5918 BUILDING PERMIT
TOWN OF QUEENSBURY Na 5918
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Woodbury Lumber
OWNER of property located at 679 Upper Glen Street 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is 679 Upper Glen St. n
`-Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Ronald Grimes -
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3. CONTRACTOR or BUILDER'S Address - v
R. D. #.1•
Lake George, N. Y. its
4. ARCHITECT'S Name I j
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5. ARCHITECT'S Address •
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6. TYPE of Construction-(Please indicate by X) -
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( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
1000 gallon conc. tank, dist. box and pit per
.No. application submitted.
8. Proposed Use. )v
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Sewage system for store
$ 5. 00 PERMIT FEE PAID -THIS PERMIT EXPIRES Oct. 1 19 79 rt
(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.) O
Dated at the Town of Queensbury this 2 5 th Day of June 19 79
. 19: `
SIGNED BY for the Town of Queensbury
Buildin nd Zoning Inspecto
T`-`'..\' F_lF QUEENS JRY
TOWN Or OUEENSBURY
BUILDDI ANT) ZONING DEPI+R`1' IM _
BAY AND ITA`TILAND ROADS , R e D o �� `�`�a'1, .y J.
GLENS FALLS, NEW YORK 12301 A.M. Fe-e j qP.M.
71M1.°11A1AMOIM16
APPLICATION FOR A PERMIT TO CONSTRUCT, AT,TER OR ENLARGE A SEW/MA
DISPOSAL SYSTEM WITHIN THE TOWN OF OUTEENSBURY
OCCUPANT'S NAM WOOD 1(22 4 LO M 6R ADDRES s 6 LOU ST
TELEPHONE ri g3? & 5 _ MINER'S NAME ( IcH 7_ 2AGP/ 8 G000 P u!ey
ADDRESS 6,1 <=t GL&O $ , NUMBER OF BEDROOMS
CARBACE GRINDER? (YES OR NO) TOPOGRAPHY: _ ROLLING^., STEEP,
SLOPE, s E NTLE SLOPE,. OTHER -
NATURE OF SOIL: CLAY, SANDY, LOAM, CRAVEL, ROCKS, ETC,
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
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OTHER PERTINENT INFORMATION l �-er-O
TT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLAWS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
T,7ITH DETAILS SHOWN.
DATE 6 f it SIGNATURE OF APPLICANT ,4
LAKE r;EOROE PARK COMMISSION APPROVAL:
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(date)
+qs �� Tc'Q
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• TOWN OF•QUEENSBURY
Building. Department
Inspectors Report ,� Date ,l�f-- /
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Name �'A��•ocr1�i;>���r�:s •
• Location . . 64,
. Permit No. 7 Weather
Remarks
Excavation •
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rbugh 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
•
Building Ins tor
REMARKS
/ L4 / 6-577'/I 6
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