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1400 BUILDING PERMIT TOWN OF QUEENSBURYto No. 14©C WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Peter Orsini OWNER of property located at 6 Greenwag Circle Street, Road or Ave. in the Town of Queensbury, To Construct or place a Sewstize Alteratlon 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 6 Greenway Circle Glens Falls , New York 2. CONTRACTOR or SUI LDE R'S Name Jay Sweet a CONTRACTOR or BUILDER'S Address Bay Road Glens Falls , New York. 4. ARCHITECT'S Name Same 5. ARCHITECT'S Address Same 6. TYPE of Construction — (Please indicate by X) ( } Wood Frame ( } Masonry I } Steel I 1 7. PLANS and Specifications fD fD No. 80 ' Tile S. Proposed Use Sewage System. ,y n tN $ 5000 PERMIT FEE PAID — THIS PERMIT EXPIRES 1U-1 — 1971 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Clueensbury before the expiration date,) Dated at the Town of Queensbury this 3 Day of September 19 71 SIGNED BY co for the Town of Queensbury Building and Zoning 1 r zwe SEWAGE DISPOSAL APPLICATION APPLICATION FOR A PERMIT TO CONSTRUCT , ALTER OR RU LARGE A S dAGE DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE WITHIN THE LAKE GEORGE PARK §r TOWN OF QUEENSBURY 1 . Name and mailing address of applicant : TOWN OF QUEFNS6U -R-e f V, L'; jj' 10i enwa Circle p S 2 - 1971 Glens Falls New York A. M. P.M . 7fs1? ;>.011111211l2I3141s16 2 . Specific location of property : 6 Greenway Ciro e 3 . Application is for : New construction of private dwelling . { Alteration or enlargement of existing sewage disposal system. ?} . Description of building *# a . number of bedrooms b . garbage grinder yes or no 5 . Property line dimensions , or total area of property : b . Topography : F ] at f at , ro 1 ng , steep slope , gentle slopes etc . 7 , a . Nature of sail . ( Describe to a depth of 5 feet if tile field is to be used or 10 feet if leaching pits are proposed , giving thickness of various strata such as top soil , clay , loam, sand , gravel , rock , etc . ) �a nc1 b . How determined ? $ . a . Soil percolation test made by ( Refer to Part III , Bulletin 1 , N . Y . S . Department of Health ) b . Percolation test notes submitted ? yes or no 9 . Proposed sewage disposal system indicated on attached plan or 80 ' Brain Tile sketch? yes or no 10 . Date when, construction will commence R � 24 - 71 - -- It is hereby agreed that if this application and attached plans dated or any amendment or revision thereof , are approved , installation of sewage disposal facilities will be made in accordance with the details thereof as shown on such approved plans . Date S ure o applicant )