 5°2--.' •F----e---- hee
7impppliFII-PM109
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WI. irm THE TOWN OF QUEENSBURY
• OCCUPANT'S SIA&E ..eld.C/C ADDRES te ---
..
TELEPHONE OWNER'S NAME
ADDRESS NUMBER OF BEDROOMS
GARBAGE GRINDER? (YES OR 0' TOPOGRAPHY: 65i ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER.
\
NATURE OF SOIL: CLAY, SANDY. LOAM, GRAVEL, ROCKS, FTC.
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
ph oUJ C.
•
ARRA
160 0 ciii'L
Fre-col-c 7'
A gi7 aie 0
• OMER PERTINENT INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OP SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN.
DATE 1:20 . SI'D SIGNATURE OF APPLICANTc (7712.4(
LAKE WORGE PARR COMMISSION APPROVAL:
('signature)
(date)
TOWN OF QUEENSBURY
Building Department
Inspectors R Date 6 ;?-;
2r;)
Name �t T r.
Location � /- 11):1/10'bi/ �c•
. Permit No. �G a 0 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
• 'Ceilin
Building Inspector
REMARKS