8688 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8688
WARREN COUNTY, NEW YORK.
PERMISSION is hereby granted to Paul Crandall
4
42 Cottage Hill Road ~'
OWNER of property located at Street, Road or Ave.
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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. H
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1. OWNER'S Address is 42 Cottage Hill Road
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Walter Graham
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3. CONTRACTOR or BUILDER'S Address O
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Hudson Falls, New York
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address py
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
300 gallon grease trap .- 4'x4 'x4 ' dry well
No. (grey water only) per plot plan and application
submitted. w
8. Proposed Use
Sewage for dwelling ~t
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 10 19 86 O
(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 10th Day of August 19 84
SIGNED BY 111044, a• ����'t' ��,. for the Town of Queensbury
Building and Zoning ector
RE
TOWN OF QUERNSBURY V 7 '''' ''') ' E O E
BUILDING & ZONING DEPARTMENT AUG 1O,4
02
SEWAGF DISPOSAL PERMIT APPLICATI(� IU.`� FecNl,,
,1?,1�.O i)12211213141516
1. Owner ' s. Name u, ,12„F �,.,. A \
Address i? 1 .45 e 1 , _ .
. . _ "1I,9 y 1`-1 , . . _ Telephone No.
2. Property location S W(i- u(°� F ' As-o 6 ,
3 . Name of person or firm responsible for installing system
dui "c`(''� ��.� +6A Telephone No.
Address
4. Number of bedrooms (residential buildings only)
5. Daily flow I 1611t1A-,.►. SO-W... 041;d1 gallons/day •
6. Septic tank capacity rrne) (,.,p.,k. gallons
7. Topography: flat, rolling, steep
% of slope 0 r % •
8. Nature of soil and depth s q3 r
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 ' t.c. t `
Y \ .
12.. Type of system proposed: drywell, tile field, other -�,�,� �.,.eCj
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 'n Section 6 .010 of the
Queensbury Sanitary• Sewage Ordinance.
8it'' ,Ip S
Date �" �j�,
V 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.
30 0 5 0./l G i-t C h e c( f Q )1-cG p. ._. }- i 1A,u -en' G44f
Form 3-82 /"! X 4-f I k V I A--y 1,1/�e- 1
TOWN OF•QUEENSBURY
Building Department
Inspectors Report Date V/c, ' /9
Name rikA- rf`A,Lin 41 L_
Location LticS 0.4.4. Ave-
Permit No. pi -t� Weather
. Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
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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 1,// _
Floors
Insulation Foundation '
Walls •
Ceiling " '
Building Inspector
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REMARKS •
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