6605 BUILDING PERMIT
TOWN OF Q►UEENSBURY
No. 6605
t rr-7y � J r WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Howard Levine
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OWNER of property located at 17 Buena Vista Avenue Street, Road or Ave_ 0
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in the Town of Queensbury, To Construct or place a Sewage Alteration. Iz
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. C
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1 . OVVNER'S Address is
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17 Buena Vista Avenue
Glens Falls , New York
2. CONTRACTOR or BUILDER'S Name
Action Septic
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3. CONTRACTOR or BUILDERS Address
5 Spruce Court
Glens Falls , New York
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4. ARCHITECT"S Name W
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S. ARCHITECT'S Address
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6- TYPE of Construction — (Please indicate by X)
I } Wood Frame I ) Masonry 11 Steel I l
7. PLANS and Specifications [D
No new dry well per application submitted .
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a• Proposed Use F�
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Sewage system for dwelling . li
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$ 5 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Jan . 1 E9 81
(lf 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 2 2nd Day of September 19 80
SIGNED BY for the Town of Queensbury
Building Wnd Zoning I nspector
TOWN OF QUEmfl b6 Bt7'RY
BUILDING AND ZON'aN-(, DEPrA.RTj&vp.ty
BAY AND� HAAVw' )- �...y�9�'i��I+*D RO� �L� S , R y. iy3 o # l
GLENS
S 1980
.,� PZ:IL CC�A'T' EON E`OI.' C A PERMIT TO ONSTRUC T o Allagl`ER OR ENLARGE0..M..Scx� ) ef III p_M.
= SIE97AGE DISPOSAL SYSTM WITHXN T �;,��r_: ckF ou�wNssuRy ? 1 $ jg1?qli1i2MiEz1314151s
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NrQM � _� _ - - -- AD�REss,"7 Air. JC;r
I': EpA0 ^.v' OWNER e a
NUMBPR OF BEDROOMS �
is '�11AGE (YES O.R. No TOPOGRAPHY * FLAT v ROLLING , STEEP , SLOPE r
F:I`IF tL O Sit . , : CLAY ,, SANDY r LCPI'4 r GRAVY.L r P-O(:! C'S , RTC*
(7EPCOLhTt0N T ::S`:Ta WATER SUPPLY : KUMICAPA:L , WELL ,
DIAGRAM OF P'RrJPOS D -SEPTIC S VSTFM
Ilays �
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Y3!. It R f°Tc:Y2rll. .ENT 11FFORVI iTION � .�
� C IS 1..J: XESY THAT IF THIS APPLICATION AND PLAITS .ARE R.PPRO'S ED r
LI"TrALIJ T(-A a.:e :31110W.Gr- DISPOSAL F ACTLI"S .CF'3 WILL BE "- DF ItT ACCC)RDANE'.I'
SIGIti'ATURF t?F APPLICANT
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TOWN OF QUEENSBURY /
Building Department
Inspectors. Report Date ''✓ d
Name
Location [ " . V2
Permit No. ,r Weather
V Remarks ,
Excat+a Lion
-- Footing Forms
Footing & Piers
Foundation
Cement Coat
Water roofin
Ba ckfi l l
Final Surve
Framing
Sheathing
Roof Felt
RooFln
siding
Masonry veneer
Rough Plb .
Relief valves
Wall Board
Ext . Porches
Finished Floor
.interior Trim
Stairs & Railings
Cellar Dr . Tile
Concrete Floors
Plbg . Fixtures
Gar . Fire roofin
Door Closers
Chimney
Water Meter Inst _
Se tiC Approval
Floors
Insulation Foundation ___._
Walls
Ceilin
Buil ing spector
REMARKS