5906 BUILDING PERMIT
TOWN OF QUEENSBURY No 5906
WARREN COUNTY, NEW YORK
d
granted to Dorothy Chartier 0
PERMISSION is hereby 1-1
Street,Road or Ave. o
Ride Road rr
OWNER of property located at ,,�
Sewa e Alteration n
in the Town of Queensbury,To Construct or place a
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. sv
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m
1. OWNER'S Address is N.
Ridge Road Ci
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Jay Sweet
3. CONTRACTOR or BUILDER'S Address iJ
tq
R. D. #1 CI
Lake George, New York
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( ►Wood Frame ( ) Masonry ( )Steel ( ) t
7. PLANS and Specifications application (
well per u
750 tank and pre-cast dry (
No. submitted
I
8. Proposed Use i
I
I
Sewage system for dwelling I
I
I
'
$ 5. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES
Oct. 1 1979
(If longer f periodu is required
quired an
the application
anon for
an extension must be made to the Building and Zoning inspector of the
to
y
e
ex
date
)
22nd June 19 79
Dated at the Town of Queensbury this Day of
SIGNED BY APkm",. , for the Town of Queensbury
Building a Zoning Inspector 4
,,ivr "CO :\' OF QUFENSBU .
TOWN OF OUEENSBURY REGEHEU
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND ROADS, R. D. #1 , is 2 .L I'i!J �
GLENS FALLS, NEW YORK 12801 J,.-'U9- ,€ e J/94
A.M.
7Igl 1PIIPA1MMN9
AP A PERMIT TO CONSTRUCT,APPLICATION FOR • CT, ALTER OR ENLARGE i
F'U
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF OUEFNSBURY
(21,LL ,-- ADDRESS A21.c_e(272_
Kt(OCCUPANT$S NAr[F' 64-Z-e—e7tXi.
TELEPHONE..°__ O NER`S N. ; `_,�`—
NUMBER OF PFDROOMS
ADDRESS
GAREAGE GRINDER? ' (YES OR NO TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE,
L
GENT.JE SLOPE, OTHER t
t.OIL: CLAY, SANDY, LOAM, GR1�vF , ROCKS, FTC. CLs— \
NATURE OF ,.\ ,
PFRCOL TI N TST WfaT' P SUPPLY! MUNICIPAL, WELL, OTHER
.._.._..w._.....m.�,.a_,._.,.......,........., v. . DI 11-7P.41'.7 OF' P�:OPi:}SEi7 SEPTIC SYSTEM
TI \ ,„\,
j n
1
OTHER PERTINENT INFORMATION
IT IS WFRFBY 7GPFFD TP\.T IF THIS .t?PPLICPTIOY AND PLANS ARE APPROV'D,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCOFbANC'-
WITH DETAILS SHOWN. - L
DATE SIGNATURE° OF APPLICANT Y A
LAKE GEORGE PARK COMMISSION APPROVAL:_,_ crY�a$u7Ce ____
TOWN OF QUEENSBURY
Building Department
H9
Inspectors Report J Date Cif
Nam- Y7 e,,
Location /(/ 6 / -' 6
Permit No. 16�v.Weather
/� Per Cent •
(� �j Complete Remarks
Excavation
Footing Forms _
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
.57
Building Inspector
REMARKS