7898 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 7898
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Walter Fisher
Nottingham Drive �'
OWNER of property located at g Street, Road or Ave. rt
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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 N
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
R. D. #1
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Daniel Barber
3. CONTRACTOR or BUILDER'S Address
R. D. #1
Glens Falls, New York •
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4. ARCHITECT'S Name
5. ARCHITECT'S Address d
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6. TYPE of Construction—(Please indicate by X)
( ) Wood Frame ( ) Masonry ( )Steel ( 1
• 7. PLANS and Specifications 500 gallon tank and 6 'x8 ' drywell seepage, pit
No with 18" stone per plot plan and application
submitted. (dishwasher and clothes washer only)
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8. Proposed Use
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Sewage system for dwelling CD
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$ 10. 00 • PERMIT FEE PAID —THIS PERMIT EXPIRES June 10 19 85 1-1
(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.)
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Dated at the Town of Queensbury this 10th _Day of June 19 83
SIGNED BY S244, d for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY /?
BUILDING T
1 f & ZONING DEPARTMENTTOWN.OF' (�+L7E��'3MBURy \
; O, ,� SEWAGF DISPOSAL PERMIT APPLICATION I E c E p v E
1. Owner ' s Name �VA�/ el_ /5/47, - JUN 3 •1983 LL��JJ
Address 4f 777,4/I/f4 i " R,-5-/f/Tg- 7�8���1�„) i ��a 41�.M
/ cs Telephone No. - {
2. Property location j '-6-Ge(A)7Q 4 ee C .,9-ii-reg.7- , 4,9eive7,3
3 . Name of person or firm responsible for installing system
-r [eG ,4-g?e e Telephone No.
Address .5G iltCcx9r,17, h/9 - COP-4 .
4. Number of bedrooms (residential buildings only) 1'
5. Daily flow 600 gallons/day
6. Septic tank capacity /f, gallons
7. Topography: flat, " rolling, steep .
% of slope .6- •
-
8. Nature of soil and depth /Z ry' / 4
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? ft.
10. Percolation test: A is required
B 6v is not required
C If rquired 'what is the rate minutes/inch
11. Water supply: municipal/ .ther iti zei
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 $250 as provided for in Section 6 .010 of the
Queensbury Sanitary Sewage Ordinance.
Date
signature of applicant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
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f,c)-6F,6, '1 ,41$rear,,e7(442--/ -5-i)c).096?"
Form 3-8 2 f °� G��i Odee, f,
,Z�%o , -92
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date -/ -6
Location "/, -)Az riff r= hit, S/`F.�ieleir.,p l c:
Permit No. Weather
`b Gi Remarks
Excat}a ti 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 • /-‘1Tj-r
Floors
Insulation Foundation
Walls _
Ceilin
.4 i f-0
/ Building Inspector
REMARKS
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