1985-097 BUILDING PERMIT
TOWN OF +QUEENSBURY No. 85_ 97
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Phyllis Bucklin
1 184 FN
OWNER of property located at — Bay R ad below Route 14 9 Street, Road or Ave. b
in the Town of Oueensbury, To Construct or place a Sewage Alteration I�
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.
CU
1 . OWNER'S Address is 0
48 Sherman Ave .
M
Glens Falls , New York �
2. CONTRACTOR or SUI LDERZ Name
D . Granger and Sons.
3. CONTRACTOR or SUILDER'S Address
19 Homer Ave . w
Glens Falls , New York m
4. ARCHITECT'S Name
C].
N
�x
5. ARCHITECT'S Address
0
03
f�
6. TYPE of Construction — (Please indicate by X)
f ) Wood Frame i ) Masonry f ) Steel i )
7. PLANS and Specifications
No. 1000 gallon septiC tank , disc . box and rn
190 LF tile field per plot plan and application .
S. Proposed Use 'Q
Serage system for dwelling M
N
s-r
m
$ 10 . 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES +April 5 1987 ram+
l-
(If a longer period is required an application for an exteran must be made to the Building and Zoning of the
ui inspector C7
town of Queensbury before the expiration data.l
Dated at the Town of Queensbury this 5th Day of April 19 $
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector ' �,6
TOWN OF QUEFNSBURY TOWN OF OUEEN^aSURY
BUILDING & ZONING DEPARTMENT JE 0 [E g 17
SE %rAGF DISPOSAL PERMIT APPLICATI I� �J
AV R 4 1985 _
1 . Owner ' s NameV p.M.
71AJ91�gllgi j 1 1115 s
Address A iQ �
Air
[..a Telephone Nov 2
2 . Property location
3 . Name of person or firm responsible for installina- system
` Telephone No . _'
Address
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow -.7 0 gallons/day
6 . Septic tank capacity J
gallons
7 . Topography : flaolling , steep
% of slope
Be Nature of soil and depth
g , if ground water , bedrock or impervious material is apparent at what
depth does it begin?„ v �" ft .
10 . Percolation test : A 1►> A" S� is required
B is not required ,ram
ffi
C if required what is the rate Q r- � minutes/inch
11 . Water supply : municipal , well , then
12 . Type of system proposed : drywell , Ile field , they
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 fr the approved application
will be subject to a penalty of $ 250 as provi for in S tion 6 . 010 of the
+Queensbury Sanitary Sewage Ordinance . �^
_,,.��"' 1
Date f a ign tur+e appl ant
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 �,�,�, Cie'
TOWN OF QUEENSBURY
BUTAICUnff Department
� Date
N+a�nrre
L.Qcarwo
Pee riot Na. We thcr
rks
Excatyat�.on •7
Footin Forms
Footin & piers
F+ounda ti on
Cement Coat
Water roofin
Backfill
Final Surve
Framin
Sheathin
Roof Felt
Roafin
Siain
Mason:rU Veneer
Rou h PI
Relief valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar Dr . Tile
Concrete Floors
p F , Fixtures
Gar . Fire roofin
Door Closers
Chione
Water Meter Inst .
Se tic A roval
Floors
Foundation -.
insulation Walls
Ceiling
Building InspeCtnr
REMARKS
a Opel: �= .
��
� 1
(�, D
1,—.—..— �, .`_. .�
Ohl e� f e► v o �' 4
Crxe . . . �
� � �;`
,�,�t.,�x s �
� � � �