1985-202 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85- 202
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Margaret McNally A'
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OWNER of property located at 12 Centennial Drive Street, Road or Ave. P)
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in the Town of Queensbury, To Construct or place a _ Sewacre Alteration
at the above location in accordance to application together with plot plans and other information hereto filed and Cam}
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Z
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t . OwNEWS Address is 12 Centennial Drive
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Glens Falls , New York
2. CONTRACTOR or 8Ul LDE R'S Name
Condon ' s Septic and Drain Serv3-ce
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3. CONTRACTOR or BUILDERS Address
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17 Grant Ave _
Glens Falls , New `fork
4. ARCHITECT'S Name I +•
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S. ARCHITECT'S Address C
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6. TYPE of Construction — (Please indicate by X)
I ) wood Frame { ) Masonry { ) steel { T
7. PLANS and Specifications rn
list . box and two 61x8 ' drywalls per plat and ti
No. application submitted . 01
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8_ Proposed Use
Sewage System for dwelling (b
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$ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES May 17 1987
(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 l7th Day of May 19 85
SIGNED BY al! ad eJ4 for the Town of Queensbury
Building and Zoning Inspector
1
it TOWN OF OUFFNSBURY
BUILDING & ZONING DEPARTMFNT TOWN OF, J5 EiiJMYY
SEH?AGF DISPOSAL PERMIT APPLICATIO fi IE 05 E
l . Owner ' s Name V
Address . _ It.s /1J' f"T.° / A 1 2 415169 ,
`�y r� rys eK,_ �1--SS"o Telephone No . .% 5-J ,
2 . Property location ,.-1
3 . Name of person or firm responsible for installinci system r,,_ Gyy pelt' s$'
- .A 1 C . j, .,a�C^��1 J'" I4eV , /7147 ( ' r Telephr/one No .
Addresses Y n; f }� Vt'C
4e Number of bedrooms ( residential buildings only ) _ _
5 . Daily flow gallons/day
6 . Septic tank capacity Aoc� 0 0C loWens CanyC" 101 gallons
7 . Topography : lat rolling , steep
of slope f
8 . Nature of soil and depth
9 . If round water , bedrock or im ervious material is g p apparent at what
depth does it begin? ft .
10 . Percolation test : A is required
B is not required
C If required what is the rate minutes/inch
11 _ Water supply : unicipal , well , other
12 .. Type of system proposed : drywe11 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
Queens�b-ury Sanitary Sewage Ordinance .
Date
sagnatu 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 .
Farm �3 8 `--� e7 t" 4e L' 0 dC C'f�"� L< d � K/
r r gal
To W''N4 Oro QUEENSSURY
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Remarks
Ica Al111111 IN
Excat�a Lion
Footin Farms
Footin & Piers
Foundation
Cement 'Cola t
Water roofin
BaGkfill
Final survey
10 Framin
sh,ea thin
Roof Felt
R,dofin
siding
�iasonr Veneer
Rou h Plb
Relief valves
Wa11 Board
Ext . Porches
Finished Floor
Interior Trim
stairs & Ra lin s
Cellar Dr *
Concrete Flours
P1 . Fixtures
Gar . Fire roof-in .�
T�oor Closers
Chimne Inst .
Water Meter
ge tic A royal
Floors
rnsulati.on Walls
Cei1i
BUS
ding Inspector
REMARKS
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