1985-092 BUILDING PERMIT
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TOWN OF QUEENSBURY Nn 85- 92
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thom s T i7 �r c�ckcz w
OWNER of property located at 3 Z ena s Drive Street, Road or Ave. Ca
Sewage Alteration 0
in the Town of Queensbury, To Construct or place a
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. 0
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1, OWNER'S Address is
3 Zenas Drive
Glens Falls . New York.
2. CONTRACTOR or BUI LDE R'S Name
Ron Grimes
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3. CONTRACTOR or BUILDER 'S Address ip
RR # 1 �
Lake George , New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction — [Please indicate by XI
I ) Wood Frame f Masonry ( ) Steel S Y
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7. PLAINS and Specifications lri,
1004 gallon septic tankr list . box and 2 6 ' x8 `
No. drywells with # 2 stone per pleat and application ro
submitted
8. Proposed Use
Sewage system for dwelling 1'
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g, 10000 PERMIT FEE PAID -- THIS PERMIT EXPIRES Ap it 5 1g.. 85—
(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 5th Day of
for the Town of Queensbury
SIGNED 13Y
Bu Ild ing and Zoning Inspector
TOWN OF QUEFNSBURY
BUILDING & ZONING DEPARTMENT TOWN OF QLJEENSSURY
SEVTAGF DISPOSAL PERMIT APPLICATION [R ` a J, 0 1Y F,
1 , Owner * s Name G APR 4 19a5
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Address
b ��'' �i , ' Telephone
2 . Property locationGY � / r�✓ �r:��"� r �'vy9 5 S , fl +'l
3 . Name of person or firm responsible for installinu system
� J Z� ' Telephone Na .
Address
4 . Number of bedrooms ( residential buildings only )
5 . Daily flaw 7 gallons/day
6 . Septic tank capacity /' CJ v r rJ�Ur � T11ons
7 . Topography : flat , rolling , steep
% of slope
8 . Nature of soil and depth ��
9 . If ground water , bedrock or impervious material is apparent at what
depth does it begin?� /0, ft .
10 . Percolation test . A is required
B is not required
C If required what is the rate minutes/ inch
11 . Water supply : unit pal, well , other
y l"I , the field , other
12 . Type of system proposed : drywe
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 San ' tary Sewage Ordinance .
Date
s !gnat o 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 .
Farm 3 - 82
TOWN OF QUEEMSBUR.Y
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Inspect*" RePew+t t
N.MMIS, zillillilill
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Jill vVcatl.er
pewmk No.
Remarks
Jill Jill Jill
cat}a ti on
Footi.n Farms
Footin a Piers
Foundation
cement coat
Water xoafin
packf-il.l
gi.nal Suave
Framin
sheath-in
Roof Felt
kk Roofin
Sidin
M'asonr veneer
Rcxa h Plb
Belief Valves
wall. Board
Ext . Porches
Finished Floor
Interior Trim
stairs Ra Tile s
Cellar pr .
11 Jill Jill Jill Ill Jill
Concrete Floors
pl . Fixtures
Gar . Fire ofin
Door Closers
Chi.u+ne
Water Meter I
So tic A royal
Filicaro
Foundation .......... - �- -
Insulation walls
Ceili.n
Building rn ctor
pEMARKS
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ly
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