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2797 BUILDING PERMIT TOWN OF QUEENSBURY No. 7797 WARREN COUNTY, NEW YORK PERMISSION is herebRoland Duval C7 granted to OWNER of property located at 8 Crestwood Street, Road or Ave. I—' 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 Same. 2. CONTRACTOR or BUILDER'S Name Jay Sweet, Queensbury Sewer Service 3. CONTRACTOR or BUILDER'S Address RD##1, Bay Road, Lake George, N.Y. 4. ARCHITECT'S Name (I) CD to CD 5. ARCHITECT'S Address I� cD II p) 6. TYPE of Construction— (Please indicate by X) 0 ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. As per diagram and application indicate. 8. Proposed Use CO Sewage alteration. 0 ri- $ 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 28, 1973 (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 28th Day of December, 19 73 SIGNED BY ft6-ev_J for the Town of Queensbury Buildi and Zoning Inspector (2,6)0m) TOWN..OF QUEENSBURY 'TOWN OF-QU Ei+1SBUI�Y • BUILDING tt• ZONING DEPT ' QUEENSBURY TON OFFICE BUILDING �111P BAY & NAM LAPv D. ROADS, Raiff. tit G 2 '7 1973 . GLENS FALLS, NEW YORE. , • 12801 P.M. A.M. 7I 8 19`iopl12I 1 12 I-3 V I J I6, APPLICATION ICATION FOR A PERMIT TO. CONSTRUCT, ALTER ER OR ENLARGE A A SEWAGE DISPOSAL SYSTEM WITHIN-SHE TOWN OF QUEENSBURY. OCCUPANT t S NAME.�.� j -...'< ADDR 'SS 4 ll-rs Yv ,� TELEPHONE _OWNER Q S NP.Pjn . ADDRESS NtJ ,9B ER OF BEDROOMS GARBAGE GRINDER?._ __ __.._._ (YES OR NO) TOPOGRAPHY:zAPHY: FLATS ROLLING, ST EfEP SLOPE, GENTLE SLOPS., OTHER_ • NATURE OF SOIL:: CLAY BAN LOAM9 EL ROCKS ETC a PERCOLATION TEST -,.--4L - erJAi E.R. SUPPLY; MUNICIPALS WELL, OTHER • DIAGRAM 'OF PROPOSED SEPTIC $`' .a M g7 • • /.)fl y(pe.4 4S '1L41 C . • O HErt PERTINENT INFORMATION __m.....•... ,. ._ r _ �____ _- • _ IT IS HEREBY AGREED THAT IF THIS APPLICATION 'AND PLANS ME APPROV :D9 INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL- BE won IN ACCORtANCE WITH DETAILS 'SHOtiJN© k PERMIT FEE -IS $5.00. �1' - gj • J�' .r - .. u •. .., _ .. _ ..... .. ice. - -. �._ .. ... �" -_. - i _ _..