1985-348 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85- 348
ADI {{''`�+, WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to } Adam Schweiker t
OWNER of property located at ?! `^; Ridge Road Street, Road or Ave.
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 t
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
M
N.
1 . OWNEWSAddressis Ridge Road PV
N
Glens Falls , N . Y .
2. CONTRACTOR or BUILDERS Name
Howard ' s Excavating
Hm
3. CONTRACTOR or BUILDER`$ gVraffjx Ave. 0j
Hudson Fallsr N . Y . `Q
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4_ ARCHITECT'S Name 0+
5. ARCHITECT'S Address
G- TYPE of Construction — (Please indicate by X)
Cfl
i I Wood Frame I I Masonry 1 ) steel I } M
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7. PLANS and Specifications (q
1000 gallon septic tank , disc . box and
No. 240 LF the field ( 60t @ )
0
a_ Proposed Use
Sewage system for dwelling rl
0
$ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES
July 10 1s 87
(If a Ionger period is required an application for an extension must be made to the Building and Zoning inspector of the
town of QueansburV before the expiration date.)
Dated at the Town of Queensbury this 10th Day of July 19 85
SIGNED BY �f� � for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QL7FENSBURY Towr4 CIF QU E ^BURY
BUILDING & ZONING DEPARTMENT
SEF7AGP DISPOSA PERM-IT APPLICATI 1, 92:71 . Owner ' s
Address_ �
Telephone No .
2 . Property location
3 . Name of person or firm responsible for installing system
( J-- �z � r a-r Telephone No . 2--..���i °
Address
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow gallons/day
6 . Septic tank capacity /} ( y`' C: gallons
7 , Topography : flat , ( rolling ,� steep
of slope
8 . Nature of soil and depth „`[..C7.'e
90 if ground water , bedrock or impervious material is apparent at what
depth does it begin? f t .
10 . Percolation test : A is reauired
B is not required
C If required what is the irate� minutes/inch
11 . Water supply : municipal well .. -)other
12 . Type of system proposed : drywell4: 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 Section 6 . 010 of the
Queensbury Sanitary Sewage ordinance . )
Date
signature of applicant
On separate sheet of paper submit a dia2raamm 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 . e
00
or to ,/� ,�/ / 6
f
Form 3 - 82 � �,r-� ^T: f,C/�r
TOWN OF QUEEN56URY
Building Department
1=w0cam; Repart Date a
L.�wcatioe _ ug�Iz,vu ►�.�
pwo it Na.
Remarks
SxcatYa t I On
Footi.n Forms
Footin & Piers
Foundation
Ce,�ent Coa t
Water roofin
Eceec3�cfill
Final Surve
pra=n
-sheathin
Rcaf Felt
Roo fin
5idXn
i�tasanr Veneer
12ou rh Pl
Relief Valves
Wall Hoard
Sxt . Parches
pinished Floor
Interior Trim
Stairs & Rall.in s
Cellar Dr . Tile
Concrete Floors
PI Fixtures
Car , Fire roofin
Doerr Closers
Chi.mrxe
Water Meter Inst .
Se yyo A raval
Flcars
FaundatiOn
Insulation Wails �...
Cei l in �..
Building Inspeczvc
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