8441 • BUILDING PERMIT
TOWN OF QUEENSBURY 8441
No. •
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Martin VanTassel •
OWNER of property located at 17 Sweetbriar Lane Street, Road or Ave.
rt
Alteration e 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.
H
• 1. OWNER'S Address is
17 Sweetbriar Lane u,
Glens Falls, New York -
•
2. CONTRACTOR or BUILDER'S Name
Carl Dingman
Reliable Sewer Service
3. CONTRACTOR or BUILDER'S Address
v
RD #4 Luzerne Road •
Glens Falls, New York
• m
4. ARCHITECT'S Name •
•
H'
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5. ARCHITECT'S Address t'f
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•
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
new dist. box and 2 7 'x8 ' drywells and 24" stone
No. per plot plan and application submitted.
8. Proposed Use - @
Sewage System for Dwelling CD
H
ID
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES. peril 27 1986
(If a longer period is required an application.for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.)
O
Dated at the Town of Queensbury this 27th Day of April 1984
SIGNED BYaz,e f� for the Town of Queensbury
Building and Zoning Inspe
TOWN OF QUEFNSBURY TOWN OF QUEENSBURY
e.
a -'. ( 1, BUILDING & ZONING DEPARTMENT E V E 1 1L -E 11
_ 1 ..-
SEWAGE DISPOSAL PERMIT APPLICATION
P • 1 Vah Tq-S-lef APR e±Fe (� 'd
1. Owner ' s Name cZ„ /./G2.. . &M. /� G r P. a�
Address) 7 „u,...._ I- 4
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c-, (/�'a ,11 A i Telephone No.7 / . '-/ t gig
2. Property location •
3 . Name of. person
or firm responsibl for installing system
,_
�� J..2,t,u-..r.� �--��,��, _ Telephone No.? ?2 - 2 All S'--
Address 421# /
4. Number of bedrooms (residential buildings only) Gre_e_—
' 5. Daily flow ‹. gallons/day
6. Septic tank capacity AD (2)-0 gallons
7. . Topography: flat, rolling, steep
% 'of slope F/`t •
' 8 . Nature of soil and depth CC%-+
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 (9-'3". minutes/inch
11. Water supply: municipal well, other
12.. Type of system proposed: drywell, tile field, other ►....
...e.V .2.,_
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. A.
Date !/:_p_etj):2-9'
signature o pplzcanf"--- -
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.
)v/,e, . Dr sr, Ion
,..2. -7 I ' JYy w � //�
Form 3-82 s a.� y 5 .-
•
TOWN OF.QUIEENSBU RY
Building Department
Inspectors Report Date 5// ' '
Name (JAnJ -'"e-,s.0 o J
Location 17 •S (A J2 el- A 2F1-4 2
Permit No. S?L/(/j Weather
Remarks
• Excatation
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 -
-:*16511;;;keR ,
/ Building Inspector -
REMARKS
D/6-297,- '
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