8275 •
BUILDING PERMIT
TOWN. OF. .QUEENSBURY
No. .8275
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Nicholas Clemens
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OWNER of property located at 318 Ridge Street,Road or Ave..
O
e Alteration
in the Town of Queensbury,To Construct or place a Sewage
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
318 Ridge Road
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Rick McGuire Excavating
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3. CONTRACTOR or BUILDER'S Address BOX 560, Hicks Road .co
Glens Falls, New York %.
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)-
( )Wood Frame ( ) Masonry ( )Steel ( ) U)
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7. PLANS and Specifications .
new dist. box and 90 LF tile field (2 lays only) CD
No. per plot plan and application submitted.
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8. Proposed Use n
Sewage system for commercial building 111'
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 8- 19 85
(If a longer period is required an application for an extension-must be made to the Building and Zoning inspector of the
town of Queensburybefore the expiration date.)
Dated at the Town of Queensbury this 8th Day of Dec ember 19 83
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector -
"' - WN TO OF -QUEENSBURY "
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BUILDING & ZONING DEPARTMENT TOWN OF QUEENSBURY
G �� SEWAGE DISPOSAL PERMIT APPLICATIO 'D
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1. Owner' s. Name C/ s r ,)E f; qR3
Address ( 06"& a o. •✓ . .
Telephone. No.19 6 r/ r
2. Property' location 6.e,�r :t,u fic 0('�' C_tit, c".a,.v /1raoAC,, " £1c
. .f=3 :- Name,,of- person or firm responsible for installing- system - -
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ck.�C C6u �e/ ,, a �CC'4,4T 'rr6 /Telephone No. 92— 7 Y
Address ISO) 1-6o :it-itC/C� "4 • ‘® S A,r N . _ ..
• 4. Number of bedrooms --(residential buildings only) --
5. ' Daily flow / gallons/day
6. Septic tank 'capacity /OOO _ gallons
7. Topography: . flat, rolling, steep
: % of. slope F-/ . `
8. : Nature of soil and :depth C/ -
9. If ground water, bedrock or impervious material is apparent at what -
depth does .it begin?. 5 .-ft. ,.
10. Percolation test: A ' is required
B is not required '-
- - • C If• required what is the rate minutes/inch
11. Water supply: unicipal, well, other `
1.2 Type of system proposed drywell, the field other
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Any, contractor, cprporation, individual, etc engaged in' the Construction
of a sanitary sewage disposal system who covers the same before, inspection,
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- 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 . 01-01=of :the
-Queensbury.Sanitary- Sewage" Ordinance. t ..; - -
Date (2• 1r� ,
signature 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 : .i,
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Form 3 82
3:dO 01
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name
Location 3 e.
Permit No.
Weather
glRemarks
Excatia 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
Floors
Insulation FOUndatiOn
Walls
Ceiling
• B 'lding Ins ctor
REMARKS
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