1985-194 BUILDING PERMIT
TOWN OF +QUEENSBURY No. 85 - 194
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert Cubbins
OWNER of property located at 7 Helen Dr ].ye Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Sewage Alteration Cr
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at the above location in accordance to application together with plot plans and other information hereto filed and (DD
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_ r+
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1 . QW'NEWS Address is 7 Helen Drive fr
Glens Falls , New York
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2. CONTRACTOR or SU1 LDER'S Name
Andy 5carpellino
r4, ARCHITECTtS
TRACTOR or BUILDER'S Address l
Seward Ave .
Glens Falls , New York
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Name
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5. ARCHITECT'S Address
5. TYPE of Construction — (Please Indicate by X)
( ) Wood Frame [ ) Masonry I ) Steel ( } rn
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7. PLANS and Specifications
No.
replace seepage pit with new 6 ' x6 ' xl2 ' pit per (D
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plot and application submitted . �
S. Proposed Use CD
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Sewage system for dwelling
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$ 100 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 15 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 thiisy 1 5th i Day of May 19 85
SIGNED BY I ' ' for the Town of Queensbury
Building and Zoning Inspect r�
TOWN OF QUEENSBUR"Y
BUILDING & ZONING DEPARTMENT "TOWN OF QUEENSHURY
SEWAGE DISPOSAL PERMIT APPLICATION � '" a g B V FM 0
1 _ Owner ' s Name 2 f is t t �.1 IJf"`�
A.M. i [f • a+n P. %
Address. �7 (4 ,'LF
Telephone No .
2 . Property location % 2 ! 12 4
3 . Name of person or firm responsible for installing system
tj ,�, C 102 ,rz Vi Telephone No "
Addresses
4 . Number of bedrooms ( residential buildings only) ,3 _
5 . Daily flow gallons/day
6 . Septic tank capacity gallons
7 . Topography : flat , ral� l�g , steep
of slope
8 . Nature of soil and depth
!_y� A'.i
90 if ground water , bedrock or impervious material is apparent at what
depth does it begin? CJc ft •
10 _ Percolation test . A is required
B is not. required
C If required what is the rate minutes/inch
ll . Water supply : municipal , well , other
12 . Type of system proposed : drywell , the 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 . .7
Date
- 3 � ignature of applicant /
On separate sheet of paper submit diagram of the prop Ised septil 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 .
Form 3- 82 s Ozle. / ' fhc c' t
T+O►wt4 OF EEMSBURY
Buildins nkepartna*art
Date
inspecu" 41
N. eIP
wiz*
p No.
Excavation
Footin Forms
Footin & Piers
Foundation
Cement Crest
WateY roofing
Backf i l l
Final curve
Fravan
Sheathin
Roof Fel t
Roofin
Sidi
Masonr veneer
Rou h Pl
Relief valves
wall. soars
Ext . Parches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar Dr . Tile _ ----��
Concrete Floors
Fixture
Pls _ .....
Gar . Fire roofin �- —
Door Closers _
Chimne
Water Meter Inst .
Se tic A roval Floors
Foundation
rnsulatlori WaI� 1��� -
Ceillnn
uilx3in5 Inspector
REMARKS
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