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1985-508 BUILDING PERMIT TOWN OF QUEENSBURY No. s5- cos 11 rr WARREN COUNTY, NEW 'YORK PERMISSION is hereby granted to Allan. Dutson OWNER of property located at 24 Centennial Drive Street, Road or Ave_ in the Town of Queensbury, To Construct or place a Sewage Alteration 0 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. Cl C rt t. OWNER'S Address is 24 Centennial Drive 0 0 Glens Falls , New York 2_ CONTRACTOR or BUI LDE WS Name Condonts Septic and Drain Service Iv 3. CONTRACTOR or BUILDER'S Address 1p 17 Grant Ave _ rDi Glens Vallsr New York a' 4. ARCHITECT'S Name Pi d H r• 5. ARCHITECT'S Address 6. TYPE of Construction — iPlease indicate by XI I Wood Frame 1 ! Masonry i ) Steel 1 Y C!] iD 7, PLANS and Specifications Q 2 - 61x81 leaching pits with list . box per plot and m No. application submitted . R-r B. Proposed use Sewage system for dwelling FJ- a t3 $ i7 L1B PERMIT FEE PAID - THIS PERMIT EXPIRES Sept bet^ 11 19 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 Oueanslbury before the expiration date.) Dated at the Town of Queensbury this � ] I tt-h Day of Seyt _ 1985 d SIGNED BY f rr am"" a- "�"� y. for the Town of Queensbury Building and Zoning Inspecto OWN QUEENSBURY TOWN OF +�UE£NSB[3RY �(j BUILDING & ZONING DEPARTMENT !5 �` E SEWAGE DISPOSAL PERMIT APPLICATI© 5 # 1 . Owner ' s Name U 14:.0 Oki/ a.n+�; '� . aa Address /V r Telephone No . ' 2 . 'Property location 3 . Name of person or firm responsible for installing system ei�Qs i'vz)o7 V s 2>� 7 -f U S [ // Telephone No . Address fiAek vc A u l �' ' S +' Gov 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow /'� / ! gallons/day 6 . Septic tank capacity / 00 0 (,_`m) '4/ / Q '0VS gallons 7 . Topography : fla rolling , steep % of shape /�' 8 . Nature of soil and depth j�d /Jv - ` jam ( !'�,IyUC�^+ I 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 if required what is the rate minutes/inch 11 . Water supply : �icipal well , other 12 . Type of system proposed : drywall the field , other Any contractor ,. corporation , individual , etc . engaged in ' the construction of a sanitary sewage disposal system why 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 4 "` 6- _ � %&a ✓ signatu of applicant On separate sheet of paper submit a dial 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 . Form 3-82 G- r f - gox f s : TOWN OF QUEENSSURY $,nildiu# p�p�,rtsnent Iftepecaaea Repast X1ate—.� Name Permit No. —� a W r a+ar �- �'G+N l Remarks Excat>a tion Footin Forms Footin & Piers Foundation Cement Coat Water roofin Baeckfi l l Final Serve rfraa+.%n Sheathin Roof Feat Roofin Sid-In Wasonr veneer Rou h PI Relief valves Wa.].l Board Ext . Porches Finished Floor Interior Trim Stairs & Ra lin s Ce3lar Dr • Concrete Floors pl , Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Se tic A roval Floe. Foundatz on -� Xnsulation Walls Ceil3 wilding XnsPector REMARKS Al J �, �5 -- 9� � Co � ma`s S' ° ft chi pus , t CFN f £tv v firs 0fy � '1fw a1(J IV .00 Ov ke i p aim ' a 0 ti i i i i i jar t r u e f N s 0 A rU