2217 BUILDING PERMIT
TOWN OF QUEENSBURY No. 2917
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MrS. Catherinp KPPGh
3i:
OWNER of property located at 30 Arbutus Dr_t ve Street, Road or Ave.
Cn
in the Town of Queensbury,To Construct or place a Sawage Alteration
at the above location in accordance to application together with plot plans and other information hereto filed and rxri
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n
x
1. OWNER'S Address is
30 Arbutus Drive
Glens Falls, New York 12801
2. CONTRACTOR or BUILDER'S Name
Jay Swet .
3. CONTRACTOR or BUILDER'S Address
Bay Road
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications W
•
O
No.
80' drain field as flPP
per lication.
8. Proposed Use
Alteration of sewage system.
{--I
$ 5.00 PERMIT FEE PAID —THIS PERMIT-EXPIRES 1_1_ 19 7- m
(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 R Day of December 19 72
SIGNED BY ,A Cr' _ for the Town of Queensbury
Buirding and Zoning InAaector ( (1 Y- (\
•
TOWN OF QUEENS': URN'
WARREN COUNTY, NEW '!OFiK
•
Application tor TOWN OF' Q UE DNS-U[=:Y
ip IE 0 E, [1 AWE
J� -
R OR ENLARGEEWAGE. _c_
A PERMIT TO CONSTRUCT, ALTER •
DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE WI TH1 N -•THE ft1"-TOWN OF QUEENSBURY A.M. P.M.
7IM10PP211Hic-3 : M
Mail or bring this application to: •
Building 8 Zoning Department
Queensbury Town Office Building
R.D. 1 Bay Road
Glens Falls, New York 12801
This application for a Sewage Disposal Permit must be
accompanied by a plot plan drawn reasonably to scale
showing all dimensions, the size of the lot, the location
•
on the lot of the water supply and sewage system.
1. Name and mailing address of applicant:
Mrs. Keech Oath. ' •
•
30—A�bt�fus Drive
2. Specific location of property: 'A0 Arh„tus Drive
(STREET AND NUMBER) •
3. . Application is for:
New construction of private dwelling .
X Alteration or enlargement of existing sewage disposal system. .
4. Description of building:
a. number of bedrooms
b. garbage grinder
(YES OR NO)
5. Topography: `—
at, ro ing, steep slope, gentle s ope, etc.
6. a. Nature of soil. (Describe to
taifeleaohing pits if tile
field is to be use
proposed, giving thickness of various strata such as
top soil, clay, loam, sand, gravel, rock, etc. )
•
b. How determined? excavation
7. a. Soil percolation test made by
(Refer to Part III, Bulletin 1, N.Y.S. Department of Health)
. b. Percolation test notes submitted? •
(YES OR NO)
80' drain field .
8. Proposed sewage disposal system indicated on attached plan or
sketch? _.-,-------
(YES OR NO)
9.. Date when construction will commence XX CXX2 12-7-72
•
It is hereby agreed that if this application and attached plans
dated or any amendment or revision thereof ,
are approved,installation of sewage disposal facilities will be .
made in accordance with the details thereof as shown on such
approved plans.
, e-0--e-----e---A -.
(a)
Insta led By: tractor - TT na re of applicant)
Owner