8512 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8512
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Nancy Bramhall
OWNER of property located at 24 Hillcrest Drive Street, Road or Ave. 0
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in the Town of Queensbury,To Construct or place a Sewage Alteration 1-1
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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 24 Hillcrest Drive ~'
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Carlton A. Tucker -
3. CONTRACTOR or BUILDER'S Address [v
R. D. #3 Sherman Ave.
Glens Falls, New York
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4. ARCHITECT'S Name • F-'
0
ri
(D
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5. ARCHITECT'S Address C7
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( I Steel. ( )
7. PLANS and Specifications
1 8 'x8 ' drywell for i:aundry, system.
No.
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8. Proposed Use
Sewage system for dwelling Q
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ID
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 18 19 86
1-1
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.) Q
Dated at the Town of Queensbury this 18th Day of May 19 84
SIGNED BY /'nosi for the Town of Queensbury
Building and Zoning Inspect°
TOWN OF QUEENSBURY. TOWN OF QUEENSDURY
BUILDING & ZONING DEPARTMENT [ E G. I Q 1v E
• SEWAGE DISPOSAL PERMIT APPLICATION O
MAY 17 1984
1. Owner ' s Name /1/444 e i3 ra_Ain ‘4.-
I ANL/v Ad P.M.
Address y Mi IfcheS
(s-/ ,-i( /4 f/ / 8'D7..- ..- -. _Telephone No. 793 C j '5
2. Property location .:7?4,/
3 . Name of person or firm responsible for installing system
/4„, 4 /1-,p�/�'-ai-- Telephone No.
Address II b 3 jA..4Y?-ti��, -'c. ( r /llr Ay / 6'/
4. Number of bedrooms (residential buildings only)
5. Daily flow gallons/day •
6. Septic tank capacity gallons
7. Topography: Argigrrolling, steep
% of slope •
8. Nature of soil and depth. 5?.,,
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 minutes/inch
11. Water supply: municipal well, other .
12.. Type of system proposed: 3,71QD tile field, ' other l>.y_ /�
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 /5?7
signatu 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
the system itself. .
Form 3-82
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 51 %P/A` '
Location -,77 / _f ...t al-
Permit No. 7 Weather
6,/7— 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 9„..."-
Floors
Insulation Foundation
Walls
'Ceiling
Building Inspector
REMARKS
02_ CAoru 0IL y S
Oily
••"''" CARL TUCKER,'
avo SHERMAN AVE.
, %Aims FALL-A N.Y. 120CY1
(70
Pry.- Ewe./I
91) 1
\
gal-age
/1;44 Se_
N, 3J-6-1-IA4 /
• v. 62 k_e.e ix
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