8265 BUILDING PERMIT
• TOWN• OF QUEENSBURY No. 8265
WARREN COUNTY, NEW YORK
30 — 1-a �
PERMISSION is hereby granted to Peter Wolfe
OWNER of property located at' 4 Buena Vista Drive 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 .
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N
1. OWNER'SAddressis 4 Buena Vista Drive V
Glens -Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Walter Graham
3. CONTRACTOR or BUILDER'S Address
301 Main Street
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Hudson Falls, New York V
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address •
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6. TYPE of Construction—(Please indicate by X) -
• ( 1 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
new dist box, new drywell per plot.'plan and application
No. submitted.
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8. Proposed Use
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Sewage system for dwelling m
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Dec. 5 1985
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F!
town of Queensbury before the expiration date.) 0
Dated at the Town of Queensbury this 5th Day of Dec. 19 83
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SIGNED BY — a ' " ''" for the Town of Queensbury
Building and Zoning Inspector
TOWN .OF QUEFNSBURY... ..
BUILDING & ZONING DEPARTMENT TOWN OF.QUEENSBU-Y
SEWAGF DISPOSAL PERMIT APPLICATIO_ D I �;. - I S'. `��
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1. Owners Name e. �;F(; f igs3
Address L/ fA A.m. � (�:,d.d. - ('W• :p.M. '
tJ`-Q- Q(1 ti 1 -11101Y1[+IR1 a-.
, . - Telephone No.
2. Property location' .Sc .
.- 3. g_
Name •of�person or firm responsible for installin :-system- "
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Telephone No 7 y-7 7SP
Address o/ / 'yL -�. T -�J�-a-e o 1 2'� y ,�" 3:j..
•4. ••�, Number of bedrooms (residential buildings only)'; - , 3
. 5.`<.. Daily flow gallons/day ,
6... Septic tank capacity I 0 O O gallons
7 Topography: flat, rolling, -Steep _
of slope ( :.
8 :- Nature of .soil and depth 'c J
'9. ` If:_ground water,, bedrock-:or impervious material..is_apparent .:at what
depth does it .begin? ft
10.. Percolation test: A - - is required
B . - is not, required
C. 'If. required what. is the' rate minutes/inch; :'
11 Water. supply:. :: municipal, well,; other
12 Type Of system proposed: :drywell, 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.,•xvaries from ;the; approved application.;
Q ''will :jbe .subject :,,to a Penalty','Of $250 as provided for :'in :Section ,6 010 '.of :the'
Queensbury '`Sanitar-y Sewage.'Ordinance
Date S -6
- 3 ,
signature .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 c
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Form `3 82 F .:r: _
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TOWN,OF QUEENSBURY
Building Department
Inspectors Report Date /
Name /14-1 _.
Location y fV,40,n,,A- 4
Permit No. Weather
q- ( Remarks
Excavation O
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. Ay"
Septic Approval ( 1
Floors
Foundation
Insulation WaZIs
Ceiling
Building In pector
REMARKS •
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