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8746
BUILDING PERMIT TOWN. OF QUEENSBURY 8746 No. WARREN COUNTY, NEW YORK • PERMISSION is hereby granted to Germaine Rossi OWNER of property located at Palmer Drive . Street, Road or Ave. in the Town of Queensbury,To Construct or place a Sewage Alteration pi 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. N 1. OWNER'S Address is Palmer Drive Glens Falls, N. Y. N. 2. CONTRACTOR or BUILDER'S Name • Dale Granger and Sons - 3. CONTRACTOR or BUILDER'S Address rd 19 Homer Ave. Glens Falls, New York ~ m ri 4. ARCHITECT'S Name d I-i ID 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) to CD 7. PLANS and Specifications No 1000 gallon septic tank and 5'x7 ' drywell per `CD plot plan and application submitted. N 8. Proposed Use Cf" N Sewage system for dwelling • sv rf 0 $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 10 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 10th Day of September 19 84 SIGNED BY for the Town of Queensbury Building and Zoning Inspector .. ' • TOWN OF QUEENSBURY Building Department • Inspectors Report Date //it3/? t f Name e;/s S; Location /,I© /, 9'z . • Permit No. I 71-/t., Weather Remarks Excatia tion 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 y/' Floors Insulation Foundation Walls • Ceiling Building Inspector j REMARKS • �- „-{ �� TOWN OF QUEENSBURY I' i-/ -- 3 BUILDING & ZONING DEPARTMENT TOWN OF QUEENSBURY l SEWAGF DISPOSAL PERMIT APPLICATION p E 1 F H �1ll E ilj)� 6+thOYjc¢i,1 av1!1., `Owner ' s Name I,/,,t,, , S . ?+p SkF 1 O19 Address (24„,L,, ,ex , A.M. /O•uv ✓b RM. f A2.cru-? t i_t_d ,Telephone No. 2. Property location ,LR 11 3 . Name of person or firm responsible for installing system c� g 14_11�. Telephone No. Pl; 2^f1e Address / 4' #t? L,.. 4. Number of bedrooms (residential buildings only) ( 5. Daily flow / gallons/day 6. Septic tank capacity / 670014 0 gallons 7. Topography: dtelrolling, steep % of slope . 8 . Nature of soil and depth 5))4.-7,a4 — 9.- If ground water, bedrock or 'mpervious material is apparent at what depth does it begin? I\l ft. 10. Percolation test: A ® -- ; is required • B is not required C If required what is the rate minutes/inch 11. Water supply: municipal, ell, other 12. Type of system proposed: drywell, tile field, other Any contractor,. corporation, individual, etc. engaged in the construction of a sanitary sewage disposal system who cover the same before inspection, does not have an approved permit, or varies fr. the approv application will be subject to a penalty of $250 as provi.ea for in Se ion 6 . 01 of the Queensbury . Sanitary Sewage Ordinance. Date q14 , /g4 1-t-( 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. • Form 3-82 ... . , . . i (S° ije.v3 ( ,.....p1) . > (-1 n) . 0 CT )c- _ — — - - - - - --. 0 — — - - - , i . . . , . ( .. . . . _. • - f . , ,... . . . ,..- • , 1 Is.. . • . . • . . . . --, ._ . . . . . .. .,. . e 0 " • • r . : • ,• _ . 12. ..f . .. U)elib I ..... . : . .. . . . . . .. . .7. ! . . • ."-- - -- . . . . '•, . . . ..- • I t.- . . . . • I . '------ , I . . . I , . . . . . . • • I . 1 . I , .---.., r_i. C. -- - ---> • , ., ue..„...._ . ............„ ._..s,,,N