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1985-122 BUILDING PERMIT TOWN OF QUEENSBURY No. 85 - 122 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Richard Batchelder OWNER of property located at 10 Centennial DriVe Street, Road or Ave. W- 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. US P0 [2. OWNER'S Address is 10 Centennial Drive 0 c� Glens Fallsr New York m I� IZ Iro CONTRACTOR or BUI LDERS Name Sanitary Sewer Service - 3. CONTRACTOR or BUILDER'S Address P . O . Pox 224 ~0 Glens Falls , New York ( � m 4. ARCHITECT'S Name fu w r5AV1C1H1ITECT1, 'S AddressC1 E of Costruction — (Please indicate by X) @ i fi ) Wood Frame ( 1 Masonry ( ) Steel ( 1 7. PLANS and Specifications No. diet . box , 2 71x8r drywells with 2411 # 3 stone per plat plan and application submitted _ rn ro 8. Proposed Use £ W Sewage system for dwelling m r $, 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 15 19 87 A� (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.) 0 Dated at the Town of Queensbury this 1 6 t h Day of April 1985 SIGNED BY ! lit for the Town of Queensbury Building and Zoning Inspector I vw1`4 ur tjLJJ=k:.ntzft�k=;uMY TOWN OF QUEFNSBURY D BUILDING & ZONING DEPARTMENT � . E@''AGF DISPOSAL PERMIT APPLICATION �� � � 5 ,� �' G � �( A.M. ti 0 P.M. 1 . Owner ' s Name C- 13 �" , 2 59�1U�112 S 4S � B ] / E Address 1 U 47Jty F' jo � A / /T Telephone No . �,� � 2 . Property location 3 . Name of person or firm responsible for installing system I"- / / .A r (o& /r 6t UZ,/ Telephone No . 40�OCA Address P. - - 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow. 45 / gallons/day 6 . Septic tank capacity gallons 7 . 'Topography : flat rolling , steep % of slope so Nature of soil and depthuL.L ! 90 if ground water , bedrock or impervious material is apparent at what depth does it begin? f ft . 10 . Percolation test : A is required B� is not required . - � C If required what is the rate 0 �J' minutes/ inch 11 . Water supply : <1 nici al well , other 12 . Type of system proposed : drywel 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 $ 25 © aF' roves ed for in on 6 . U10 of the Queensbury Sanitary Sewage Ordinance,! ((( s nature of ap an 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 . '�D, s�r(2 t 6 � 7e6 z-s BBC Form 3 - 82 TOWN OF C EENSBNRY BvSlding Department lope • Repe;t Date �..- �� W curter Peasant No. Remarks Exca,IYa t , on Footi.n Forms Footin a Piers Foundation Cement Coat Water roofin Backfill Final Surve Framin Sheathin Roof Feit Roofin Sidin Masonr Veneer Rou h Plb Relief Valves Wall Board Ext . porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors pl . Fixtures ` Gar . Fire roofin Door Closers " Chimne Water Meter Inst . Se tic A roval F 20oozs Foundation Insulation Walls Ceilin I j ctor Building Inspe REMARKS • <% i '�CS' S 7 r SANITARY SEWER SERVICE Division of G. P. Drellos, Inc. 53 FOURTH STREET GLENS FALLS, N . Y. 12801 TELEPHONE 792-7257 I 9AC .SP p Tr c 5 +'f r V / � r