1985-159 BUILDING PERMIT
TOWN OF +QUEENSBURY No. 85_ 159
30rj?� . t""� �' �[�q WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Georcfe Ferris
OWNER of property located at 38 Clark Street Street, Road or Ave.
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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 lA
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. tv
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t. OWNER'S Address is 3 $ Clark St . F�-
Glens Falls , New York {"
2. CONTRACTOR or BUILDER'S Name
Daniel Drellos
Sanitary Sewer SErvice
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3. CONTRACTOR or BUILDER 'S Address p�
P _ 0 . Box 224
Glens Falls , New York
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4_ ARCHITECT'S Name PV
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5. ARCHITECT'S Address rr
6. TYPE of Construction — (Please indicate by X)
I I Wood Frame i ) Masonry I ) Steel I }
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7. PLANS and Specifications ~"
1 dist . box , 2 7 ' x8 ' drywells with 24 " # 3 stone w
No. per plot and application submitted . tp
8. Proposed Use
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Sewage system for dwelling �
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S 10 _ 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES April 30 1987
(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 April 'i9 85
SIGNED BY S t for the Town of Queensbury
wilding and Zoning Inspector
TOWN OF OUFFNSBURY
BUILDING & ZONING DEPARTMENT
SFWAGF DISPOSAL PERM-IT APPLICATIG��`�N OF C?L3EEN�aBUR��
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I . Owner ' s Name 0 -E'
Address ,r� nn�
Telephone?W9 rj Z
2 . Property location
3 . Name of person or firm responsible for installing system
"' -•-y� 1 V t Telephone No . '] � � ~ 7 -
Address Atix
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow. D crallons/day
6 . Septic tank capacity .. . gallons
74 Topography : (' flatj rolling , steep
% of slope
8 . Nature of soil and depth /�)/V leK c.t / a
9 . If ground water , bedrock or impervious material is apparent at what
depth does it begin? ft .
10 . Percolation test : A is required
B is not required
C If required what is the rate 1 minutes/inch
11 . Water supply : i�
rnun ....' cipal well , other
12 . Type of system proposed : drywall the 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
Queensburrly Sanitary Se/wage Ordinance .
Date .+[ (' c� o / e=zy
! Mop
nature of applZcaMt
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 - 8 2 [�"` - OF
TC3'Irllil'N OF QUEENSBURY
Suildinp Department
[".sectors Ra�sort [Sate y 3a
Name 6 +f G oofe- ,
L.ocatssa___ 2 njC, C �—
Pa n a Now - _ . - - - --
�id - f.•�• _ .r r e7 Gat�dr
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- _ f y
� Remarks
--• ExcaiYatzon
Footing Forms
Footing & Piers
Foundation
Cement Coat
waterproofing
Backfill
Final Survey
Framing
Shea thi n
Roof Felt
Rooffin
Siding
Masonry Veneer
Rou h P1bqw
Relief Valves
Wall Board
Ext . Porches
Finished Floor
Tnterior Trim
Stairs & Railings
Cellar Dr , Tile
Concrete Floors
Pl . Fixtures
Gar . Fire roofin
Door Closers
Chimney
Water Meter Tnst .
Se tic Approval
F Dots
Insulation Foundation _--
Walls
Ceiling
Building Tns c r
REMARKS
SANITARY SEWER SERVICE
Division of G. P. Drellos, Inc.
53 FOURTH STREET GLENS FALLS, N.Y. 12801
TELEPHONE 792-7257
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