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1985-144 BUILDING PERMIT TOWN OF +QUEENSBURY No. $ 5- 144 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Wakley Morehouse OWNER of property located at 4 Zenas Drive . Street, Road or Ave. 0 7C in the Town of Queensbury, To Construct or place a Sewage Alteration 1C 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. O (D 1. OWNER'S Address is 4 Z ena s Dr 1ST e Glens Falls , New York z in ra 2. CONTRACTOR or BUl LDE rt S Name Sanitary Sewer Service e 3- CONTRACTOR or BUILDER'S Address P . O . Box 224 Glens Falls , New York � 4. ARCHITECT'S Name N fD A� rA rJ 5- ARCHITECT'S Address H r- C (D 6. TYPE of Construction — (Please indicate by X) ( ) Wood Frame I ) Masonry ( I Steel ( I 7. PLANS and Specifications d1st . box and 2 - 7 ' x8 ' drywells with 24 " # 3 stone M No. E per plot and appllCation sulnitted . w no 8. Proposed Use Sewage system for dwelling +1 $ 10 • 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Px � l 23 1g 87 0 O (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the `b: town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 23rc? _Day of ril 1985 SIGNED BY / /+' for the Town of Queensbury Building and Zoning Inspector TOWN OF OUFFNSBURY TC7WIV OF QL]EE[*35SlJFtY BUILDING & ZONING DEPARTMENT SE307AGF DISPOSAL PERMIT APPLICAT 1 . Owner ` s Name ke 7 U cb;� /o . ov 4p ^Z! Address ?1819TI'©114� � 1213141s16 �`/ti�S / f y,�` Telephone No . 2 . Property location 3 . Name of person or firm responsible for installing system PA AJ 1 /'}&.G� 0�� ,J �' I�' cJI C C Telephone No . ,-7r chi o� _ /7 ox r,'_�' Address V ' 6 c7 x 4 . Number of bedrooms { residential buildings only) 5 . Daily flow �j�S�C7 gallons/day 6 . Septic tank capacity �'�3 G�i c7 gallons 7 . Topography : flat �)rolling , steep of slope 8 . Nature of soil and depth /'yr zo 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? f t , 10 . Percolation test : A t is required B is not required C If required what is the rate c� - S' minutes/inch 11 . water supply : <EEcipal well. , other 12 . Type of system proposed : IQ 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 se ion 6 . 010 of the Queensbu,,rrry Sanitary Sewage Ordinance , Date AQ Ce L - ! 19,:EC_ ! Jlb nat re of a 1 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 - 8z 'i ✓ ' IDX TOWN OF QUEENSBURY Building- Department Inspectors Report Date a 3 Hama I.ocsdt�oo� .ii.c'.!S/AGS Permit No. S— 1 �f W ee ther Remarks ` Exca+�a tzon Footin Forms Foot-in & Piers Foundation cement Coat Water roofing Backfill Final Survey Framin sheathin Roof Fel t Roof.in Siding ,Masonry Veneer Rot:ghn PI Relief Valves Wall Board Ext . ,Parches Finished Floor Interior Trim Stairs & Rail.in Is Cellar Dr , Tile Concrete Floors P1,17ba , Fixtures Gar . Fire roofin Door Closers Chi mne Water Meter .Inst . Se tic A royal F1oo Foundation Insulation Walls Ceilin Building Inspector REMARKS SANITARY SEWER SERVICE Division of G. P. Drellos, Inc. 53 FOURTH STREET GLENS FALLS, N . Y. 12801 TELEPHONE 792-7257 1 .......3 Y 7 i f 1` _ LA N .� i