7789 BUILDING PERMIT
. TOWN OF QUEENSBURY No. 7789
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Wesley J J. Eggleston
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OWNER of property located at Dean Drive Street, Road or Ave. •-1
in the Town of Queensbury,To Construct or place a Sewage System .
at the above location in accordance to application together with plot plans and other information hereto filed and H
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
8 Byrne Avenue
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name C7
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
1000 gallon septic tank, dist. box and 2- seepage CD
No. pits @ 6'x8 '/18" crushed stone per plot plan
and application submitted. . • . w
8. Proposed Use
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Sewage system for mobile home dwellingrn
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 13 - 1985
(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 13th Day of • April 19- 83
iSIGNED BY � �T for the Town of Queensbury
Bui'mg and Zoning•Inspecto (,,
TOWN OF QUEFNSBURY 15/16 N ®F QUEENS8URY
BUILDING & ZONING DEPA.RT11E !�f2 (ip E D V
• S WAGF DISPOSAL PERMIT APPLICATION l� D
PR 1i1983
1. Owner' s Name ��1E / S�On 6
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7) �✓.J �4;Ni. '� �� P M.
Address g Cjrne CIuenc -/ens �&. 71M1101
Telephone No. "( g- U3D5-
2.. . Property location TDn rr-/OF C�ens ! -1(,j
3 . Name of person or firm responsible for installing system
OasiN Egg le5)--/On Telephone No. 19R_ Q3�
• Address # ,B,,-,-)e aLppue
4. Number of bedrooms (residential buildings only) 0 irkirn
5. Daily flow /may) ,,,,,„> eg2^oj,j - 4'*, gallons/day
6. Septic tank capacity ,/0C)0 gallons
7 . Topography: flat, rolling, steep
% of slope 'k
8. Nature of soil and depth (l
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? /441 ft.
10. Percolation test: A is recuired
B . X.s. is not required
C If required what is the rate minutes/inch
11. Water supply: municipal, well, other //
12. Type of system proposed: drywell, tile field, other Z1//y-
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
- -_--QueensburyS,antary__Sewage_ Ordinance ---_
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Date eil /3 /9d 3 I (I '1 (/-
sign tur of .`' • i icant
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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Form 3-82 kg ,�Os
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TOWN OF QUEENSBURY
Building Departnment
Inspectors Report Date 6 P!O��3
Name
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. Permit Na/Jf- H. 17�9 Weather
Remarks
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Excat>at 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
F1oots '
Insulation Foundation
• Wall '
Ceiling •
Building Inspector
REMARKS
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