5739 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 5739
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Earl Maille
OWNER of property located at 10 Pine St. Street, Road or Ave.
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/
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1. OWNER'S Address is F'
R. D. #3 Connecticut Ave.
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name (D
Carl Dingman
Reliable Sewer Service
3. CONTRACTOR or BUILDER'S Address
R. D. . #3
Glens Falls, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address 117
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6. TYPE of Construction—(Please indicate by X) (t
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 1000 gallon tank per application submit
8. Proposed Use .
Sewage alteration for dwelling
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5. 00 • August 1st
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 79
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.) O-
Dated at the Town of Queensbury this 20th Day of April 19 7 9
SIGNED BY /fLey4_,,e. e for the Town of Queensbury
Building and Zoning Inspe`ctov
TOWN OF QUEENSBURY
APR 2 0 1979
TQW1 OF QUEENS BURY ; ,
rl BUILDING Q ZONING DE .P�°a'LENT A.M.
8 9101121 2 3 4 5 6
G 1J BAY HAVI ROADS r . aI, I I. IA.IJ, I .I, I, I .
l/ GLENS FA LW 7 , 1SW 'LLOR?: 12 8 01 A s
x.LI CATION FOR A PERMIT TO CO,.4 S RUCT ALTER OR EN _A r.Gii,
A SEWAGE DI SPOSAL SYSTEM
WI WII:+' THE 'PQfi✓t' OF QUEENS MY
0 Ca.11.''ANT°S NAME rk, Ammss__./.0
NU ER OF BEDROOMSv.j
CARBACE GRINDER? (YES OR NO . TOPOGRAPHY e FLAT P,OL?.a.CNG, S TEEP, SLOPE,
GENTLE SLOPE, OTHER
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NAME OF SOIL: CLAY, SANDY, LOAM; ORAVEL, PUCK) ETC.
PERCOLATION TEST TelATER S WPL i IaCI . WELL,. OTHE
,3 ;AGRAVI OF PROPOSED SEPTIC. SYSTEM
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• OTHER 3 P: RvoMENi.' IFrvO (;I'c•1T.i ON
J_ *Y,S IT:3_'e 16 A iS_• ni 7..7 THAT IF THIS A i L(CAT ON AND PUNS S ARE APPROVED,
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:�.�'�::•�:�y'-�. ��3'3 O:�' SEWAGE DISPOSAL �'��C`�I�,'�3•F.SA0.� WILL :c:�� 3'�>�13��� IN ACCORDANCE
W' C.H 'DETAILS LS SHOWN
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3'A`3_` °_ _.47:-JO - SzCy`NATM1E OF APPLICANT (/-A-Zet7'(---"er... ..W�.
LAKE GE OR,g13 PARK COMMISSION 'APPROVAL
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TOW OF QUEENSBURY.
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Building. Department
Inspectors Report Date 4' �"p4 -79'
Name 1% ,i/C
Location
Permit No. J' 3? Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill •
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer'
Rough Plbg.
Rough Htg.
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Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing
Door Closers
Chimney •
Water Meter Inst.
Septic A roval
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Building Inspector
REMARKS