1985-684 BUILDING PERMIT
TOWN OF +QUEENSBURY No. 85- 684
WARREN COUNTY, NEW YORK
PERMISSION is hereby glrantadto Stefano Fasulo
OWNER of property located at 14 WinCrest Drive Street, Road or Ave.
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in the Town of Queensbury, To Construct or place a Sewa a 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. 0
1. OWNER'S Address is 14 Wincrest Drive p'
Glens Falls , New York
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2. CONTRACTOR or BUILDERS Name
Condon ' s Septic and Drain Service
3. CONTRACTOR or BUILt7EWS Address
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17 Grant Ave . t3
Glens Fallsip New York n
4. ARCHITECT'S Name CD
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S. ARCHITECT'S Address C
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6. TYPE of Construction — (Please indicate by X)
( l wood Frame I } Masonry { ) Steel ( }
7. PLANS and Specifications
300 gallon grease trap - 3 61x8t drywells ( 2 61x8 ' for }y,
No. septic and 1 6 ' x ' 6 ' for sinks and washer per plot and Q
an-plication submitted .
8, Proposed Use N
Sewage system for dwelling rt-
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S 1 n _ no PERMIT FEE PAID — THIS PERMIT EXPIRES NoV . 18 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 Queensbury before the expiration dew.)
Dated at the Town of Queensbury this _ 18 th 0 Day off November 1985
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF OUEFNSBURY -ToW t4 01F QX EV-NS'Bl. RY
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$UILDING & .ZONING DEPARTMENT � � i; �i f �'��SEWAGF DISPOSAL PERMIT APPLICATION ;: rh
� . owner s Name kA -
Address / qC L) F S tC, *
Telephone No .
2 . Property location
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3 . Name of person or firm responsible far installing system Qi s' x 3'
_�yF�� � t '�' � � � 1 ►rL.' ..� �' 1� UIC � Telephone No .
3.
Address i ''�
4 . Plumber of bedrooms ( residential buildings only) S
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 is apparent at what
depth does it begin? /' f t %
10 . Percolation test : A is reguxred
$ his not required
C If required what is the rate minutes/inch
11 . Water supply : municipal well , other
12 . Type of system proposed : drywell , 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
Queensbur Sanitary Sewage Ordinancee
Date 1171 ,5c2 ,fs ge
signatue or appli-cant
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 .
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TOWN OF QUEENSBURY
Buddies- D*Partmant
hMmctom Repast
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Pmwa Naa 5 Weather
Remarks
sxcaVa taon
Footin Forms
Foots & Piers
Fos:x2da tion
cement coat
Nate]r xoofin
Backfill
Final serve
Frami
Shea thin
,Roof Felt
Roo fin
Sidi
Masonry veneer
Rou h Px .
Relief valves
waxx Board
Sxt . Porches
Finished Floor
Interior Trim
Stairs & Railin Is
cellar vr0 Tile
Concrete Floors
PI Fixtures
Gar . Fire roofin
poor Closers
Chimne
Water Meter rust .
septic A roval
Floors
Founda tiara
.Insulation Walls
ce3.I.ir�9 �--�— —
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Building Inspector
REMARKS
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