1985-089 BUILDING PERMIT
TOWN OF +QUEENSBURY No �_$ 9
+Qql c 1 C, } WARREN CCIUIVTY, NEW Y[]RK
PERMISSION is hereby granted to Leonardo Lombardo twi
I !S S3 , l5 E4rl M
OWNER of property located at Rake 9 north Route 14 Street, Road or Ave. p
in the Town of Queensbury, To Construct or place a Sewacr n 7 Pry ; n
at the above location in accordance to application together with plot plans and other information hereto filed and O
approved and in compliance with the Town of Q.ueensbury Building and Zoning Ordinance. O
1 . OWNER°SAddressis RR # 1 Box 1948 w
Lake George, New York
0
2. CONTRACTOR or BUILDER'S Name
Frank Shaw Septic 5arvi.ce
3. CONTRACTOR or BUILDER'S Address Kobor Road
Gansevoort , New York 0
G
rt*
m
4. ARCHITECT'S Name W
b
ri'
5. ARCHITECT'S Address
0
&
CD
6. TYPE of Construction — (Please indicate by X)
I '
{ } wood Frame I l Masonry I ) Steel I l co
7. PLANS and Specifications
No. 1000 gallon ]-folding tank per application submitted .
rfi
8. Proposed Use E
Sewage system for restaurant w
m
r
$ 100 00 PERMIT FEE PAID — THIS PERMIT EXPIRES A ril 3 79 87 `t
0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbu ry before the expiration date.} ct
r,
to
Dated at the Town of Queensbury this �] �3 rd Clay of April 1985 �
SIGNED BY Y,+'I ry for the Town of O.ueensbury
Building and Zoning Inspector
TOWN OF Q.UEFNSBURY 'TOWN OF QUEENSSURY
BUILDING a ZONING DEPARTMENT �
SEWAGE DISPOSAL PERMIT APPLICATI APR 2
1 . Owner s Name/� ,�,g A.M.'
e�'tJ • P.
Address_ el Ai
A1�f li,/d God Cr �' ;� �7 t°� 5( S~ Telepri ne No .
2 . Property location AI&6 ' 4AZ ,5je Roule r`l A) 0 � ! `�
3 . Name �fof ,,p//erson or firm responsible for installing system
/ J'Vk '5•+7LfGCJ � Cl.� tG .J ' ISr Telephone No . � 3 — � /Z
Address [1 Q ► RO nISr� (/ 0 1
4 . Number of bedrooms ( residential buildings only )
.5 . Daily flow Q 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
i
depth does it begin?T ft .
10 . Percolation tests A is required
B is not required
C if required what is the rate minutes/inch
11 . Water supply : municipal , ell other
12 . 'Type of system proposed : drywell , file fiel 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____ �y
signature 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 . l
/ 00
Form 3- 82
TOWN OF QUEENSIBURY
Building DePurtmcut
Xm P*eport n '1" III ---
NamJUSPOe
l..oreieu S_ Wmther
p No.
Remarks
ExcatYa tiara
Footin Forms
Footin & Piers
Foundation
Cement coat
Water roofin
,Bac]cfill
Final SUrve
Framin
sheath-in
Roof Felt
Roof-in
sidin
Masonr veneer
Rou h Pl b
Relief valves
Wall.. Board
Ext . Porches
Finished F7.00r
Interior Trim
Stairs & Railln s
Cellar Dr . Tile
concrete Floors
] i Fxtures
Gar Fire roofin
. -
D+vor Closers
Chimne
Water Meter Inst .
se tic A royal
Floors
Faurldratior� .�.-----�-
xnsulation Walls --
Ceilia75r ----..�....
]Bull n9' Inspector
REMARKS
L�
{
dlb