8635 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8635
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Dr. Deepak Bakhru
OWNER of property located at Ridge Road Street, Road or Ave.
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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 C7
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is Star Route
Glens Falls, New York
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1-12. CONTRACTOR or BUILDER'S Name
Sanitary Sewer Service
3. CONTRACTOR or BUILDER'S Address
53 Fourth St.
Glens Falls, New York1-6
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4. ARCHITECT'S Name -. O
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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
1 - pump pit
No. — dist. box o
400' leach field per plot and applic ion submitted.
8. Proposed Use1-1
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Sewage system for dwelling.
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10. 00 July 12 86
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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 12th Day of July - 19 84
SIGNED BY tL #0,cia ✓/ F for the Town of Queensbury
Building and Zoning Inspector��
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TOWN OF QUEENSBURY
rs.� BUILDING & ZONING DEPARTMENT TOWN OF QUEENSEPURY
SEWAGF DISPOSAL PERMIT APPLICATIO D nn
1. Owner ' s Name (L, 6A- 6'"u ;aft_ i.= r
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Address L. cA ��s►�� o� x� 11]2131 I5i6
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Telephone No. �°"
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2. . Property location
3 . Name of person or fir responsible for installing system--7/Telephone No. .9e - )„1,1- 7
Address
4. Number of bedrooms (residential buildings only)
5. Daily flow 60 C/ gallons/day
6. Septic tank capacity d 6 V a gallons
7. Topography: flat: rolling, steep
of slope •
8. Nature of soil and depth • cj))/dp /DA-/-1
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? ft.
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10. Percolation test: A X is required
B is not required `
C If required what is the rated_ minutes/inch
11. Water supply: municipal, CD, other
12. Type of system proposed: drywell, the fiel. 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 $250 as prov'ded for in Section 6 .010 of the
Queensbury Sanitary Sewage Ordinance.
Date 7r 7, y
signature of app scant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself. / ru,ti2
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75 J/2, cad c0,J
Form 3-82
TOWN OF'QUEENSBURY
Building Department
Inspectors Report Date "7///ty71
Name D(-i 0
Location__ ? \ n, 05-�
Permit No. Weather
oC3$ 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 •—� V
FloOts
Insulation Foundation
Walls '
Ceiling
Buildi nspec�:
REMARKS
D i T
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4` SANITARY SEWER SERVICE
Division of G. P. Drellos, Inc.
53 FOURTH STREET GLENS FALLS, N.Y. 12801
TELEPHONE 792-7257
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