6155 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6155
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Michael LeBlanc
OWNER of property located at Warren Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage Alteration (D
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. fD
1. OWNER'S Address is R. D. #3
Glens Falls, N. Y. c
2. CONTRACTOR or BUILDER'S Name
Carl Dingman - Reliable Sewer Service
3. CONTRACTOR or BUILDER'S Address
R. D. #3
Glens Falls, New York
4. ARCHITECT'S Name D
a)
D
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( ) Wood Frame ( I Masonry ( I Steel ( )
7. PLANS and Specifications Ua
1000 gallon con. tank, dist. box, 80 ' tile field
No. per application submitted.
D
8. Proposed Use 1�
iJ
Sewage system for dwelling
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$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 1980
(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 2 6th Day of October 19 79
c
SIGNED BY �O�Sx , _for the Town of Queensbury
Building and Zoning Ins ector ��--
TOWN OF QUEENSB..R.
►D E G E M B
TOWN OF OUEENSBURY LRA ,
BUILDING AND ZONING DEPARTMENZOCT 4_5,,079r-,per ��
BAY AND HAVILAND ROADS, R. . #1�,.5 - f iS M.
GLENS FALLS, NEW YORK 120g11(11A1A1I MW
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF .OUEENSBURY
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OCCUPANT'S NAME_ -D L 2_ J-t M/yc. cow.40'_5 X�Dr'RFSG_._LU 41 r/_._ 11J
r, T-.I,I'FPONF OWNI P 'S flA!' '
Ann-Rrss•..__ ____ ___ rtm,rrp OF rFnROO.2S 2.
CA.F' 'T(7F riPINDFR? (yrs OR MO) TOPOGPPPI'V: FLP'I', POLLTM(', STrrr ,, SLOPE ,
C'FTTI..i° SLOPE, miry
1s`.''I"lir2r or SOIL: CT.\V, SPNnY, LOAM, r'PJWT'L, POCKS, FTC.
;.. 7 ,7r,tp..T.rij'] T,5 ! t'."-rr ETTPPLY "''UMTCTPAL, Fr'f'I'.I., O''I-TFP
nIt'.^;s T, or rPOPr',!-r[' rrt,TWC ,YS'rrrl
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0THF1 PEPTItT:NT IMFORPITTION_._._/ C d 64 L , .1-6 ..__ ,of______ 449 i ,If /1- 5.7k,L-t ________
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IT F ' nrprr'Y P1RFFn TFPT IF ?PIS APPLICATION Art) PUNS FRF APPPOW'n,
IN TALI.,, ,'It1II OF SFt"1 C f fPETOSI.L I''AC:rtITTFS WILL rr mot, IN Iy.CCOrnik. TCF
r' ,',.T r. T"ri'•TT : 71110v., '..
M'i I 1 " F'YG? A'I't'I?F OF PPT'LrcrrtT _.. ,,251
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.ry`r GrOPCF PARR COl� AI SS TON AI'PROVPL:L,
12 A
(date)
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TOWN OF QUEENSBURY
Building Department
Inspectors Report462, IC/ W-' 7
Name hi C
Locates ! (11/zreres/7-fiA.,e,.."--
Permit No. (, / SS Weather
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
Wail 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
„„12/t
Building Inspector
REMARKS
:act r t D.a A3.11 4
R.QA (4:61� Suer