6328 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6328
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Carl Wilk
OWNER of property located at 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is R. D. #1
Glens Falls, New York H-
x
2. CONTRACTOR or BUILDER'S Name
Jay Sweet
3. CONTRACTOR or BUILDER'S Address
R. D. #1
Glens Falls, New York
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4. ARCHITECT'S Name
id
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( )Masonry 1 )Steel ( )
7. PLANS and Specifications
dry well per application submitted
No. cn
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8. Proposed Use
1.0
Sewage alteration for dwelling (D
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$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES SPpi- 1 rt
19�p_
Of 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 7th Day of May 19 R p
SIGNED BY e izez,goacc--k for the Town of Queensbury
Building�nd Zoning Inspecto
OF ,,,''-' 17:i, SBURY TOWN OF QUEENSBurt
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j T LI)I DIG ;iv :) ZONINc; D7PARIENT D EGEH, E ,
'' :‘ti i i As!: I AND ROADSRD ;I-3„
E S ALL .;, ':at YOI'''?,F. 12801
MAY 6 1980
AM. -5-?'' F'e '
ANA rc AT ti,:) : FOR , PERMIT TO CONSTRUU'f, ALTER OR ErLARGE7I8M1.0111112,11213141516.
DISPOSAL SYSTE. 1 W'i THIN THE OF ",',TEENSEk'IRY '
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ES OR :,c) - 7 r)Pi`X;R AP i',-* '1„ ,-, , ',;01.1.1'IC, ``„,TE-F;', SI 21-,E,
r.i11 .41T_E 31,,3E,
l'slATIJRE OF SOIL: CLAY„ SANDY, LOA1.1, GRAVEL, Ra:;KS, ETC )
PERCOLATION TEST WATER SUPPLY; MUNICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTE1
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OTHER PERT IT ' II I:7 Ci: AI TON
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I IS HEREBY AGREED THAT IF THIS APPLIC T ION AND PLANS ARE APPROJ ED
IL!STALLATI ON OF SEWAGE DISPOSAL FACILITIES WILL BE MADE INACC CilDANCE.I TH DETAILS SH s
CVN,, ,
DATE —S IGNATJR E OF APPLICANT t
LAKE GECRGE PARK COMMISSION APPROVAL:
(al attire.)
(date)
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 11-.:?U— Z9
Name / g'
Location
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Permit No. 63,2g Weather
Remarks
Excatia ti on
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
Insulation Foundation
Walls
Ceilin
ui g Inspector
REMA S/
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