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1985-331 BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 331 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to John Walker OWNER of property located at 6t ri Route 149 Street, Road or Ave. in the Town of Queensburye To Construct or place a C4 sewaq a t 0at 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. t . OWNER'S Address is RR * 1 Box 14 91A F ' Lake George , New York M m rf r:3. CO:NTRACTOR RACTOR or BUILDER'S Name Robert. Ellsworth 7rJ or BUILDER'S Address RR # 1 Lake George , New York 4_ ARCHITECT'S (Name � S. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) Uj (d I ) wood Frame I ) Masonry l ) Steel t ) :e I.4 M 7. PLANS arld specifications No. 1000 gallon septic tank and 1 seepage pit 6 ' x$ ' per plot and application submitted . $. Proposed Use Sewage system for logging equipment store $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July lgi 87 !If a longer period is required an appiic:wion for an extension must be made to the 8u1Iding and Zoning inspector of the town of Ctusensbury before the expiration date.) Dated at the Town of Queensbury this 2nd Day of JU 1 Sr 19 85 � SIGNED BY Ml'!'�'-ti �• " f for the Town of Queensbury Building and Zoning I nspector TOWN OF OUFFNSBURY -rrawN OF QuVMr4sauRY BUILDING & ZONING DEPARTMENT W isSErr?AGE` 'DISPOSAL PERMIT APPLICATION � PA E 1 1 . owner ' s Name �© 30- , Address I ax I '� I 1�4 r Y `tom CJ� d e , Telephone No . 2 . Property location_-� ( o 3 . Name of person or firm responsible for installing system Telephone No . Address 4 . Number of bedrooms { residential buildings only} 5 . Daily flow tp ME gallons/day 6 . Septic tank capacityy 4 deag gallons 7 . Topography : flat , rolling , steep of slope F l0 1 80 Nature of soil and depth ZSOL V-\ 4 a o m 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ft . 10 . Percolation test : A is regui. red g is not required Cam—required what is the rate minutes/inch 11 . water supply : municipal , well , other 12 . Type of system proposed : drywel the field , other Any contractor , corporation , individual , etco engaged in the construction of a sanitary sewage disposal system who covers the same before inspection , does not have an approved permit , or va es from the approved application will be subject to a penalty of $ 250 s rovi for Section 6 . 010 of the Queensbury Sanitary Sewage ordinance Date c fc� s signature of appl l can 't On separate sheet of paper submit a diagram of the proposed septic system with all dimensions , including distance frown any structure , distance " from property line and domestic water supply , etc . Include all dim nsions of the system itself . Form 3 - 82 x S TOWN OF QUEENSSURY Building Department = norrs Report Date 117If5 2 5` Name, + ,ry �-- Location P Permit No. V � 3 �1 Weather Remarks 8xcat7 a is on Footin Forms Foot in & Piers Foundation Cement Coat Water roofin Back.fill Final SUrVe Framin 5heathin T Roof Felt Roo;Fin si din Masonr Veneer Rou h P1 a .I Reliel Valves Wall Beard Firsished Floor Interior Trim Stairs & Rai.lin s Cellar Dr . Tile Concrete Floors P f . Fixtures Gar . Fire roofin _ _ . . nvor Closers Chi zone Water Meter Inst se tic A royal Floors Foundation Insulation walls Ceiling .$UsldSng REMARKS r 1 f �ry i 0004 . a , I i I i ,,. ��