1480 BUILDING PERMIT
TOWN OF QUEENSBURY No 1480
WARREN COUNTY, NEW YORK
u)
PERMISSION is hereby granted to Carswell' s Motors
rr
0
OWNER of property located at Upper Glen Street -Street, Road or Ave.
U7
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.
1. OWNER'S Address is
685 Upper Glen Street
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Richard Lee
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No- dry well
.o
8. Proposed Use
cD
fi
Sewage System
m
$ 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 12-1- 19 71
g periodrequiredapplicationBuilding Zoning inspector of the
(If a longer is an for an extension must be made to the and
town of Queensbury before the expiration date.) Cp
Dated at the Town of Queensbury this 14 Day of October 19 71
SIGNED BY Jj m f the Town of Queensbury
_�9ZJ� Buq(ding and ong Insp ct ,or (/F/�� �.�/
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for
A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE
DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE WITH w�lip QUEENSBURY
TOWN OF QUEENSBURY D `�
application Mail or bringthis to : 5'; o o V D
Building 8 Zoning Department UU i 141971
Queensbury Town Office Building A M. P.M.
R.D. 1 Bay Road 718I9I10111I121112I3I4I616
Glens Falls, New York 12801
This application for a Sewage Disposal Permit must be
accompanied by a plot plan drawn reasonably to scale
showing all dimensions, the size of the lot, the location
on the lot of the water supply and sewage system.
1. Name and mailing address of applicant:
Carswell' s Motors
Upper Glen Street
2. Specific location of property: 685 Upper Glen Street
(STREET AND NUMBER)
3. Application is for:
New construction of private dwelling .
X Alteration or enlargement of existing sewage disposal system.
4. Description of building:
a. number of bedrooms
b. garbage grinder
(YES OR NO)
5. Topography: Flat
(flat, rolling, steep slope, gentle slope, etc. )
6. a. Nature of soil. (Describe to a depth of 5 feet if tile
field is to be used or 10 feet if leaching pits are
proposed, giving thickness of various strata such as
top soil, clay, loam, sand, gravel, rock, etc. )
Sand
b. How determined?
7. a. Soil percolation test made by
(Refer to Part III, Bulletin 1, N.Y.S. Department of Health)
b. Percolation test notes submitted?
(YES OR NO)
8. Proposed sewage disposal system indicated on attached plan or
sketch?
(YES OR NO)
9. Date when construction will commence 10-14-171
It is hereby agreed that if this application and attached plans
dated or any amendment or revision thereof,
are approved, installation of sewage disposal facilities will be
made in accordance with the details thereof as shown on such
approved plans.
Installed By: Contractor - S' gnature of app icant
Owner