6711 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6711
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Larry Dickinson
OWNER of property located at 263 Bay Road Street,Road or Ave.
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 ti
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
Fi
1. OWNER'S Address is
R. D. #1 t7
Lake George, New York
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2. CONTRACTOR or BUILDER'S Name
N
Jay Sweet
3. CONTRACTOR or BUILDER'S Address
R. D. #1
Lake George, New York
4. ARCHITECT'S Namecn
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5. ARCHITECT'S Address
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SL
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( 1 Masonry ( 1 Steel (
7. PLANS and Specifications added 100' tile per application submitted.
No. Ul
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8. Proposed Use LQ
Sewage system for dwelling
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$ 5. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 1981 rt
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 2nd Day of December 198 0
A-LSIGNED BY � for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSELs
(N, TOWN OF QUEENSBURY
BUILDING AND ZONING DEPARTMENT IRECIE Ii VE
BAY AND HAVILAND ROADS RD #1
GLENS FALLS, NEW YORK 12801 DEC 1 1980AM
_1 M1?11,011A1FP-POiLni
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE k ,
A SEVAGE DISPOSAL SYSTEM WI THIN THE TOWN OF OUEENSBURY giie ft' A.
k Do• 0 low
OCC
CUPANT I NAP IE ADPP
TELEPHONE. - elilc" WNERIS NAAE
ADT1R EC FP OFH EDROOf IS
LIM; AGi ORIND ER? YES OR NO) T(riP(LAPHY: jJ1 ROLL INC STEEL SLOPE,
GENTLE SLOP OTH
NATURE : CLAY !';.ANDY LUi.V.4. (.iA.V KS ETC
PERCOLATION :-:S1 WATER SLIPPY: ofEI , OTHER
Dr,onA:\ cc PROPCLED SEPTIC
S'e ft
V a e /JS
OTHER PERTINENT INFORMATION
VT IS HEREBY AGREED THAT IF THIS APPLIC,_TION AND PLANS ARE APPROVED
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHCRIN
(/-
DATE SIGNATURE OF APPLICANT
LAKE GEORGE PARK COMMISSION APPROVAL
sign ure
Wt.
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date/0 'z l'gd
J_of r►- l�i C
Location ��� /
Permit No. 1/ 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
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 �-
Floors
Foundation
Insulation Walls
Ceiling
/C
Building Inspector
REMARKS