6393 BUILDING PERMIT
TOWN OF QUEENSBURY No 6393
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Arthur E. ,Brown
OWNER of property located at 2T7Antiqua Motel, Route 9L Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Sewage Alteration to
_- at the above location in accordance to application together with plot plans and other information hereto filed and 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is R. D. #1
Lake George, N. Y. Box 78
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
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5. ARCHITECTS Address
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ID
6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
1000 gallon concrete tank, 13 ' OD x 8 '
No. and #3 stone per application -submitted
8. Proposed Use
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Sewage alteration for motel
$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 19 80
(If 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.)
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Dated at the Town of Queensbury this 13th Day of June 19 .80 0
SIGNED BY •/-1) lI, u/ for the Town of Queensbury
Building and Zoning Inspecto
TOWN OF QUEENSBUR
' ,
O N OF OUEENSBURY (�
BUILDING AND ZONING, DEPARTMENT LAN1 EE II VE IT
BAY AND HAAV1'LAN1D ROADS, R.D. 41
GLENS FA DLS, NEW YORK 12801 JU N 1 3 1980
,�PPy� t ,t FOR �, A.M. --r �e`PA.MC1/(1
!iL'"a d.r.4�t71��{� a� PERMIT TO CONSTRUCT, ALTER �1R ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN 4117 TOWN OF S`,.UEENSBURY 7I8I9I1411I12I1)213141516
OCCUPANT a S b7AFnEa,)Le4f ii
A.DIM'SS 86Y 7e. 42P//i. l 4,
TELEPHONE 603 C 55 C OWNER°S NAME m� _ 6 .__ __._,___ _,.___
ADDRESS NUMBER OF BEDROOM
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GARBAGE GR!NDER?_e0 (YES OR NO') TOPOGRAPHY: FLAT,
4) sOLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER
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NATURE OF SOIL: CLAY, SANDY, . LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST �_z WATER SUPPLY; MUNICIPAL, WELL, OTHER c 7� :L ' �__
DIAGRAM OF PROPOSED SEPTIC SYSTEM
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OTHER PERTINENT INFORMATION /b , W _ -
IT IS HEREBY AGREED TEAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OE SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN„
DATE f'5�,_1��C3 SIGNATURE OF A PI
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LAKE GEORGE PARK COMMISSION APPROVAL:
(signature)
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,1ate)
TOWN OF QUEENSBURY
Building Department {�
Inspectors Report Date 7/2-/YC
Name �71 Z'7grii_%i'�
Location /, ?!1-/yam - ay,
Permit No. 6 9 3 Weather
Remarks
Excasra ti on
Footing Forms
Footing & Piers
Foundation C). 4
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
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 Approval
Flobts
Insulation Foundation '
Walla
Ceiling '
Building Inspector
; "- REMARKS
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TOWN OIL ®tiJvvl; r$�ih '.
.,, STATE OF NEW YORK REOUVED
f� t DEPARTMENT OF HEALTH
, --�- J U N It 1980
"-� DISTRICT OFFICE
21 BAY, STREET A.M. I ,,`� P.M.
7ISI9ILO,ZIII�lr '� _11�
DAVID AXELROD, M.D. P.E.� �
Commissioner GLENS FALLS, NEW YORK 12801 t Acting District Director
Tel. 793-3893 Area Code 518
June 13, 1980
Mx . Geaxge P. Liapez
Fa-L d-.ng and Zoning .Admin-i.4 txatox
Town aU Queen4buxy
Bay at Nav-L ctnd Raa.d, RD # 1 Re: Sewage DL4pozat Sy4tem
G2enz Fa2tz, N. V . 12801 Antigua on Ptum Point
Deax MA . L La.pe4 :
Thiz te.tex wi2t c.ori..xm NIA June 13, 1980 telephone
eanvex4a.-.on concexn-Lng the above noted 4ac itity .
The -Lnztallat-.on oq the pxopo4'ed 4ewage d-.4pozal 4y4.em,
az pxe4ented by MA . Bxown, acceptable to thio depax.men t.
The zj- tem ass pxopo-oed will con4Lot 04 a minimum 1000
gallon 4eptLe tank and a 4eepage pL.t pxavLdLng a minimum o{
333 zq . 4t. aU ab4axpt.Lve axea.
Vexy .xuly yaux4,
GB/mh Glenn Bxu4o, P.E .
A44i4tan t Sanitaxy Bng Lneex
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