6540 BUILDING PERMIT
TOWN OF QUEENSBURY No 6540
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Charles DeMars, Sr. 1-1.
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• OWNER of property located at R i g Rnnm Road Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Sewage System
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at the above location in accordance to application together with plot plans and other information hereto filed and ri
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. :n
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1. OWNER'S Address is P. 0. Box 1401 fi
South Glens Falls, .N. Y.
2. CONTRACTOR or BUILDER'S Name -
same
3. CONTRACTOR or BUILDER'S Address.
same
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4. ARCHITECT'S Name 4
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( I Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
1000 gallon septic tank, dist. box and -200 ft. m
No. the field per application submitted.
8. Proposed Use (D
Sewage System for dwelling
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$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Dec. 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
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 27th Day of August 1980
SIGNED BY — i e for the Town of Queensbury
Building and Zoning Inspector
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a bY TOWN CY'' QTTEENSBURY
BUILDING AND ZONING DEP:Aral/ENT
TOWN OF QUEENSEUR'i '-',--
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BAY D.MI HAV H P.AND ROADS,
• GLENS FALLS„ NET' PORK 1.2801 EDIEHVE 0
AUG 2 5 1980
ON OF A PERM:1'1"n CONSTRUCT, ALTER 01-z E NLA.RdiM• M.
A AGE DIS.P0i.-:-71L SI S TM- W7THIls:i THE TOWN OF QUEENSBURY AM?11:91.111A1PIPM19,
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occuram,,s N. ILE_____'_ aay a4aS' a.Pae,,...a. c-zp•5_L. ,_ ,___ ADDREss Zr/301;,/fre Zic______
e-7--'.12ELEP NE A HO ...29`c -_-9/ _ OWNER'S NAM 07,4fz/r7 a-7,—a_ qo k„,,: A ,, //
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NUMBER OF BEDROOT,IS 3
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BitiGE GRINDER7do . (YES OR NO TOPOGRAPHY: (7kL,W3 ROLLING, SEIT,P . S L.O'i.).2,
GENTLE SLOPE,
NATURE 02 SOIL: cLAY, 'AI5 )DY81 , LOAM, GRAVEL, ROCXS, FTC ......_—_.—
PEE,':.COIAT r ON 'TEST WATER SUPPLY?, L&IIIIECIP.ZD, WELL, OTHER
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DIAGRAM OF PROPOSED SEPTIC SYSTEM .
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'Jolt it) A.)el 14 a,L pl.,. 10 P•t_Le t7t- V.41 1
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OTHER PERTINENT INFORMATION
ec2 h"-,Ave:_e_Z,67 ,42. / 7--
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CeefrAgele-d,e /95 14,9‘e "9-J- .....1as-e. 4.5-_ c-APLe!,CL---tr-e eX-V cfL,.• 4. ‘-‘4,-,P Z t oe-er
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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
Wr2H DETAILS SHOWN.
DATE i Er Lf _Iclii--0. s IGNATURE OE APPLICANT a -
LANE GEC-RG.72: PART COMMISSION APPROVAL
(signature)
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date .9 Z S- 86
Name y/Ja c
Location
Permit No. •
YL. n L. r e /I _ Weather
6 5'O 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 s� v
Floors
Insulation Foundation
Walls
Ceiling
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Building Inspector
REMARKS.
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