8071 BUILDING PERMIT •
TOWN OF QUEENSBURY
No. 8071
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Loren Rhodes
OWNER of property located at 23 Cedarwood Drive . . . 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
approved'and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is N
23 Cedarwood Drive N
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
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Frank Shaw _
3. CONTRACTOR or BUILDER'S Address N
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Gansevoort, N. Y. n
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4. ARCHITECT'S Name (1)
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5. ARCHITECT'S Address C7
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ID
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
new. drywell 6tx6e with 2 ' of stone per. application
No. submitted.
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8. Proposed Use CD
Sewage system for dwelling
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Aug. 31 19 85 0•
(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 31st Day of Augusta . 19 83
SIGNED BY Jn� C%l� ,� for the Town of Queensbury
Building and Zoning Inspector ��
TOWN OF QUEENSBURY �
& ZONING
TOWN OFQUEENSBURY
62 -' -1 i SEWAGFLDISPOSAL PERM• A07ITEPPPLICATIO RECEIIVIEB
1. Owner ' s. Name !'i ,, r�' �� --- j; (5 6 01p13 Q.
Address a r, l9_ -PA". 7�e t� ."t' 'd1�2I31415j6
(.73?�f4 Telephone No.
2. Property location •
3 . Name of. person or firm responsible for installing system
�4) ,, *4_2!_f_, .. Telephone No.
Address
4. Number of bedrooms (residential. buildings only) 1/
5. Daily flow /�U gallons/day
6. Septic tank capacity /"C)°,f; gallons
7. Topography: fla , rolling, steep
% of slope.
8 . Nature of soil and depth /w , ,
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? a •-1, „ JC3 ( ft.
10. Percolation test: A is required
B is not required
C f required what is the rate minutes/inch
11. Water supply: municipal well, 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 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 Sanitar . Sewage Ordinance. __LI_
Date F36 3 - `
• • -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, tc. nclude all dimensions of
the system itself. d
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Form 3-82 ,' 2 f
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TOWN OF•QUEENSBURY .
Building Department
Inspectors Report Date g
Name 1 ?Alf7D/=5
Location Z 3 r . lt'-‘'x D
. Permit No. 6) / Weather
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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
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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 J/`( i.A
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Floors
Insulation Foundation
Walls " •
'Ceiling '
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. Building Inspector
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REMARKS
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