1985-318 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 85- 318
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Larris Tiewi s
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OWNER of property located at 61, Helen Dr i vn Street, Road or Ave.
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in the Town of Queensbury, To Construct or place a So-ware A 7 t r i rare `C
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_ ir4
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t, OWNER'SAddressis 61 Helen Drive
Glens Falls , New York
2. CONTRACTOR or BUI LIDER'S Name
Crandon Septic and Drain Service cr
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3. CONTRACTOR or BUILDER'S Address (D
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17 Grant Ave . (I
Glens Falls , New York
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X) M
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( ) Wood Frame ( 1 Masonry ( ) Steel ( }
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7. PLANS and Specifications
2 - 61x8t dryweDs and dist . box per plot plan �
No- and application submitted . �
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6. Proposed Use i r
a
Sewage system for dwelling
$ 100 00 PERMIT FEE PAID — THIS PERMIT EXPIRESJune- 6 19 F37 -
IIf a longer period is required an application for an extension must he made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.]
Dated at the Town of Queensbury this 2 6 th Day of June 79 8 5
SIGNED BY _ 2 ° for the Town of Queensbury
Building and Zoning Inspector "
4 - TOWN OF OUFFNSBURY EENr,Ol Rf y
BUILDING & ZONING DFPPRTNTFNT TO1�71�I �� �� 1
SFWAGF DISPOSAL PERK-IT APPLICATTiRD
IV Owner ' s Nam/ e
Address t �/'�,j HIVaR.1+A. 112
1 ] 4 5
Telephone No .77 i3 ,6
2 . Property location /�
3 Name of person or firm responsible for installing system 00I .+,, eoy
�, d^` cs1 Iti„l �' d� C Telephone No
j Address l P7i
4 4 . Number of bedrooms ( residential buildings only )
5 . Daily flow gallons/day
6 . Septic tank capacity 16 a[)b gallons
7 . Topography : fla rolling , steep
f of slope
eves . Nature of soil and depthoA, yD,
9 . If ground water , bedrock or impervious material is apparent at what
depth does it begin? ft .
10 . Percolation test : A is recuired
B is not required
I C If required what is the rate minutes/inch
11 . Water supply : municipal well , other
i
12 . , Type of system proposed : rywel t1le field , other
Any contractor , corporation , individual , etc . engaged in the construction
of a sanitary sewage disposal system who covers the same before inspection ,
does not have an approved permit , or varies from the approved application
will be subject to a penalty of $ 250 as provided for in Section 6 . 010 of the
Queensbur Sani , aar`(y Sewage Ordinance .
Date y
Art44e M1
signatur o applicant
i On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions , including distance from any structure , distance from
property line and domestic water supply , etc . Include all dimensions of
the system itsel ,, (
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Form 3 - 8 2 �F '�2 ��+ u� ^ i GM f .G• .4+tt�cL fFt
TOWN OF QUEENSBURY
Building Department
insp ectwo Re p"t Dante C /aa;6/ � s
Nanse L
l..oc.tinn �r c
» Permit No. �UHcatlacr -
Remarks
Excatia t on _
Footin Forms
Foot-in & Piers
_ Foundation
_ Cement Coat
Water roofing
Baclkfi l l
Final Survey
FravUn
Sheathin _
Roof Felt
Roo an
Sidan
pJasonry Veneer
Rou h Plb .
Relief Valves
Wall Board
Vxt . Porches -_
Finished Floor
Interior Trim
Stairs & RailXn s
Cellar pr . `—
Concrete Floors ...
Pill l . Fixtures _
Gar . Fire proof in
r closers
Chimne _ .
Water Meter rnst •Septic A royal -
Floors
Foundation _ ._—.-----•
Insulation Walls
Ceilin
BuiSding Inspector
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