8268 BUILDING PERMIT •
TOWN OF QUEENSBURY No. 8268
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert Green
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OWNER of property located at T7 Howard Street Street,Road or Ave. a
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Sewage Alteration m
in the Town of Queensbury,To Construct or place a g
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 Howard S t. -
West Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Roger Jones
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3. CONTRACTOR or BUILDER'S Address lL
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4. ARCHITECT'S Name - •
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( ) £
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7. PLANS andSpecifications
1000 gallon tank, dist. box and two 6 'x8 ' drywells cD
No. = per plot plan and application submitted.
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8. Proposed Use
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Sewage system for dwelling w
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Dec. 7 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 7th Day of December 19 83
SIGNED BY a, for the Town of Queensbury
Building and Zoning Inspector
. .. TOWN OF QUEFNSBURY. -
BUILDING & ZONING DEPARTMENT TOWN OF QUEENSBUr y
SEWAGF DISPOSAL PERMIT APPLICATIO D E '0 ,.E.- 11: V ,�-
- 1 Owner' s Name , c ` ` :--v— ✓-,2. L. (yr
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. Address � e_ -' / ° , �.r�: f =dt� Pep.m
r7:3:°*1.0,1/D141)213Q �5 s
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.._ We0 L Telephone- No. 2 =.3 9/
2`. Property location =
• 3 ;,...,.Name_•of person. or : firm. responsible for installingL---.system:
r �,� Telephone No.. ,I G c2
Addre s =
4. Number of bedrooms , (residential buildings only) •
5. • Daily: flow , " • .�"6� _.,. gallons/day
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6 Septic tank capacity - 0 d 0 gallons
7 Topography flat, rolling, steep
% 'of slope
8 Nature of soil and depth 4 - .�I� � _ .
9.- ` If ground water, ',bedrock- or 'impervious material 'is apparent at, what
-depth does it -begin' . 0 ft
10 -Percolation test A- is required
B is, not :requir
C If required what ' is the rate r , minutes/inch _
-11 ,,Water :supply. municipal, : well,;,other ';
12 Type: of system proposed drywel , tile "field, other`
Any, contractor, cprporation, 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 toy; a Mpenalty of $250 as provided_for;: in• Section 6:;010 `of Ythe.
Queensbury _Sanitaryy `Sewage "Ordinance
:;,-,-..„,-,,,.,-...,.-.Date .1 /` / . --, .. .. .. ._ _ -
signor re o 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 ,.
Form 3 82 . .
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TOWN OF'QUEENSBURY
Building Department �r7
Inspectors Report Date 'z
Naive 62ioa/h •
Location t1117.1r -ei
. Permit No. a (o 6' weather
Remarks
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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 V 0
Floors
'Foundation
Insulation Walls
-Ceiling " '
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• Buil ing inspec or
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REMARKS •
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