8343 BUILDING PERMIT
TOWN OF QUEENSBURY No 8343
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Peter Marshall
OWNER of property located at 6 Whippoorwill Drive b
p p ty Street, Road or Ave. cD
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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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n
En
1. OWNER'S Address is 6 Whippoorwill Drive p'
Glens Falls, New York I~-
2. CONTRACTOR or BUILDER'S Name
Condon' s Septic and Drain Service
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3. CONTRACTOR or BUILDER'S Address
N.
17 Grant Ave.
Glens Falls, New York o
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4. ARCHITECT'S Name - y
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5. ARCHITECT'S Address fi
N.
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
new grease trap and two drywells per plot plan and
No. application submitted.
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8. Proposed Use
Sewage alteration for dwelling
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 9th 19 86 rr
N.
(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 9th Day of March 19 84
SIGNED BY 741 a/eD a' for the Town of Queensbury
Building and Zoning Inspecto
TOWNOFQUEENSBURY
... : -74 TOWN OF QUEENSBURY E C E 0 V
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION MAR 8 19
84
AA: 16 � Fe-e ,q. P.M.
1. Owner' s Name p /& 4sxaj, A a4/ 71M11,01114Mflq19
Address 6 to12/eopO(5,A. Qv y y 2- /
Telephone No. 7(0 /® 6
2. Property location
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3. Name of person or firm responsible for installing system Cora—MA'S
S 1c c. DR/3/ v sggiRWfC Telephone No:-7f8-kcLi
Address /7 0/Qf i1/-1' p,vS f a./lS 1i y
4. Number of bedrooms (residential buildings only)
5. Daily flow gallons/day
6. Septic tank capacity P OO gallons
7. Topography: OP
rolling, steep
% of slope •
8 . Nature of soil and depth 4))/De, � M
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? • ' ft.
10. Percolation test: A is recuired
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,., 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. �f '
Date vg/g3-.
L/ vi,li� i r (�/1 Cad
signat3 e 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 V V'" -
the.-system itself.
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Form 3-82
TOWN OF'QU'EENSBURY
Building Department
Inspectors R -5/Date �-
Name .
Location , ' ./7.-1' .11'. t:)/e--
. Permit No. D 3 L/) Weather
Remarks
Excatra t 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. /' .;F)
Septic Approval /�/' (.1-'
Floors '
Insulation Foundation
Walls
'Ceiling
•
Building Inspector
REMARKS
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