1985-502 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85 _ 502
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to 'fire warehouse
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OWNER of property located at 15 Blyda Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Sewage Alteration w
at the above location in accordance to application together with plot plans and other information hereto filed and ri
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1 . OWNER'S Address is
15 B lvd . fD
Glens Falls , New York
2. CONTRACTOR or BUILDERS Name
Rick McGuire Excavating
3_ CONTRACTOR or BUILDER'S Address
F-'
RD # 1 Hicks Road Ln
Glens Falls , New York by
4_ ARCHITECT'S Name P
Pi
5. ARCHITECT'S Address
B_ TYPE of Construction — [Please indicate by X)
Va
I I Wood Frame l r Masonry i ) steel R r £
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7. PLANS and Specifications (D
1000 gallon septic tank, disco box and 120 ft . leach >
No. field per pleat f application submitted . m
8. Proposed Use
Sewage system for store O
$ l0 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Sept - 6 19 87
llf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Clueansbury before the expiration date.}
Dated at the Town of Queensbury this^' �6th �Day of
Sept - 19 85
SIGNED BY / /faclz ` rt - lae' � for the Town of Queensbury
Building and Zoning Inspect
TOWN OF OUFFNSBURY
TOWN c,ip QuEier,sOuRv
BUILDING & ZONING DEPARTMENT 2 GO � {� V F
SFV7AGF DISPOSAL PERMIT APPLICATI fie
l . T 1 ,/Z _ � �Owner ' s Name
Address 78 `9L� x] 1 ] :4] 1 :.
AC
Telephone No * , L'
2 . Property location [�,/� v� �-"� Gibrarfcv ✓yt '" CY'C l"i�r•-� S .
30 Name of person or firm responsible for installing system w
Telephone No . �Address
4 . Number of bedrooms( /residential buildings only )
5 . Daily flow :6 p crallons/day
6 . Septic tank capacity _ /' Csi gallons
7 . Topography : Cfi
rolling , steep
of slope
8 . Nature of soil and depth Cx ' `L t
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 : municipal , well , other
12 . Type of system proposed : drywell , file fie, 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
Queen sbury Sanitary Sewage Ordinance .
Date c' `signature ot 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 .
Form 3 - 82
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TOWING Of QUEENISBURY
BuRd'an,g Department
Lampactom Report Date
Name
PereaiR No.
Remarks
Excat�a tion
Footing Forms
Footin & Piers
Foundation
Cement coat
Waterproofing_
Ba ckfi l l
Final. Surue
Framin
Shea thin
Roof Felt
Roof-in
Siding
Ma.sonr Veneer
Rou h PI
Relief Valves
Wall Hoard
Ext . porches
Finished Flraor
Interior
Stairs & Railin s
Cellar Dr . Tile
concrete Floors
P1 Fixtures
Gar " Fire roof-in
Door Closers
Chimne
Water Meter Xnst .
Se tic A royal.
Floors
Foundation
insulation Walls
] Ceilin
xns actor
REMARKS
TOWN OF QUEENSBURY
Bulkldia,w Department
�wpeet�ora Report Date
-
P AC *bow No. 91
, ^ Wow ar
Excat}a tic�n
Foot-ingr Forms
Poot:,irkar & Piers
Founda tlon
Cement Goat
Water roofin
Bachfill
Final Sur ve
Framin
sheathincy
Roof Felt
Rovfi
Sidin
masonry veneer
Rough PI
Relief valves
Wall Board
Ext , Porches
Finished Floor
Interior Prim
Stairs & Rai.lin s
Cellar Dr . Tile
Concrete Floors
P.Lbg . Fixtures
Gar . Fire rOOfin
Door Closers
Ghimne
Water Meter _Tnst .
Septic Approval
Floors
Snsulation Foondation �
Walls
ceiling--
1.aL�j Building Inspector
REMARKS
I>70 49*
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