8189 BUILDING PERMIT
TOWN OF- QUEENSBURY 8189
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Len and Peg ' s Restaurant ti
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OWNER of property located at Routes 9L and 149 Street, Road or Ave. W
e Alteration •
in the Town of Queensbury,To Construct or place a Sewage
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at the above location in accordance to application together with plot plans and other information hereto filed and D
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
Star Route m
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name K
Paul Stark rt
3. CONTRACTOR or BUILDER'S Address
R. D. #1
Fort Ann, New York
4. ARCHITECT'S Name 0
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications move existing 1000 gallon septic tank and
No. install 2 4 'x6 ' seepage pits with 2 ' #3 stone per
plot plan and application submitted.
8. Proposed Use
Sewage system dwelling, existing resturant restrooms and bar co
sink c
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Oct. 26 19 85
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt-
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town of Queensbury before the expiration date.) �p
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Dated at the Town of Queensbury this 26th Day of October 19 83 ct
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SIGNED BY r11,62P,,, Qt3 for the Town of Queensbury
• Building and Zoning Inspector. �reZ
TOWN OF QUEENSBURY -
BUILDING & ZONING DEPARTMENT , TOWN_OF Q EEN5BURY
SEWAGF DISPOSAL. PERMIT APPLICATIONEGINVE
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1. Owner' s Name / S '�=sr - / �, T 211541 vP6e17n
Address A.M. 0/a' �tti �siJP.M..
71810110111}iy;12fi415
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Telephone No. -
2. Property location /P / % d
3 . Name of person or firm responsible for installing system
Telephone hone No.
Address
4. Number of bedrooms. (residential buildings only)
5. Daily flow /j c gallons/day
6. Septic tank capacity /~ gallons
7 . Topography: ; rolling, steep
% of slope
8 . Nature of soil and depth -,v
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? //e0/ a `-A9 ft.
10. Percolation test: A is required
B is not required '.
C If required what is the rate minutes/inch
11 Water supply: municipal, other
12. Type of system proposed: , drywell tile field, other
Any contractor,, corporation, individual, etc. engaged in the' construction
of a sanitary sewage disposal system who covers the, same before inspection,
does not have an approved permit, or varies from the approved application .
will be subject to a penalty of $250 as provided for in Section 6 . 010 of the
Queensbury Sanitary. Sewage Ordinance.
Date %O`2 �3 ' ,7;,�� .�t:- �/
. . -
signature .of. applicant _On separate sheet of paper submit a diagram of the proposed septic system.
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, 'etc. Include all dimensions of
the system itself. .
11
0 •
Form 3-82
• TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /o/a S/
Name ,C ,V p ` 97; -
Location , /", 9z_
. Permit No. 1?32ty.,.a,,..0-G Weather
riO 7 • 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 c eiz<
Floors *
•Insulation Foundation
Walls
Ceiling
Td-e astfe.-
Building Inspector
•
REMARKS
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