1985-414 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8 5-414 '
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert Sweet -----
OWNER of property located at 13 Wintergreen Vnad Street, Road or Ave.
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in the Town of Queensbury, To Construct or place a Sewage Alteration 14
at the above location in accordance to application together with plot plans and other information hereto filed and rt
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. W
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t . OWNER'S Address is 13 Wintergreen. Road
Glens Falls, New York.
2. CONTRACTOR or BUILDER'S Name
Andy Scarpellino
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3. CONTRACTOR or BUILDER 'S Address :E:
4 Seward Ave . :'
Glens Falls , New York. �
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4. ARCHITECT'S Name LO
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5. ARCHITECT'S Address p
6. TYPE of Construction -- (Please indicate by Xi
{ I Wood Frame ( ) Masonry { ) Steel { y
7. PLANS and Specifications
replacement of seepage pit oniY , size 8 rX10 , M
No. per plot plan and application submitted . :
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8, Proposed Use
Sewage system for dwelling
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S 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES August 6 19 87
(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
f� �6th Day,(of .Auctust t9 8 5
SIGNED BY . - ' for the Town of Queensbury
Building and Zoning Inspector
TOWN OF OUFFNSBUR"Y TOWAVIRa
BUILDING & ZONING DEPARTMENT � (� Tk �-,
SEWAGE DISPOSAL PERMIT APPLICATIC?� CL 'Y?TIt y
Owner ' s Name =�& ,See �e.' 4:A 1 e `='' non
Address 112181415s
Telephone No . L
2 . Property location ; ors? rg5 s A-/3 0 V/.
3 . Name of person or firm responsible for installing system
- � 17.'9 ' - - �, r Telephone No , '�'/ �'
Address
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow. , , ; S gallons/day
6 . Septic tank capacity gallons
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7 . Topography : /, fl-ate- rolling , steep
% of slope -
so Nature of soil and depth ` -- zz s^ Je
9 . If ground water , bedrock or impervious material is apparent at what
depth does it begin? rq 1 ft .
10 . Percolation test : A is required
T! is not required
C it required what is the rate minutes/inch
11 . Water supply : municipal , we11 , othayr cct-
12 . Type of system proposed : , 'fdrywell , 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 J �~
g"ture of pa pl ican
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 .4 -,a .
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Form 3- 82
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C�EEMSBURY
paxe C"
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weather
pew Noo Remarks
Excat>a ts.on '
Foot= Form-5
Footi S Piers
Foundation �,
Cement Coat
water roofin
�ckfilZ l
FiZUSZ Surve
Fram2n
Sheathin
Roof Felt
Roof in
Sidin
Masorsr veneer
Rou PZ ft
Relief valves
Wall Hoard
sxt . 'Porches
Finishes Floor
Interior Trim
stairs & Railin s
Cellar
Dr . T'iZe
Concrete Floor's
PZ . Fixtures
Gar . Fire roofin
Door Closers
ChimneMeter Inst .
Water rct,aZ
Se tic 06rs ----- �-�--
Fou�Insulation walls
Cei.lin
Building Inspector
REMARKSY
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