1985-145 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85- 145
Y'� p WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Peter Dankleman "d
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OWNER of property located at `'- Reardon Road Street, Road or Ave, tM
in the Town of Queensbury, To Construct or place a Sewage Alteration ; C
at the above location in accordance to application together with plot plans and other information hereto filed and �j
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance.
1 . OWNER'S Address is RD # 1.
G1ensFalls , N . Y .
2_ CONTRACTOR or BUI LDER'S Name
Walter Graham
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3. CONTRACTOR or BUl LDER'S Address
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301 Main St . �
Hudson Palls , N . Y . �d
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4. ARCHITECT'S Name P
6_ ARCHITECT'S Address
S. TYPE of Construction — (Please indicate by X)
{ } Wood Frame ( ) Masonry ( ) Steel ( }
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7. PLANS and Specifications $]1
2 V x6t seepage pits with 18 " - 2491 stone per
No. plat and application submitted .
S. Proposed Use M
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Sewage system for dwelling
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$ 10 _ 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 23 1987
Ilf 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 23rd ,-Day of Apr 11 1985
SIGNED BY Lei . for the Town of Queensbury
Building and Zoning Inspecto
TOWN OF QUFFNSBURY
BUILDING & ZONING DEPARTMENT " owm 0fr QUEENSSURY
SEh47AGF DISPOSAL PERMIT APPLICATION IE 0) FE u V F=
1 . Owner ' s Name �+
Address / JLM. a 4i516
A f - Telephone No .
2 . Property location
3 . Name of person or firm responsible for installing system
L.D ,.� � Telephone No . ' 7 V7
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Ad d r e s s
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow 3' w--c> gallons/day
6 . Septic tank capacity . _ T- c o ? gallons
7 . Topography : flat , ollzn steep
$ of slope
8 . Nature of soil and depth ,,S'�, ,,
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 rgq eui--�, red what is the rate minutes/inch
ll . Water supply : municipal , 6°��--� other
12 . Type of system proposed : drywell 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
Queensbury Sanitary Sewage Ordinance .
Date 3 q�t e -S"
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 .
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TOWN OF QUEENSSURY
Building Department
Inapeebors Report Date �
Name
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Remarks
ExIIIIIIcat7a tion
Footin Forms
Footi.n & Piers
Foundation
cerwent Coat
Water roofint
Backfill
Final survey
Frami-n
Sheathin
,Roof Felt
Roofin
sid1n
Masonru veneer
Rou h Pl
.Relief valves
Wall Board
Ext . Parches
Fin 3 shed FJ0Qr
interior Trim
stairs & Railin s
Cellar Br . Tile
Concrete Floors
P1, , Fixtures _
Gar . Fire roofin
Doo Closers
Chimne
Water Meter Inst .
Se tic A roval
Flours -----�-
Foundation
Snsulation WaWall0 �-�--
Ceilin -�-
Bui din nspector
REMARK'S
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