1985-004 BUILDING PERMIT
TOWN OF QUEEN5BURY No 85 - 04
r� WARREN COUNTY, NEW PORK 0
John and Brendalee Moran
PERMISSION is hereby granted to
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OWNER of property located at 1 Garner Street 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
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. F-j
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t , OWNEWSAddressis 1 Garner St .
Glens Falls , New York 0
2. CONTRACTOR or BUI LOERS Name
Garafalo Contracting
3_ CONTRACTOR or BUILDER'S Address I-
299 Glen Lake Road
Glens Falls , New York
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4_ ARCHITECT'S Name f1
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5_ ARCHITECT'S Addressrl-
6_ TYPE of Construction — (Please indicate by X)
[ p Wood Frame i ) Masonry i 1 Steel [ 1
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7. PLANS and Specifications £
1000 gallon septic tank , 2 6 ' x8 ' drywells W
No. and 42 stone per plot plan and application m
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8. Proposed Use C'h
Sewage system for dwelling (D
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300 04 January 7 1987 �
$ PERMIT FEE PAID — THIS PERMIT EXPIRES ,
flf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Qusensbury before the expiration date_)
Dated at the Town of Queensbury this 7 th Day of January 19 85
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY TOWN OF QLJEENSE UR %R
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1 . Owner ' s Name ,d" 1���
Address ;�: =.- ZY"a 1 ! $ �$i "t! ':1 2� 3� 4 , � 6
Telephone No . -. 3t (x �?70 )
2 . Property location JCJ.64i J� -
3 . Name of person or firm responsible for installing system
f�YLU 41-; R de^if Telephone No . zfrf3l..5�3
Address c cz
4 . Number of bedrooms { residential buildings only }
5 . Daily flow *�/6� 0 gallons/day
6 . Septic tank capacity gallons
7 . Topography : flat , rolling , steep
% of slope �—
8 . Nature of soil and depth
9 * if ground water , bedrock or impervious material is apparent at what
depth does it begin? ^ft .
10 . Percolation test : A is required
B is not required
C if required what is the rate--' o minutes/ inch
ll e Water supply : municipal , well , other 12! CA goa.A0
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12 . Type of system proposed : drywell , tile field , other ,� a
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
QueensbJJu//r��y Sanitary Sewage Ordinance .
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Date"' — J signature f applicant
On separate sheet of paper submit a ram 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 itself *
Form 3 - 82
-In cotiv�
TOWN OF Q#EENSSURY
Building DSVILrtment,+
=um .eders Repaet
Name
L.acatwo._,. W e&
permk Now
Remarks
Excaoation
Footin Forms
Footin & Piers
Foundation
Cement Coat
Water roofin
gackfill
Final Surve
Frami
Sheath.in
.Roof Felt
Roofin
Sidi
masonry Veneer
Rou h Pl
Relief valves
wall Board
Ext . Porches
Finished Floor
Interior Trim
Stairs & Bailin s
Cellar I]r . Tile
Concrete Floors
pl Fixtures
Gar . Fire roofin
�por ,closers
Chione
Water Meter rust .
Se tic A roval.
Floors � -
Faundation --
rnsulation Walls �-- -�-
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