1985-321 BUILDING PERMIT
TOWN OF QUEENSBURY _
WARREN COUNTY, NEW YORK No 8 �- 321
PERMISSION is hereby granted to George Roo
OWNER of property located at 23 MlOorwood Drive
Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Ser;aagre Alteration
at 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.
C�
Ii
F2CONTRACTOR
NER"S Address is �
23 MoorwoOd Drive ra
Glens Falls , New Yorkr
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OF 8UP LDE R 'S Name
Andy Scarpellino
3. CONTRACTOR or BUILDER'S Address
4 Seward Ave _
Glens Falls , New York_ `'`'w
4. ARCHITECT'S Name
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0
5. ARCHITECT'S Address 0
04
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TYPE of Co=!onase indicate by XIf 1I } Masonry 1 Steel ( )
LANS and Specifications
1000
No. gallon septic tank , one 6 ' xl0 ' leach tank per
plot plan and application submitted , 3y
iw� (n
a. Proposed Use ri
Sewage system. for one family dwelling w M
1-h
0
$ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES .Tune 27
1987
f of a longer per iod is re u ired a n a ,�l PexPir ti for to extension must 4e made to the Building arxf ,Zoning inspector of the
fawn of Queenstwry before the expiration date.)
Dated at the Town of Queensbury this 27th pay of ,rune 19 s 5
SIGNED BY ��a � d�1 for the Town of Queensbury
Building and Zoning nstractor
TOWN of OUFFNSBURY
BUILDING & ZONING DEPARTMENT T0WM OF QtjKWMS19tjMv
'7` zSFTr?AGF DISPOSAL PERMIT APPLICA710 E
1 . Owner ' s Name � , ,� /'
IM
Address Qc-yC2 A.M. J w
! 41ICY 11121
Telephone No .
2 . Property locatio Sq
3 . Name of person or firm responsible for installing system
_ Ad _"I0 /�l 1� i 4 4M dR 11 1 Telephone No .
AddressEA 7Z
4 . Number of bedrooms ( residential buildings only )
50 Daily flow gallons/day
6 . Septic tank capacity
gallons
7 . Topography : flat , rolling
,f"_§ teep
of slope rr� frr-
8 . Nature of soil and depth
F _
9 . If ground water , bedrock or impervious material is apparent at what -
depth does it begin? ft .
10 . Percolation test : A is required
B is not required
C 1f required what is the rate minutes/inch
11 . water supply : municipal well , other
12 . Type of system propose C2ryw� 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 Se tion 6 . 010 of the
Queensbury Sanitary
^Sewage Ordinance . /Date �1rJr� rry ��
sagnatur p scant
Can 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 .
S (f [
Form 3 - 82 �" /
TOWN OF Q EENSBURy
Bnildias p*purtmeut
Name IIIIIII c bate C � 3i
l.orca�ioe env
pit N f Weather
- Remarks
_ - Excaoa t - on
Footin Forms
Foot-in & Piers _
Foundation _
Cement Coat
Water .roofin
Backfill
Final Surve
F ran n -
Shea thi n -
Roof Felt -
Roofin
Si din _
J�fasonr Veneer _
Rou h PI
Relief Valves
Wall Board _
Wxt . Porches
Finished Floor
2nteriar Trim
Stairs & Railin Is
Cellar Dr . Tile _
Concrete Floors _
PI Fixtures _
Gar . Fire roofin _
Door Closers
Chimne
water Meter -Tnst .
Se tic A roval
Fl escsrs
XnsuZation Founwa noti �y walls
� +� unlding Inspector
4 t R
S sys
Aq
- , Qx
3 '� a► /y r co
440-00,
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