1985-309 BUILDING PERMIT
TOWN OF QUEENSBURY
�� r No. 85- 309
WARREN COUNTY, NEW YURK
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PERMISSION is hereby granted to Herbert Hetrick
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OWNER of property located at Revere Road Street, Road or Ave. rt.
in the Town of Queensbury, To Construct or place a Sewage Alteration @
at the above location in accordance to application together with plot glans and other information hereto filed and
approved and 1n compliance with the Town of Queensbury Building and Zoning Ordinance. ►- '
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t . OWNER`S Address is
RD 43 Revere Road
Glens Falls , New 'York
2, CONTRACTOR or BUILDER'S Name c.a
Condon ' s Septic and Drain Service rn
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3_ CONTRACTOR or BUILDER'S Address C
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17 Grant Ave . rt
(p
Glens Falls , New York
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4. ARCHITECT'S Name 0
6. ARCHITECT'S Address
6_ TYPE of Construction — (Please indicate by XI
{ ) Wood Frame i ) Masonry ( ) Steel ( I
7. PLANS and Specifications
two 6 ' x8 ' leaching pits with # 3 Stone and
No. di-st . box .
8, Proposed Use [f]
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Sewage System alteration for one family dwelling w
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$ 10 . 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES June 24 19 87 m
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 1-1
town of Queensbury before the expiration date] rat'
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Dated at the Town of Queensbury this 2 4 th _ Day of ,�7i.1ne 1985
SIGNED BY � . / 7 for the Town of Queensbury
Buiidingand Zoning Inspector
TOWN OF OUF'F'NSBURY
-rC]WN OF QUEENSBURY
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1 BUILDING & ZONING DEPARTMENT"
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SFTr?AGF DISPOSAL PERMIT P,PPLZCA`_r' I
1 . 1985
Owner ' s Name L� ,� T � c � U g
Address ry ✓ [.t � 4l s r l .
f , ^3 Telephone No .
2 . Property location l pi �j+� l� 0 REVe 1; > /4#"&`D ,rrol�Fe,� ltCf►riUL� /��
3 . Name of person or firm responsible for installing system r � Q /�
Fjoo if G A N 3D bd ,1 1 y Le & t ( C_E. Telephone No . 2 ^!` e �
Address ' 7r- ! -L� ` ' Jc�'/71' S f � 11,S 0V �;e
4 . Number of bedrooms ( residential buildings only)
5 . Daily .flow gallons/day
6 . Septic tank capacity. d Q 6 Mato 00 rV C 'P' ci� gallons
7 . Topographyz la rolling , steep
% of slope /
80 Nature of soil and depth . , 4-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 minutes/inch
11 . Water supply : municipal , well , other
12 ., Type of system proposed ; rywell ., 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
sagnatu of pp avant
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 - 82
TOWN OF C EENSGURY
Building Department
1wWeCwR Report bate
Nauae
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Pam Noo Weather
Remarks .
ExcatYa tion
Footin Forms '
Footing Piers
Foundation -
Cement at
' Water rvofin
Bac]kfa I l
Final Serve
Frami.n --
Sheathin
Raaf Felt
Roofxn _
Sidindd g
Masonrq Veneer
Rou h F'I
Relief Valves
wail ,Board --
Eat . Parches
Finished Floor
2nter10r Trim
Stairs 4 Railin s
Cellar Dr . Tile _
Concrete Floors - -
Pl gixtures ^_' .
Gar . Fire roofin
Chimne
Water Meter Inst . --
Se tic A roval
Floors —•--
Foundatian -
I'nsulati.on Walls
Ceilin
Building Inspector
C; > `.-f' A� <} 1
CONJ)w+
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Amp. IV w
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