1398 BUILDING PERMIT : o
'TOWN OF QUEENSBURY
WARREN,COUNTY,NEW YORK
w,.
PERMISSION is hereby granted to James Coccia -
OWNER of property located at 33 Wintergreen Drive Street, Road or Ave.. x ,
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.
1. OWNER'S Address is
33 Wintergreen Drive
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
X4X1110§14 Jay Sweet
3. CONTRACTOR or BUILDER'S Address
Bay Road =
Glens Falls, .-New York
4. ARCHITECT'S Name
Same.
5. ARCHITECT'S Address
Same
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
No.100;'Tile a ,
- 8. Proposed Use =
Sewage- Alteration
CrQ
$ 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 10-1— 19 71 tv
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the.- - I•':-
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 3 Day of September 19 71
SIGNED BY 2 B / for he Town of Queensbury
rr2/i wilding and Zoning Inspector . /�/ i8/�
SEWAGE DISPOSAL APPLICATION
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A
SEWAGE DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE WITHIN THE
LAKE GEDRGE PARK § TOWN OFJNSBUPY
1. Name and mailing address of applicant: REG ,
$. 0
SEE 2 - 1971
James Coccia
A.M. P.M.
33 Wintercreen Drive 7I8I9j101111M-PN4'516
Glens Falls , New York
2. Specific location of property: 33 Wintergreen Drive
3. Application is for:
New construction of private dwelling.
XAlteration or enlargement of existing sewage disposal system.
4. Description of building:
a. number of bedrooms
b. garbage grinder
(yes or no)
5. Property line dimensions, or total area of property:
6. Topography: Flat
(flat, rolling, steep slope, gentle slope, etc. )
7. a. Nature of soil. (Describe to a depth of 5 feet if tile
field is to be used or 10 feet if leaching pits are
proposed, giving thickness of various strata such as
top soil, clay, loam, sand, gravel, rock, etc. )
Sand
b. How determined?
8. 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)
9. Proposed sewage disposal system indicated on attached plan or
100 ' Tile
sketch?
(yes or no)
10. Date when construction will commence 7-20-71
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.
(Dated) efiture
of applicant