6085 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6085
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Lois Strainer c~n
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OWNER of property located at 21 old Aviation Road Street, Road or Ave. n
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 21 Old Aviation Road
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Jay Sweet NJ
3. CONTRACTOR or BUILDER'S Address O
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R. D. #1
• Lake George, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address O
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. placed dist. box and 80 ' tile field with #3 stone m
per application submitted.
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8. Proposed Use (D
Sewage system for dwelling
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$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Jan. 1 19 80 O
(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.) - - -
Dated at the Town of Queensbury this 14th Day of September 19 79
SIGNED BY 6
' Cf,eC for the Town of Queensbury
rBtu g and Zoning Inspector
-. , TOWN OF QUEENS t
RECEIVE
TOWN OF nTTEENSBURY —J
' BUILDING AND ZONING DEPA:RT!?ENT S E P 131979
BAY AND ROADS, R.D.S. '. /e..e f P
TI IT ,
GLENS FALLS, NEW YORK 12801 71&31 q 1011 11,A 1.121516
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE
DISPOSAL SYSTEM TWTITHIN THE TOWN OF OUEENSBURY
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OCCUPANT'S NAME i//6,,,Q 6:772,7/✓1l2 ADDRESS 21 / L/),. 1�12c0'7 4/
TELEPHONE OWNER'S NAME
ADDRESS NUMBER OF BEDROOMS
GARBAGE GRINDER? (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP,
SLOPE, GENTLE NTLE SLOPE,• OTHER ( L-. ,S' uX C
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST 6i; 0 WATER. SUPPLY: MUNICIPAL, DELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
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(5-/ 19-t'e,tici,-4 /2,ef.
OTHER PERTINENT INFORMA TON PG�C��Y ,;/5 c y
P (7 . �/, i2,- ,s-,7 __._____
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IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE TN ACCORDANCE
T+TITH DETAIL.. SHOT' .
DATE SIGNATURE OF APPLICANT
LAKE GEORGE PARK COMITISSTON APPROVAL:
(signature)- -
C91() -S (date)
1
TOWN OF QUEENSBURY
Building Department
Inspectors Report • Date o ,
Name + 1S ZGPer�/
Location % t /1 /f'71
Permit No. (, O (FS Weather
Per Cent
Complete Remarks
' Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
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