6423 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6423
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Harold Hermance
OWNER of property located at East Drive Street, Road or Ave. n
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ain 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 East Drive >v
Glens Falls, New York a
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2. CONTRACTOR or BUILDER'S Name
Tucker ' s Plumbing, Heating & Remodeling, Inc.
Carlton A. Tucker
3. CONTRACTOR or BUILDER'S Address
R. D. #3
Glens Falls, New York
4. ARCHITECT'S Name tx1
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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
replace septic system with 1000 gallon septic tank, ,
No. dist. box and 200 ft. drain tile per application
submitted.
8. Proposed Use
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Sewage system for dwelling
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5. 00
$ PERMIT FEE PAID —THIS PERMIT EXPIRES Oct. 1 19 80
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F'
town of Queensbury before the expiration date.) O
Dated at the Town of Queensbury this 26th Day of June 19 8 0
SIGNED BY 9 for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENS'3UR TOWN OF QUEE MNSDU I. •
BUILDING AND ZONING DEPARTMENT DE E 0 U E >>
BAY AND HAVILAATD ROADS, R.D. 1
GLENS FALLS, NEW LORK 12801 JUN 6 U 1980
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APPLICATION FOR A PERMIT TO CONSTRUCT P ALTER OR '.I'NLAT E M.
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A SEWAGE D: S:PflSAL SYSTEM WITHIN THE TOWN OF CUEENSIBCTR gig110111112S I ,I 1415�6
OCCUPANT'S NAME a..-v /1 // 1- 1 c ADDRESS &ces74 . 9i-•
5.ELEP HOi E93-/S`10-- OWNER'S NAME �of 2r rn 7►4..-�
.ADDRESS 4aS_,L0,-: GE)• 's. (`• NUMBER OF BEDROOMS 2
GARBAGE GRINDER?. (YES OR NO' TOPOGRAPHY i T•'y iFT,• ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTH.EFc
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST_ WATER SUPPLY: MUNICIPAY , WELL, OTHER
DIAGRAM OF PROPOSED S °PTIC SYSTEM
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571-43 ,) A/-A. . •
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OTHER PERTINENT Arrow/know t sc-c, Scr ✓T,
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IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
TUCKER'S PLUMBING;HEATING
WITH DETAILS SHOWN,, &REMODELING, INC.
RD-3,Sherman Avenue
D TE1.4 4 , SIGNAL Fa+1FNV T M094Nrr.
�-..t I GEORGE PARK COMM'SSION APPROVAL:
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TOWN OF QUEENSEURY.
Building Department
Inspectors Report Date 4 2( -
Name -e
Location A �
Permit No. G Lf 13 Weather_
Remarks
Excavation - -
Footing Forms
Footing & Piers
Foundation I
Cement Coat
Waterproofing
Ba ck.f i l l •
Final Survey i
Framing
Sheathing _ f
Roof Felt
Roofing •
i
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 •
lr
Chimney
Water Meter Inst.
Septic Approval
F lOors
IFounu tiOn .i
Insulation Walls
Ceiling
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Building inspector
REMARKS
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