1986-024 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-24
WARREN COUNTY, NEW YORK
2.7)CA \r1.0.
James and Deborah Mason
PERMISSION is hereby granted to
OWNER of property located at Assembly Point, Lake George 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.
1. OWNER'S Address is tRk# George,
l Box 119k
a e ew York - LO
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ty
2. CONTRACTOR or BUILDER'S Name
rs'
John A. Mason n
Sunsoval, Inc.
3. CONTRACTOR or BUILDER'S Addresscn
Box 86
Cleverdale, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address. a
to
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6. TYPE of Construction—(Please indicate by X)
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H.
( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications (3)
1000 gallon tank, 8'x6' drywells,dist. box
No. per plot and application submitted.
8. Proposed Use
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Sewage system for dwelling
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10.00 January 21 88
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.) N
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Dated at the Town of Queensbury this 21st Day of January 19 86
SIGNED BY CO
for the Town of Queensbury
Building and Zoning Inspector �
TOWN OF IQUEm€ :iwn
TOWN OF QUEENSBURY 1M. 1E eY !E
I :I
BUILDING & ZONING DEPARTMEN - • ,AN 2 U 4.986
SEWAGE' DISPOSAL PERMIT APPLICATIa /d t- -e e AC1,
1. Owner' s Name James 'and Deborah Mason
v a e e n e a obwi2
Address R. R. #1 Box. 1198 Lake George, N.Y. 12845
Telephone No. 656-9316 _
2. 'Property location Assembly Point
•
3 . Name of person or firm responsible for installing system John A. Mason
Sunsoval, Inc. Telephone No. 656-9956
Address P.O. Box 86 . Cleverdale, N.Y. 12820
4. Number of bedrooms (residential buildings only) 4 bedrooms
5. Daily flow 600 gallons/day
6. Septic tank capacity 1000 gallons
7 . Topography: flat, rolling, steep
% of slope flat
8 . Nature of soil and depth clay/loam/sand
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? over 44 ft.
10. Percolation test: A is required
B is not required
C If required what is the rate 8 minutes/inch
11. Water supply: municipal, well, other lake
12. Type of system proposed: drywell, tile 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
Queensbury Sanitary Sewage Ordinance.
Date January 20 , 1986
ignature of applicant
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 QUEENSBURY
Building Department
Inspectors Report Date z. �/B'
Name /)7 !/
Location 64.0 "45SE/?? ,/ Y 1
Permit No. G _ a`r Weather
Remarks
Excatva tion
Footing Forms
Footing & Piers
Foundation
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.
Approval
Septic
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
TOWN OF QUEENSBURY:
Building Department
daspestace . Date _ S
Name '. J5 M
Location (0!jj $G S✓ Pt Ie L�
Permit No. ' - Weather '
C _ Remarks
Excat'ation - vY'" �.
Footing Forms
Footing & Piers
Foundation
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 Ins
Septic Approva v r l
Floors`
Insulation Wa11s
Ceiling
Building InsPector
REMARKS
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