1985-161 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85_ 161
WARREN CC3UNTY, NEW PORK IQ
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PERMISSION is hereby grI to� in
v iation Road Street, Road or Ave.
OWNER of property located at
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in the Town of Queensbury, To Construct or plane a
at the alcove location in accordance to application together with plot plans and other information hereto filed and it
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. @
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. OWNER'SAddressis Queensbury Union Free School District t_1
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Aviation Road QQ
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Glens Falls , New York s✓
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CONTRACTOR or BUILDER'S Name
Daniel DrellOS
Sanitary Sewer Service
ECTIR or BUILDERS Address
p . o . Box 224
Glens Falls , New York
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'S Name r-h
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'S Address O
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nstruction — fPlease indicate by X)
Wood Frame { 1 Masonry I ISteel Specifications
1000 gallon septic tank , 1 di. sto box and 150 t .
No. leach field per plot and application submitted . �
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8. Proposed U&e 0
Sewage system for Little League Building
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.April 30 19 87
$ 10 . 00 PERMIT FEE- PAID - THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Toning inspector of the 0�
town of Queensbury before the expiration data,)
April 19 SS
Dated at the Town of Queensbury this 3 Oth r Day of A p
SIGHTED By � for the Town of Queensbury
Building and Zoning I aspect
TOWN of QUFFNSBURY
BUILDING & ZONING DEPARTMENT `NIV r7F QuvmNsqul3 , C
SEWAGE DISPOSAL PERMIT APPLIC,rA^'T_ - 1 E a
] . owner ' s Name J ' /v wr s'+- L /�
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Address P M-
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Tel ephoneliV -�
2 . Property location .-
3 . Name of person or firm responsible for installing system
re..,,. C. L Telephone No . 7
Address
4 . Number of bedrooms ( residential buildings only)
5 . Daily flow gallons/day
6 . Septic tank capacity Do G7 gallons
7 . Topography : flat , rolling , steep
8 of slope
8 . Nature of sail and depth
90 If ground water , bedrock or impervious material is apparent at what
depth does it begin? ft .
10 . Percolation test ; A L. is required
B is not required
C I required what 3. s the rate p - 3 minutes/inch
11 . Water supply : municipal , well , other
12 . Type of system proposed : drywell ,<E
ile 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 provi ed for in Section 6 . 010 of the
Queensbury Sanitary Sewage ordinance .
Date / q��
s � ture o appli 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 * � � a d q *49 /tli) , ) �' .v 7p <�
Form 3 - 82 16"; A6' r !.�
TOWN OF QUEENSBURY
Building Department
Lmgm **m Report Dstc
Name - b
LAW& =
Permrst No. 5 — Wcwtlser
Remy rks
ExcatYa t.x on
FootlnC7 Forms
Footin & Piers
Foundation
Cement Coat
Water roofin
Backfi22
Final Surve
Frami.n
Sheathing
Roof Felt
Roofing
SIdin
Masonr Veneer
Rau h PI
Relief Valves
Wall Board
Ext . Porches
Finished Floor
Interior Trim
stairs & Railings
Cellar Dr . Tile
Concrete Floors
PI * Fixtures
Gar . Fire roofin
Door Closers
Chimne
Water Meter Inst .
Septic Approval
Floors
Fo u nda t i Crri
Insulation walls
- _
Ceiling
Building Inspector
REMARK'S
SANITARY SEWER SERVICE
Division of G. P. Drel }os, Inc.
53 FOURTH STREET GLENS FALLS, N . Y. 12801
TELEPHONE 792-7257
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