1985-474 BUILDING PERMIT
TOWN OF QUEENSBURY No. Q5- 47
WARREN COUNTY, NEW YORK
Stanley and Steven Sutton
PERMtSS10N is hereby granted to
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OWNER of property located at Street,
RoutE' 9 Street, 'Road or Ave. �
Sewage Alteration
in the Town of Queensbury, To Construct or place a
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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. gal
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AEt . OWNER'S Address is R�] 42 Route 9
Glens Falls , New York C
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2, CONTRACTOR or BUILDER'S Neme
Ron Grimes Excavating rt
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3. CONTRACTOR or BUILDER'S Address
RD # 1
Lake George . New York
4. ARCHITECT'S Name
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Address
[7. PLANS
E of Construction — (please indicate by X1
{ k Wood Frame I l Masonry ( 1 Steel S i
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and Specifications �1000 gallon tank , dirt . box and 4 l 'at onywells*�o. with 24 " stone per plot. and app osed UseCD
Sewage alteration for restaurant
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$ i n rat} PERMIT FEE PAID — THIS PERMIT EXPIRES Au ust 27
19 87
(If a longer period is required an application for an extension must be made to the auikfing and Zoning inspector of the
town of 4ueensbury before the expiration dated
Dated at the Town of Queensbury this _27tJ7,.___—
Dayof Au:just 1985
for the Town of Queensbury
SIGNET] By
Building and Zoning Inspector
TOWN OF QUEE'NSB'LTRY
BUILDING & ZONING DEPARTMENT TOWN
pF QUEENSBURY
SEFsTAGE DISPOS,�A-I& PERMIT APPLICATION E ro Fa I E
1 . Owner y s Name `T +� 1 Ci 110
AddressP-k Cs I
y a 1
Telephone Na .
2 . Property location_ [ Yt1F �- S �'� k-
3 . Name of person or firm responsible for installing system
e Ll 7 Telephone No . t'3
Address
4 . Number of bedrooms ( residential buildings only)
5 . Daily flow Gallons/day
G . eptic tank capacity (� ' gallons
Topography : flat , rolling , steep
$ of slope
8 . Nature of soil and depth_ _ � y'' -
9 , if ground water , bedrock or impervious material is apparent at what
depth does it begin? --- _ . _... ft .
10 . Percolation test : A L- is required
B is not required
C If required what is the rate minutes/inch
11 , Water supply : municipal , well , other�12 . Type of system proposed : drywell , the field , other
Any contractor , corporation , individual , etce engaged in the construction
of a sanitary sewage disposal system who covers the same before inspection ,
does not have an approved permit , or varies from the . approved application
will be subject to a penalty of $ 250 as provided for in Section 6 . 010 of the
Quee77;Z;
it ry Sewage ordinance _
Date ,
signatu o app xcant
On separate sheet of paper submit a diagram of the proposed septic system
with all dissensions , including di. stazxce from any structure , distance from
property line and domestic water supply , etc . Include all dimensions of
the system itself .
G �A A.-' 14.
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Form 3- 82 56 * rz �,1.IGf � S .� + F 7b /1r�
ANOMMENE
'CC3'1 t4 01: QUEENSBURY
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NaIVA 11111
1110
�
perI Na•
--�---
Remarks
Bxcat7a ti on
Footin Forms
Footin 6 piers
Foundation
Cement Coat
Water roofin
aackfil l
Final Surve
Fra min
Sheathin
Roof Felt
Roofin
Siding
Masonr veneer
Rou h P]
Relief Valves
Wall Board
Ext . Porches
Finished Floor
Interior Trim
Staff.rs & Rallin s
Cellar Dr . Tile
Concrete Floors
pl1 11 Fixtures
Gar . Fare roof in
poor Closer's
Chimne zest .
water meter
Se tic A roval
Foundation ..-----
Xnsul.ati.on Walls �—
Cei l i n ---��..—`�—---
�uil n9 nSpector
REMARKS
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C,cJ t c c t3( lr
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TOWN OF QUEENSBURY
Snsld"ans Department
Date
Naaae
lnape�+ee Ptetrertt . f,}
T r� 'S
O an Weather
P 1
Remarks
Excat7a Lion
Footin Farms
Footi.n & Piers
Foundation
Cement Coat
Water roofin
Ba ck.f i l l
Final serve
Framin
sheathin
Roof Felt
Roofin
s.idin
Mason veneer
Rou h pl
Relief valves
wall Board
Ext , Porches
Finished Floor
Interior Trim
,Stairs & Railin s
,cellar Dr . Tile
concrete Floors
P1 , Fixtures
Gar .
Fire rol
Door Closers ._.
Chimne
Water Meter
Se tic A roval Floors
Foundation ^------
Insulation Walls -
Ce i. 1 i n _.._�•-
Building nspector
REMARKS
�AlI
170AI r� �
TOWN OF WEEMSBURY
Building- Department
Iaspectan Ott i7ate 7
Naase
2 Ima Weather
Pertarit Na 5{ 5" - +t-�-��—
Remarks
Excatlat on
Foot In Farms
Foot.'in & Piers
Foundation
Cevent Coat
Water roofin
imc"Ill III
Ffna2 Serve
FZI
Sheath!
Roof Felt
Roo fin
Sidin
Masonxig Veneer
Rou h PI
Relief Valves
Wail Board
Sxt . Porches
Finished Floor
snterior Trim
Stairs & Railin Is
cellar Dr . Tile
,Concrete Floors
P,2, Fixteares
Gar , Fire roofin
poor Closers
Chimne
Water Meter Inst
so tic A roval
Floors
------
Foundation Insulation Walls
ceilin
Buil ng Xnspector
REMARKS e1��� or
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40
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