Loading...
8412 BUILDING - PERMIT TOWN OF QUEENSBURY No. 8412 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Claire Cifone OWNER of property located at 4 Greenway North Street, Road or Ave. 1-1 in the Town of Queensbury,To Construct or place a Sewage Alteration 1-1 tD 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. O 1. OWNER'S Address is 4 Greenway North Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Carl Dingman Reliable Sewer Service 3. CONTRACTOR or BUILDER'S Address RD #4 Luzerne Road Glens Falls, New York • II m 4. ARCHITECT'S Name (D w 5. ARCHITECT'S Address p I-1 rt 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications 1000 gallon tank, dist. box and 2 6 'x8 ' No. seepage pits with #3 stone per plot plan and application submitted. 8. Proposed Use Sewage System for Dwelling m m $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRESApril 20 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.) f� rt Dated at the Town of Queensbury this 2 0th Day of April 19 84 ~' O SIGNED BY //'?Gffi 47_N �) for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY BUILDING & ZONING DEPART SEWAGE DISPOSAL PERMIT APPLI'. ' ION, 1. Owner' s Name 5 a • Address Telephone No.7 F -?/ 7 2. Property location 3 . Name of person or firm responsible for installing system • ?r� Telephone No. 7 Address Ar� - � � ` x r ^�� Wi4 4. Number of bedrooms (residential buildings only) 5._. Daily flow gallons/day 6. Septic tank capacity j Q CQ-c? gallons . � 7. Topography: flat, rolling, steep % of slope • 8 Nature of soil and depth 0„4 9. If ground water, bedrock or im ervious material is apparent at what P PP 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 ay✓ ig7J r 12.. Type of system proposed: ( Ywe_ tile field, other ter., ;p , 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. . l Date 1/// / 1/2-1, s a e of licant 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. . Form 3-82 . TOWN OF•CQUEENSBURY Building Department Inspectors Report Date -7i'�8,/R4 Name C/, O/Ve- L,ocatioa/ /&4, t )4' �V1 17 . Permit No. $ / 'Z Weather CA jQL. `Di A) 71?,4-IJ Remarks Excat'ta 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. Septic Approval Floors • Insulation Foundation Walls Ceiling Building Inspector REMARKS 0X y - -.#1.2-/ cl---bezi-L- 0., Ivo_dtk CIA-1.4.-4, C.4o-z, n2 - 7-fly Tip S da-01.-c.c, is- , 11 r7 .S. ''- :&. - ,) k - o . 86,4/9 ,0 etiet,_,_,a q / i if(/mo 1 d 2