5920 BUILDING . PERMIT
TOWN OF QUEENSBURY No. 5920
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to West Glens Falls Fire Company
OWNER of property located at Luzerne Road Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a Sewage Alt era t i nn
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
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1. OWNER'S Address is Luzerne Road
Glens Falls, N. _ Y. - w
2. CONTRACTOR or BUILDER'S Name .
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Jay Sweet
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3. CONTRACTOR or BUILDER'S Address
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R. D. #1
Lake George, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address -
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6. TYPE of Construction—(Please indicate by'X)
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( )Wood Frame ( ) Masonry ( )Steel ( ) O
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7. PLANS and Specifications
No.- sewage alteration per application submitted.
8. Proposed Use,
Sewage system for fire house
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$ 5 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Oct. 1 19 79
4
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.)
25th June - 1979
Dated at the Town of Queensbury this Day of
ll
SIGNED BY 1Lt 4 .R '�' %( for the Town of Queensbury �rf
ilding and Zoning Inspector ! 0
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TOWN OF QUEENSB€iRY TOWN OF QUEENSBURY
BUILDING & ZONING DE?AR`TM' NT vonvE
BAY & HAVILAND ROADS RD#1 - J
GLENS FALLeS, NEW YORK , 12801 JUN 2119/9
A.M. 6-w-/— e-e d9A.
,FT LICATION FOR A PERMIT TO CONSTRUCT, ALTER OR -E'tt1LARGE7I8I9110I11I12Ifl J MIN
A SEWAGE DISPOSAL SYSTEM WriliIN THE. TOWN OF QUEENSI3'URY A
OCCUPANT ilaliili... .. -e, ADDRESS
SS
TELEPHOi OWNER°S NAME
ADDRESS NUMBER OF BEDROOMS
GARBAGE GRINDER?_ (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER Tl 7--'
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS ETC
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHER •
DIAGRAM OF PROPOSED SEPTIC SYSTEM
:s7 .--8 ,
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,47A.
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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 `/-2:.2 SIGNATURE OF APPLICANT ---J ,
LAKE GEORGE PARK COMMISSION APPROVAL:
iSignature)
(Date) .
TOWN OF QUEENSBURY
Building Department
Inspectors sport Date / /— ZP
Name or „�° �(
Location /u?. R
Permit No. .5.1 a Weather
Per Cent
Complete Remark.
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Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
_Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding.
Masonry Veneer
Rough Plbg.
Rough Htg.
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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 C/
Building Inspector
REMARKS
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