8233 BUILDING PERMIT
TOWN OF QUEENSBURY No. 823
3
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to • Charles Kennedy •
OWNER of property located at Bean Road Street, Road or Ave.
o
in the Town of Queensbury,To Construct or place a Sewage Alteration
1-1
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 Bean Road
Kattskill Bay, New York 12844
2. CONTRACTOR or BUILDER'S Name
Dale Granger and Sons
3. CONTRACTOR or BUILDER'S Address w
14 Homer Ave.
Glens Falls, New York
4. ARCHITECT'S Name
0-1
5. ARCHITECT'S Address •
6. TYPE of Construction—(Please indicate by X)
ID
( )Wood Frame ( ) Masonry ( )Steel ( )
W
(D
7. PLANS and Specifications
New filled tile field per plot plan and •
No. application submitted. - m
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8. Proposed Use1-6
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• 0
Sewage system for dwelling
$ l0. 00 • PERMIT FEE PAID —THIS PERMIT EXPIRES Nov, 17 19R 5 •
(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 17th Day of November • 1983
i SIGNED BY "h G`- L a 1 05_)g I ( for the Town of Queensbury
Building and Zoning Insp'tor
TOWN OF QUEFNSBURY
BUILDING & ZONING DEPARTME' INN OF((��QUEENSBURY
5� 3 SEWAGF DISPOSAL PERMIT APPLI•'4 I4 E Q VIE
1. Owner' s Name 6t d ` NCA 1,6 1983
Address , figim /7• azq 71819p1o1XJ1g1 � �L . _
��� ��i
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( OtITIA t�l by W Telephone o. 6„Sa "372,
1
2. Property location
3 . Name of person or firm respon ible. for installing system
1) . 1,‘,"611^414."..3" - Telephone No. 7 z .- 3'"7
Address r
4. Number of bedrooms (residential buildings only) ,
5. Daily flow 4.00 gallons/day
6. Septic tank capacity l Sits Q 1 ( V gallons
7. Topography: flan, ro ling, steep
% of slope V • '
8 . Nature .of soil and depth Lost
Pm44.
9. If ground water, edrock o impervious material is apparent at what
_ depth does it begin? !� -- / Z;o/ ft.
10. Percolation test: A is required - V -
B is not required
C If" required what is the rate minutes/inch
11. Water supply: municipal, dall other
12. Type of system proposed: drywell, tile field, other Ft T it S .
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 approv- d application.
will be subject to a penalty of $250. as pro ided for in Sr tion 6 .010 of the
Queensbury Sanitary Sewage Ordinance.
Date ,l / ei g 41_1 /.) / `
signature applA. ant
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 QUEENSBURY
Building Department
Inspectors Report Date
Name ,5- jU ,7V
Location . /
Permit No. " d.3.73 Weather
Remarks
Excatja ti on
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
Floors
Insulation Foundation
Walls
Ceiling
• Building Inspector
REMARKS
' ---ZD/6(rX;
/6077.:k
•
• TOWN OF•QUEENSBURY
Building Department
Inspectars Report Date I d -0.
Name K..'Y✓1'1 e 4
Location 61-54 .
Permit No. Weather
S( a -3 3 Remarks
Excavation UU
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 . 1 774! k.
Floors
'Foundation
Insulation Wa11s
Ceiling ' ' '
/ J
Building Inspector
REMARKS
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