1987-479 BUILDING PERMIT �
TOWN OF QUEENSBURY No. 87-479 �
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{�..+►� r�-/,^/;�• y� WARREN COUNTY, NEW YOR K
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PERMISSION is hereby granted to
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RD I Bay Rd . L
OWNER of property located at + Street, Road or Ave.
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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.
t. OWNER'S Address is RD # 1 .Bay Rd .�
Lake George , N . Y . 12845rD
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2. CONTRACTOR or BUI LOE R'S Name
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D . A. Stranahan C
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3. CONTRACTOR or BUILpER'S Address
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4. ARCHITECT'S Name
S. ARCHITECT'S Address ~
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6_ TYPE of Construction — (Please indicate by X)
( ) Wood Frame I ) Masonry I ) Steel 1 1
i. PLANS and Specifications
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No_ Septic KHAP repairs to existing system, new absorption pit ,
per plot plan and application . 00
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S. Proposed Use
Sewage Alteration
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$ PERMIT FEE PAID — THIS PERMIT EXPIRES July 24 , 19 89
(If a longer period is required an applicwlon 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 24th Davy ,o7f July 19 87
SIGNED BY L:� el �,�' 2�✓ _ for the Town of Queensbury
Building and Zoning Inspector
. Y0004 of QMad600,Y
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APPLICATION FOR SEPTIC 'DISPOSAI. j
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JUL 2 3 19$7
V v DATE f / / BUILDING & CODE DEP'
LOCATION OF PROPERTY FOR INSTALLATION
Owner's blame: � �It fC /'} c� Telephone: . IV Z �
Address: N ZA- h_ 1 L- AJ
Installer's blame: / Telephone: 9 l 7`
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: Fiat Rolling Ste Oeope '3 of slope
Soil Nature: circle one: Sand Loa lay Other { Depth: feet
Ground Water: At what depth? feet
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Bedrock or Impes-vious Material: At what depth? i feet
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Percolation test: circle one: not required required / rate min. inch. 007
Domestic water supply: circle one; Municipal Well Other
IF domestic water supply is a Well: 0 ,p/// �
Separation: Watersupply from Septic so n feet
PROPOSED SYSTEM : Septic Tank 1. *(minimum size: 19000 gal.)
TILE FIELD: Each Trench feet / Total system length _ feet ..+�
SEEPAGE PIT(S) : Number of { Size each f feet by IRfeet /
Size of stone to be used # _ _ / Depth or Thickness feet
I M P O R T A N T
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
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ECIG HOMES ( 518) 93- 1479 f{�r'