1985-381 BUILDING PERMIT
TOWN OF QUEENSBURY
No. $ 5- 3 $ 1
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Lidija Gardner
OWNER of property located at �f" Nathan Street Street, Road or Ave.
in the Town of Queensbury, To Construct or place a _ Sewacre Alteration t1
at the above location in accordance to application together with plot plans and other information hereto filed and p,
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. F'''
L.J.
sL
1 . O W N E R'S Address is
Nathan St .
Glens Fallsr New 'York
(o
2. CONTRACTOR or BUILDER 'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S !Name
z
W
Cato
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6. ARCHITECT'S Address p'
m
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6_ TYPE of Construction — 1Please indicate by X)
( ) Wood Frame { ) Masonry l ) Steel { )
7. PLANS and specifications
No. 5 r X8 r drywall per plot plan and epplication
submitted . cn
(D
8. Proposed Use E
W
Sewage system for dwelling M
rr
$ 10 - DO PERMIT FEE PAID - THIS PERMIT EXPIRES July 24 19 87 n
gr
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Gueensbury before the expiration date_) O
Dated at the Town of Queensbury this 24th Day of July 19 85
SIGNED BY 72�7 - for the Town of Queensbury
Building and Zoning Inspector
TOWN OF
TOWN OF OUEFNSBURX
j BUILDING & ZONING DEPARTMENT
SEGO?AGF" DISPOSAL PERM-IT APPLICATION
1 . Owner ' s Name .ir-.�I /^ �' 8 3 1] 1
Address C "T-r iLG`L./\ .
�-^-.
Gy /� � c4 J `� [� 1' r F 2 " c3�Telephone Tao ,
2 . Property location c nr w _r' ,c 4_ ckk/1
3 . Name of person or firm responsible for installing system
goCA2 A) Ae C Telephone No .
Address !EAQ ,aL 12( %d/'t,Q S5
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow W2 Q gallons/day
6 . Septic tank capacity � � 0 ^ (=?C) * gallons
7 _ Topography : flat , �lling steep
% of slope
8 . Nature of soil and depth Sep
9 . If ground water , bedrock or impervious material is apparent at what
depth does it begin? r /� ft .
10 . Percolation test : A is required
B�— is not required
C If r quired what is the rate minutes/inch
11 . Water supply : municipal , well , other T ozi ly
12 . Type of system proposed : rywel the field , Bather
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.,�_.,�,
Date 7 :3,
signature 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 *
Al s �I �n r .riF ► , rJ 2. C 1 /J f",, y- �aA) !
TOWN OF QUEENSBURY
Su'sldiag• Department
Lmopeaws Report Date + - .5` �•�f~_
Name J'rat r .ITL-rz--
LACalimn -
Permoit No. 4 Weather,
e7 --3 ! Reaiar]cs
Excatra tion 1
Foot-in Forms
Foot in & Piers
Foundation
Cement Coat
Water xoofin
gacacfi3l
Final Serve
Framing
Sheathin
Roof Felt
Roofin
Siding
Masonr veneer
Rou h PI
Relief Valves
Wall Hoare?
Ext , Porches
Finished F3aor
Interior Trim
Stairs & F2aI in s
Cellar rir . Tile
Concrete Floors
PI . Fixtures
Gar . Fire roofin
Door Closers
Chimne
Water Meter Snst .
Se tic A prOVal
Floors
Foundation
Insulation Walla
Calli
aUild q Snspector
REMARKS
per_ C'00Cjz6q&
TOWN OF QUEENSBURY
Building Department
ice. Report Date7
_ pa -
Penwit No. We&tha
Remarks
ExCW+ ataon
Footing Forms _
Footing & Piers
Foundation
Cement Coat T
Water .roofin IL
-
Backfill _-
Final serve _
Framing
Sheathing
Roof Felt
Roof-in _
siding
masonry veneer _
Rough Pl _
Relief valves
Wall Board
Ext , Porches
Finished Floor
.rnterior Trim
stairs & Railings
Cellar Dr . Tile
Concrete Floors
Pl Fixtures .
Gar . Fireproofing
Door Closers - -
Chimne
W rnst .
Septic A rove
Floors
insulation Foundation }
Wal l s
Ceilin
Nqjr!td-ing Snspector
REMARKS
BUILDING AND ZONING
TOWN OF QU EENSBU R.Y
f� WARREN COUNTY, NEW YORK
IeW/� 1 0v AJ INSPECTOR ' S REPORT
cJ cJ1 A c� i 9q
Location of ro nperty-Street or Road No .
Name of ()caner or Tenant
APPROVED DISAPPROVED
Bui Iding
Sewage
Signs
Other
Type of Building
Remarks
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