8103 BUILDING PERMIT
TOWN OF QUEENSBURY No 8103
WARREN COUNTY, NEW YORK •
PERMISSION is hereby granted to Henry Anable
1-1
Big of property located at Boom 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 F✓
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is Big Boom Road
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Martin Celeste
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3. CONTRACTOR or BUILDER'S Address 0
Big Boom Road
Glens Falls, New York o
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( I Steel ( )
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7. PLANS and Specifications
1000 gallon tank and 4 'x6 ' drywell per plot plan w
No. and application submitted.
8. Proposed Use F-'
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Sewage system for dwelling
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$ i 0_ 00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 19 1985
(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 19th Day of September 19 83 •
SIGNED BY 6 1 a, 0 for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
A—
j j _ j-- oZ,S BUILDING & ZONING DEPARTMENT
TOWN OF QUEENSBURY
SE AGF DISPOSAL PERMIT APPLICATION f!J E 0 F.
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1. Owner ' s Name l . 1
Address. ,i 7�, 4 .M.�
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(4r4c; -4:- ` 7 >7 /Z p Tele hone Nd.7�8 -
ZI''2. Property location /,
3 . Name of person or firm responsible for installing system
elephone No. 7,r,z- (
Address - eu
4. Number of bedrooms (residential buildings only)
5. Daily flow Q -jg�7-Lr gallons/day '
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6. Septic tank capacity j',--(-e2 . c�/C_, gallons
7. Topography: flat, rolling, steep
/"5-----% of slope
8 . Nature of soil and depth :./ x r
ir
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9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? //,--- ft.
10. Percolation test: A is required
B 1,� is not required
C If required what is the rate minutes/inch
11. Water supply: municipal, well, other G c
12. Type of system proposed: drywell, tile field, other l dL-G-� -ae_..--
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 q/7 / �i74-
LGc/O``�
'/ y `� ` signa 'Aare-of applicant
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. ,
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Form 3-82 z-It' )6 ` 0)-(1, w-e' t C
TOWN OF QU'EENSBURY
Building Department
[n�pedars Date /2/i/6'.3
Name
Location ,*,oevt �
Permit No. Weather
\03 Remarks
Excat}ation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors •
Plbg. Fixtures
Gar.. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Approval Septic
Floors
Insulation Foundation '
Walls
Ceiling "
d7,---)
i//-/-6.1,2‘&e,---
Buiing Inspector
REMARKS
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date i' / -3.
Name ..4-/V4 2
Location r/<-;
Permit No. 'elf' ,`q Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval L-- -n4-pe 7 i i- C) /.<
Floors
Insulation Foundation
Walls
-'Ceiling '
Building Inspector
REMARKS
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