8425 •
BUILDING PERMIT
TOWN OF QUEENSBURY No. 8425
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Dean Beckos
OWNER of property located at 21 Owen Avenue Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage Alteration C7
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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.
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1. OWNER'S Address is 21 Owen Ave. -
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Daniel Drellos
Sanitary Sewer Service
3. CONTRACTOR or BUILDER'S Address •
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53 Fourth St. H
Glens Falls, New York 0
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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 (
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7. PLANS and Specifications (D
dist. box and 2 8 'x8 ' drywells per application P
No. and plot submitted.
8. Proposed Use
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Sewage system for dwelling
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 25 19 86
(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 25th Day of April 19 84
SIGNED BY —7-71 e.c'i 6 , O. for the Town of Queensbury
Building and Zoning Inspector 01
TOWN OF QUEFNSBURY TOWN OF QUEENSRURY
BUILDING & ZONING DEPARTMENT '13 E v E 11 1/ E 0
SEWAGE' DISPOSAL PERMIT APPLICATI•gt APR Q 91984
1. Owner ' s Name P `'M
Address r2 1 0 (ti1-E-(L) A l) C_
Telephone No. .33_- o (
2. Property location
3 . Name of person or firm res onsible for installing system
Sip, iu frAvul r��w-c f` ;u j Telephone No. 7 - S-7
Address
4. Number of bedrooms (residential buildings only) ,
5. Daily flow 6-0 gallons/day
6. Septic tank capacity / 0 0 Q gallons
7 . Topography: flat rolling, steep
% of slope
8 . Nature of soil and depth 5A/f(7' P '
9. If ground water,
g d w t r, bedrock or impervious material is apparent at what
depth does it begin? ft.
10. Percolation test: A X is required
B is not required
C If required what is the rate 0 S minutes/inch
11. Water supply: municipal, well, other
12. Type of system proposed: drywellf, 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./
Date J s)4ir /) QMflabtal V J '
\-- 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. -
T oissi ff( / o.i 70 tax
Form 3-82 g , ? /x ,p , DPI- 1,,i,e//f/i>
TOWN OF•QUEENSBURY
Building Department
Inspectors Report • Date t-l.% ) / 7'i
Name n � -k /2.
Location J—/ / ;r�,_� �, �1✓e
. Permit No. ?LAD .5 Weather
Remarks
• 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 ✓
ek-
Floors
Insulation Foundation
Walls
'Ceiling
—7"--;17
• ( Building Inspector )
P/ " y�� REMARKS
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/ ft
SANITARY SEWER SERVICE
Division of G. P. Drellos, Inc.
53 FOURTH STREET GLENS FALLS, N.Y. 12801
TELEPHONE 792-7257
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