1985-168 BUILDING PERMIT
TOWN OF QUEENSBURY
No. $ 5- 158
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to PatrickR `
OWNER of property located at 24 Bonner Drive Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Sewaq gn� Al terra f i nn
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-
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t. OYIINER'S Address is 24 Bonner Drive
Glens Falls , New York 7s
2. CONTRACTOR or BUI LDE R'S Name I)
Sanitary Sewer Service
3_ CONTRACTOR or 8UILDER'S Address
Pe O . Box 224
Glens Falls , New York
4_ ARCHITECT'S Name bCJ
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5. ARCHITECT'S Address C!
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S. TYPE of Construction — IPlease indicate by X)
( ) Wood Frame { ) Masonry I ) Steel {
7. PLANS and Specifications
No. l dist . box , 2 7 ' x8 ' drywells and 24 "- # 3 stone
Per application and plot plan submitted ,
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8. Proposed Use . (D
Sewage system for dwellings m
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$ 10000 PERMIT FEE PAIL? — THIS PERMIT EXPIRES May 7g 87
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(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Gueensbury before the expiration date.) 144
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Dated at the Town of Queensbury this _ 7 /th Day of _ May 19 $ 5
SIGNET] BY / 1" for the Town of Queensbury
Building and Zoning Inspector
TOWN OF OUFFNSBURY 'TOWN OF QUEENSI3URY
S'.. BUILDING & ZONING DEPARTMENT F � E � 19
SEWAGE DISPOSAL PERMIT" APPLICATION u
AY 6 Jwi
l . owner ' s Name 1 1 L t" /0 °. ,n c +
Address 4D �/rt G•�-- 9 a 4 1121314 1 ! '�
a G'
Telephone No .
2 . Property location
3 . Naxn of person or firm responsible for installing system
t,.1 Telephone No .
Address
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow 1�4so gallons/day
6 . Septic tank capacity. Z .00 e7 gallons
7 . Topography : flat ^ rolling , steep
% of slope
Be Nature of soil and depth_
9 . If ground water , bedrock or impervious material is apparent at what
depth does it begin? f t ,
10 . Percolation test : A r.--"' is required
B is not required
C If required what is the rate Q : ,r minutes/inch
11 . Water supply : unicipal well , other
12 . Type of system proposed : Eii
ell 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 Sanitaryl Sewage Ordinance .
Date
gnature of ap a t
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 Q►UEENSSURY
Building Department
Ift s PA Pmt Date r?r +a
N+anne r ►_ 2[=c ,f
1Pertnit Na.
Weatlaer
t Remarks
,Exca�Aa tx on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Bacicfi l I
Final Surve
Framin
sheathinSZ
Roof Felt
Roofing
Sidirig
Masonrq Veneer
Rough Pl
Relief Valves
WaII, Board
Ext . Porches
Finished Floor
Snterior Trim
Stairs & Railings
Cellar Dr . Tile
Concrete Floors
pjbg , Fixtures
Gar , Fire roofi.n
Door Closers
Chimne
Water Meter Inst .
Septic A roval +/
Floors
Insulation Founda tion
Walls
Ceilin
Building Inspector
REMARKS
/ - .Crs3,ntk
SANITARY SEWER SERVICE
Division of G. P. Drellos, Inc.
53 FOURTH STREET GLENS FALLS, N . Y. 12801
TELEPHONE 792-7257
174
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