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8832
BUILDING PERMIT TOWN OF QUEENSBURY 8832 No. WARREN COUNTY, NEW YORK • PERMISSION is hereby-granted to Janet Mostyn OWNER of property located at 42 Cottage Hill Road Street, Road or Ave. rt 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. 1. OWNER'S Address is 42 Cottage Hill Road Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Hometown Sewer Service 3. CONTRACTOR or BUILDER'S Address N 21 Mountain Ave. Warrensburg, New York 12885 0 rt rt 4. ARCHITECT'S Name - I1 (D H. 5. ARCHITECT'S Address 1-1 _ O Sal pJ 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications new dist. box and 8 'x8 ' drywell per plot plan No. and application submitted.' 8. Proposed Use - Sewage system for dwelling- m w $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES - Oct. 24 19 86 cD (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.) rt (D Fi Dated at the Town of Queensbury this 24th Day of . Oct. - 19 84 N. O SIGNED BY )n« q , ,� �,.> for the Town of Queensbury Building and Zoning Inspector ?�1 • TOWN OF QUEENSBURY TOWN OF �y,��Ei��1�tJRY �� PARTMENT Fun SEWAGE LDISPOSAL DING & OPERIMITNING EAPPLI APPLICATION E E 1. Owner' s Name icOG pT Ng-1` Q(-; AddressLt. Li I d L;J 7I8`9`�1 rA.1213, 1516 N-eSic FaMS ` 1V I 31) Telephone No. ' )C I (3 2. Property location-- 40, C J GLG P l� " 3 . Name of person or firm res onsibT'e for installingsystem P y \ rnr1 )k)n cFLL)e - jeXV L Q.€ _ Telephone No. (,a 3 - ).9 r13 Address j t lMt,tAccvnPre (.urremz—f ttf . ;! V .. 4. Number of bedrooms (residential buildings only) 5. Daily flow gallons/day 6. Septic tank capacity • S cj gallons i 7 . Topography: flat, rolling, steep of slope Vkl 8. Nature of soil and depth 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? ft. 10. Percolation test: A is recuired B is not required C If required what is the rate minutes/inch 11. Water supply: municipal, well, other - 12. Type of system propose. : drywell, tile field, 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 provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance. 717sDate a 2 �' � -7`• ._si nature 9f a rr 'cant 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. k 57Sl7�� l W A: Form"-3-82 4- `°/. 12 <s© Y y TOWN OF QUEENSBUR.Y Building Department Inspectors Repast Date /0/ Li f Y`( Name AJe_i- Ari Location 2 o .�`/ (- Pesrmit No. VI .2D 7� �,1 Weather Remarks Excalia 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 O Floors Insulation Foundation Walls I Ceiling di Building Inspector REMARKS Win,_ ' , . : i ' { i . S 1 ; I ' � e I _ . i , • t i i I � t i { r ,c 1 t i I . f ; '2 Gc -e__ ,( vA ' { • _ t 1 1 , • 1 1 1 • i 1 1 4 - �' _ 'r.. : 1 1 i i .-i._ _..._'..._ ....3.._. i _._ i._._.r. _.,_.F..__ '..._ ...-._.. 1. Largest distributor of bearings and power transmission equipment in the northeast/