1985-160 BUILDING PERMIT
TOWN OF +QUEENSBUR.Y No 85 - 160
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Robert Archibald
OWNER of property located at _ 7 Car ton Drive - Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Sewn e AlteratiCan H
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 I"'"H,',
7 Carl-ton Drive
Glens 'Falls , New 'York Q'
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2. CONTRACTOR or BUI LDE R'S Name
Daniel Drellos
Sanitary Sewer Service
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3_ CONTRACTOR or SUIL'DER'S Address
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pe 0 . 33ox 224 A'
Glens Falls , New York
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6- TYPE of Construction — (Please indicate by X)
( ) Wood Frame ( i Masonry i ) Steel ( }
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7, PLANS and Specifications
1000 gallon septic tank per plot and application �
No. submitted . Ctt
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8. Proposed Use 0-
Sewage system for dwelling 0
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$ 100 00 87
PERMIT FEE PAID — THIS PERMIT EXPIRES APr �-1 10 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.}
Dated at the Town of Queensbury this 3 0th Day of Apr 11 1985
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUFFNSBURY
BUILDING & 'ZONING DEPARTMENT
SETV?AG,F,. DISPOSAL PERMIT APPLICATION TOWN OF QUEENSSt P] gr
1 . Owner ' s Namek<D ( 7
(Jc i V 1
Address --APR 6 U 1980, IN
Telephone
2 . Property location
3 . Name of person or firm responsible for installing system
( .)� C Telephone Noe SJ`7
Address `
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow b cTallons/day
6 . Septic tank. capacity. ,,r,r d '-^" 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
depth does it begin? fto
le . Percolation test : A is required
g is not required
C if required what is the rate minutes/inch
11 . Water supply : municipar well , other
12 . Type of system proposed : dryweil , 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 pr ed for in Section 6 . 010 of the
Queensbury Sanitary Sewage Ordinance .
or I
Date,/ G ` daJ
nature of app cant
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
TOW14 OF QUEENSGURY
Building Department
�•
ReKro�t Date
Name �!
Locatitm
Remarks
WI
ExcaOatzon
' Footin Forms
Footin & Piers
Foundation
Cement Coat
Water roofin
packfill
Final Surve
Framin
Sheathin
Roof Felt
Roofin
Siding
"as veneer
Rou h Pl
IIIIIJ
Relief Valves
Wall .Hoard
Ext . Porches
Finished Flcaor
rnterior Trim Willi
Stairs Rai3in s
Cellar Dr , Tile
Concrete Floors --
Pl 11 1111111 . Fixtures
Gar . Fire roofin
Door Closers
Chimne
r Meter
Wate
Se tic A royal ✓
F oars�- -�
Foundati.an �� -------� �-"
Insulation Walls
Ceilin
Building Inspector
REMARKS
SANITARY SEWER SERYI CE
Division of G. P. Drellos, Inc.
53 FOURTH STREET GLENS FALLS, N.Y. 12801
TELEPHONE 792-7257
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