1985-455 BUILDING PERMIT
TOWN 4F QUEENSBURY No. 85- 455
f� WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to George Thompson
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OWNER of property located at 7 Amy Lane Street, Road or Ave_ D
,.q
in the Town of Queensbury, To Construct or place a
Sewage Alteration
at the above location in accordance to application together with plat plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1 . OWNER'S Address is 7 Amy Lane
Glens Falls , New York
2_ CONTRACTOR or BUILDER'S Name
Franklin. C . Shaw
3_ CONTRACTOR or BUILDER'S Address
128 Kobor Road
Gansevoort , N . Y -
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4. ARCHITECT'S Name N
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5. ARCHITECT'S Address
C!]
6. TYPE of Construction — (Please indicate by XI
l i Wood Frame i I Masonry 11 Steel ( 1
M
7, PLANS and Specifications 1 '
'1 new 6 ' x8 ' seepage pit and reconditlon 1 61x8 '
No. seepage pit per plat and application submitted *
to
r*
8. Proposed Use d
Sewage system for dwelling
$ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES August 22 tg 87
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Qusensbury before the expiration date.)
Dated at the Town of Queensbury this 22nd Day of August tg 85
r SIGNED BY (�' Cri ,L �' - - for the Town of Queensbury
,G. -
Building and Zoning Inspector
TOWN of QUEFNSBURY TOWN OF QUEENSSURY
BUILDING & ZONING DEPARTMENT F 0 E E
SEWAGF DISPOSAL PERMIT APPLICATIONH �j
1 . f?wn er ' s Name �'rY fJ �[} 19
Address�— : 7 _ 4 a. 11.0 . 1 . ?! ?) 1 1 l6
Telephone No .
2 . Property location ~'
3 . Name of person or firm responsible for installing system
Telephone No . 7Y32Ll
Address
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow gallons/day
6 . Septic tank capacity gallons
7 . 'Topography : flat rolling steep
of slope
8 . Nature of soil and depth
9 _ If ground water , bedrock or impervious material i,s apparent at what
depth does it begin? ft .
10 . Percolation test : A is required
B is not required
(:.If required what is the rate minutes/inch
11 . Water supply . CunIcIpall ell , other
12 . Type of system proposed : drywel , 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 . r/ 7
Date Y ,oo z,,,---^. C z
signature of applicant.
On separate sheet of paper submit a diaramn of the proposed septic system
with all dimensions , including distance f rom any structure , distance from
property line and domestic water supply , etc . include all dimensions of
the system itself .
/.�✓ '4&:S ' l�
Form 3- 82
TOWN OF QUEENSSURY A,01
Building- Department
ram. Rmpewt Date ° ? _
N.�
e� _--____
P=Imit No.. -I [� Weath
,�,,,4. V ke 7 " ' C�4 ` '" ' Remarks
$xcaoat on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Water roofin
Bac7c€i 11
Final Survey
Framing
sheathin
Roof Felt
Roofing
Siding
Masonry veneer
Rou h P3
Re.I3e€ Valves
Wall .Board
ext . Porches
Finished Floor
Interior Trim
Stairs & Railin s
cellar Pr . 'Tile
Concrete Floors
Pl , Fixtures
Gar . Fireproofing_.,
poor Closers
chimney
Water Meter Inst .
Septic Approyal
Floors
Insulation Foundation
Walls
Calling
Bui ding Inspector
REMARKS
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