1985-130 BUILDING PERMIT
'�- TOWN OF QUEENSBUR'Y No. 85-130
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Fred Fr9mah
OWNER of property located at C1 J sun=sfde "Last Street, Road or Ave.
in the Town of Queensbury, To Construct or place a St1 s ]IlTtearst-Iii >A
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.
1. OVONE WS Address isRD 1
Sv�llmp'side Satst �
(;:Lens rolls, NOW Ycwk
2. CONTRACTOR or BUILDER'S Name
Sault wy S*nmr Service
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a CONTRACTOR or BUILDER'S Address
FA
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4, ARCHITECT'S Warne
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S. ARCHITECT'S Address s
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6 TYPE of Construction — (Please indicate by X)
I ? wood Frame i } Masonry i ► sisal ( }
7. PLANS and Specifications
No. 1 dist w Min and 2009 1 esolh field Pew P101L and
application submitted .
S. Proposed Use T
Sewage qrstela for dw1121nq �+
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} $ 10. 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 119 19 87 0
(If a longer period is requirad an application for an extension must be made to the 6uiIding and Zoning inspector of the
town of Queensbury before the expiration data_)
Dated at the Town of Queensbury this � 19tb Day of April 19 85
SIGNED BY for the Town of Queensbury
Building and ,zoning 1 r
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENTTC)lM Cap 0tJJ.=FN4r41rY " k
SFWA F 'DISPOSAL PERMIT APPLICA k s� ) f
LE
1 . Owner ' s Name fW D fke!t./
� 4
Address . 1 � 1Art ) � �',,_s +� �� 1P -- 1Pao0..h1. 44
Telephone No
2 . ' Property location
3 . Name ofperson or firm responsible for installing system
A/ f G2� � c./tr-C Telephone No , r� `� v' - 74p J'�
.Address_— V [�/' ' � / .i✓� / 3frr.''✓'
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow. -'Z/i �'J gallons/day
6 . Septic tank capacity z U Z) t% gallons
7 . Topography : Vof
t rolling , steep
slope
so Nature of soil and depth / 5 y
90 if ground water , bedrock or impervious material is apparent at what
depth does it begin? s f t .
10 . Percolation test : A is required
B is not required
C if requared what is the rate 0 minutes/inch
11 . Water supply : municipal , well other
12 . 'Type of system proposed : drywell , ~tile f ez lei 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 rovided for in Section 6 . 010 of the
Queensbury Sanitary Sewage Ordinance
Date zgnature o a can
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 itself .
Form. 3 - 82
TOWN OF QU EENSBU RY
Building Department
lnapackwo Res ort Date elm
Name
Lacalfioa S[1 rt/ clf �7 9 ram. , , !? t
Permidlt. No. Weat ew
Remarks
Excavation
Foot-in Forms
Footing a Piers
Foundation
Cement Coat
waterproofing
Backfill
Final survey
Framing
Shea thi n
Roof Felt
Roofing
Siding
masonry veneer
Rough Pl
Relief Valves
wall Board
Ext , Porches
Finished Floor
.interior Trim
Stairs & Railings
Cellar pr . Tile
Concrete Floors
PIPAZ., Fixtures
Gar . Fire roofin
Door closers
Chimr3e
water Meter Snst . 44
Se tic Approval
Floors
Insulation Found& tion
Walls
ceiling
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Beni ding Inspector
REMARKS
SANITARY SEWER SERVICE
Division of G. P. Drellos, Inc.
53 FOURTH STREET GLENS FALLS, N . Y. 12801
TELEPHONE 7Y 7257
SAM
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