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1985-447 BUILDING PERMIT TOWN OF QUEENSBURY 85 - 447 [(]`� WARREN COUNTY, NEW YORK PERMISSION is hereby gran Cird to Stevan Jones OWNER of property located at 3 Robin Lane 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance- En rt fA 1 - UWNER'S Address is Robin Lane c (D Glens Falls , New York 0 2. CONTRACTOR or BUILDER^$ Name Heath Construction n 3. CONTRACTOR or BUILDERS Address w 4. ARCHITECT'S Name 00" W- L3 S. ARCHITECT'S Address f0 6. TYPE of Construction — {Please indicate by X} I } Mood Frame i } Masonry I 'Steel ( } 7- PLANS and Specifications tn 1000 gallon septic tank , listo box and 187 ' rD No. -tile field per plot and application subanitted . VC m 8. Proposed Use Jy Sewage systemJbr dwelling It H sv rfi $ Z0 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES August 22 1g 87 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueenstwtyr before the expiration date) Dated at the Town of Queensbury this 2 2nd Day of August 19 85 SIGNED BY : 4 for the Town of Queensbury Building and Zoning I nspector PT TOWN OF QUEFNSSURY BUILDING & ZONING DEPARTMENT TOWN OF QUEENSBURYY SEkTAGF DISPOSAL PERMIT APPLICATION �33 1 . Owner ' s Name p.rrJ3 + Address © G� , A� js �s1 � �� � � � L z S zz, Telephone No . 1111111111111221 e'ce 2 . Property location 3 . Name of person or firm responsible for installing system oyl. rma,4(,1 sp'(,,�wd J Telephone No . - Address 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow �� J� Q gallons/day 6 . Septic tank capacity -- _ 1^ C? [1 gallons 7 . Topography : flat , rolling , steep of slope r 8 . Nature of soil and depth ! /5AA../X) J Sr -�-- 9 . If ground water , bedrock or impervious material i,s apparent at what depth does it begin? ft . 10 . Percolation test : A is required B � is not required C if required what is the ra"t,.e- minutes/inch 11 . Water supply : municipal , well , othert4.', 12 . Type of system proposed : drywell , le fief , 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 Queensbeu�r^y Sanitary Sewage Ordinance . Date natu of applicant On separate sheet of paper submit a dig ram of theproposed septic system with all dimensions , including distancm any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . IL 5 r- 7C Form 3- 82 ' TOWN OF QUEENSBURY Sutldius- Department Report n' 5f , Nye_,_ �_ a,' ' . Q�e> &ngQ -- 11 aca ion 0*x? F3� .4-of Peesnit No. 4c We Hier / "7 Remarks Excaeka tiara Footin Farms Footin & Piers Faunda ti.on Cement Coat Water ofin Baa]kfi 12 Final Surve Frsmin sheathing Roof Felt Roo fin Siding masonry veneer ,Rau n Pl Relief valves Wall Board Ext , Porches Finished Floor Interior Trio+ Stairs & Railin s Cellar Dr . Tile Concrete Floors P3 rM Fixtures ,Gar . Fire roofin Door closers Chimne Water Meter 3nst . Se tic A roval Floors Foundation Insulation Maj,29 ei in Build ng Inspector REMARKS 'k � _ ov�,� ' rr ► � too �Rat� 17t _ 1VIA;AAA IWA01, Pi4yr dF WA r I LOD bF -rlo � a S+D 0 K Pao Q � t tAIA D 3 i €y�t$tNpfMtlfF o L r �y� DLoot tl 1 -- a An X i 681 t d � LAOD OF pw C s v z I 1