1985-213 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85-2.13
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Arthur Almy (Groom' s Trailer Court) 8-
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OWNER of property located at Corinth Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage Alteration N•
at the above location in accordance to application together with plot plans and other information hereto filed and N•
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. �Fi
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t. OWNER'S Address is 14 Gibson Ave.
Hudson Falls, New York
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2. CONTRACTOR or BUILDER'S Name H
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same x
3. CONTRACTOR or BUILDER'S Address
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same
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) 1p
( )Wood Frame 1 )Masonry ( )Steel ( ► iq
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7. PLANS and Specifications
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No. sewage - per lILw York State Health Department specs. Irt
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B. Proposed use H-
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Sewage system for mobile homes
$ 30 AA PERMIT FEE PAID—.THIS PERMIT EXPIRES May 21 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 date.)
Dated at the Town of Queensbury this 21st Day of May 19 85
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE 6 C / ~ / dr' ~
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~~too~ '~ T~ ~ Cav/~X
LOCATION OF PROPERTY FOR INSTALLATION ~ n '` ' ? { "7'' ~ ° 'Z ~~ ~ ~ ° ~ ~ ~ ~
Owner's Name: /T ~ 7 h ~' n /~ L ~y Telephone: 7 y~ ~ • ~ ~''~ ~
Address: _ l `~ G ," Q-~G ~' Xl L L' /Cf v ~,J'o l~ lr e? t t ,l , /1~, y
Installer's Name: /9" ~T~i v I\__ ~'1 ~ n~_ Telephone:
Number of bedrooms (residential only) ~,,,
Total daily flow (compute @ 150 gal per bedroom) __~~
Topography: circle one: Fl Rolling Steep Slope % of slope _
Soil Nature: circle one: Sand oam Clay Other / Depth: _ feet
Ground Water: At what depth? ~ ~G feet
Bedrock or Impervious Material: At what depth? /~_7~ _ feet
Percolation test: circle one: not required required /rate min. inch.
Domestic water supply: circle one: Municipal Well ther
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption
feet
PROPOSED SYSTEM: Septic Tank ~~0 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet /Total system length feet
SEEPAGE PIT(S): Number of - / Size each -feet by feet
Size of stone to be used # /Depth or Thickness feet
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IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
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Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, the fields and/or drywells
B. No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agxee to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person: ~ k
Date: ~~ ~ ~~' ~~
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SE~fTLED 1763 ... HOME OF NATURAL BEAUTY ... A GOOD.PLACE TO LIVE
TOWN OF QUEENSBUR.Y
Building Department
[nspoebara Report Date
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Pang t Ni;:_ F=L 'Weather_.__
Remarks
Excatra 'ion
Footin Forms
Footin & Piers
FouncTa ti on
Cement Coat
Water roofin
Hacicfi l l
Final Surve
Frauei.n
Sheathin
Roof Felt
Roofin
Sidi
Masonr veneer
Rou h PI
Relief Valves
Waal. Hoard
Ext . Porches
Fanished Floor
?nter.ior Trim
Stairs & Railin s
Cellar Dr . 'Tile
Concrete Floors
PI Fixtures
Gar . Fare roofin -
Door Closers
Chimne
Water i�teter 1nst .
Se tic A royal
Floors
Founda ti.Dn
Insulation walls
Celli/ng
-" Huildi ig Inspector
REMARKS
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