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6709 BUILDING PERMIT TOWN OF QUEENSBURY No. 6709 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to James F . Carolan, Jr. c OWNER of property located at Glen Lake Road Street, Road or Ave. En 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. Iv 1. OWNER'S Address is 46 Bullard St. Norwood, Mass, 02062 2. CONTRACTOR or BUILDER'S Name Jay Sweet 3. CONTRACTOR or BUILDER'S Address R. D. #1 Lake George, New York 4. ARCHITECT'S Name r m 0 5. ARCHITECT'S Address S2 6. TYPE of Construction— (Please indicate by X) ( ) Wood Frame 1 1 Masonry ( I Steel 1 1 7. PLANS and Specifications 500 gallon septic, pump and dry well per CD No. application submitted. 0 8. Proposed Use Sewage system for dwelling ~rt m n w rt $ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 (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 2nd Day of December 1980 SIGNED BY � +- 6 for the Town of Queensbury Building and Zoning Inspector 1 TOWN OF OUE `PISBU1 Y TOWN (O��11F((QUEENSBU c 3� BUILDING AND LONI.Nu DEPARTMENT' lJ LS V r ); ' BAY AND HAVILAND PADS, R. D. #1 — GLENS FALLS, NEW 'Y RK 12801 DEC 11980 A.M. G'c"= Pc' ; .' ` P.M. 7)8)9)10)11)12)1)2)3)4)6I6 APPLICATION OR A PERMIT TO CONSTRUCT, ALTER OP ENLARGE l o r F, DISPOSAL ,� �� �ti ���rd 3 F� Sf.'tAG.�. ' .,YST1a:_ WITHIN Tt?F` TOWN OF C�tJF'EP7SBtfF�' mass. ' JC?meS �. Ca 1-U/G,7 /-T3'. ��\lovi.�' c o" , ,; a o6,R OCCUPANT'S NAME _T Ca ADDREE fi� ��1�� J7r ZA 6 3 esr // >e __17: t TELEPHONE OWNER'S NAME 11 o u ✓Q}-.... e . _/..,t._ _ 4_ ed/u41,rf- ADDRESS NLThIEER 0a.' BEDROOMS �j' GARPAGE GRINDER`? YES OR NO.; TC!POCRI'+.PHY: FLAT, RC c.LLNC» t;TEFP, SLOPE, GENTLE SLOEr' OTHER NATURE CF SOIL: CLAY, SANDY, LOAF, AtiFf.; ROCKS, ETC. PERCOLATION TESTWATER SUPP?_Y: N DN.ICIPAL, WELL ; OTHER DIAGRAM OF PROPOSED SEPTIC SYSTLi G,-CSq --- Lis rorr Li SuTEIL°P PEFTINENT INFORMATION IT IS HET-EBY A( REED THAT.' IF THIS APTLIC.ATION AND .PLANS PPP APPP!evF'I), NS`i` -LLM.EON OF SEWAGE DISPOSAL F.!C`i.LITiES WILL BE MADE IN ACC OPD,NCT WITI DEr.%'7'•3 LS SF'_OWN e DATE QGt o2-2.-- SI zN�\TUR.E OF APF-IICArr 6i-C_ G'l . LAKE GEOI GE PARK COMMISSION APPROVAL �..._.._ _�._ . -Ti e -�__. __� � _w�.__ _.._._ .r TOWN OF QUEENSBURY Building Department Inspectors Report Date /7-2-rSb Name Location c/e,„„ l o ffs% Permit No. G 7 0 7 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 Insulation Foundation Walls Ceilin "(` Building Inspector J REMARKS e Cam/ 9XlC'_ /3 K(AfrYi`',J) a)