86-420 BUILDING PERI T
TOWN OF QUEENSBURY No. 86-420
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Lawrence and Joan King
OWNER of property located at 93 Sunnyside North Street,Road or Ave.
Sewage Alteration
in the Town of Queensbury,To Construct or place a ra
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. zv
1. OWNER'S Address is RD #1 — 93 Sunnyside North
Glens Falls, New York
N•
2. CONTRACTOR or BUILDER'S Name
Condon's Septic and Drain Service
3. CONTRACTOR or BUILDER'S Address
Grant Ave.
Glens Falls, New York
w
4. ARCHITECT'S Name Ct
sr
m
N•
5. ARCHITECT'S Address
0
ri
rt.
6. TYPE of Construction—(Please indicate by X)
(, 1 Wood Frame ( )Masonry ( )Steel ( 1
7. PLANS and Specifications
1000 gallon tank, 1 8'xl0' drywell per plot and application
No.
cn
(D
8. Proposed Use W
Sewage system for dwelling
rt
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 24 1g 88 �,
0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 24th Day of July 1g 86
SIGNED BY ! C a for the Town of Queensbury
Building and Zoning Inspector
avvn of Qt APPLICATION FOR SEPTIC DIVA l-o fiL sup '
BUILDING and ZONING DEPARTMENT
t
Bay and Haviland Road, R.D. 1 Box 98 ✓ /., L 1 --0
'-
Queensbury, New York 12801 DATE / ,
- J , 0 L
LOCATION OF PROPERTY FOR INSTALLATION /dE0 ,, P.to
RV % ¢ k B 9 2
it
OWNER' S NAME f2, fk y a ��, , ,VI k,
ADDRESS f 3 8 6"U'/1 y6 e 07 E 0i'''^7L /11 TEL 79 0/ 7
INSTALLER' S NAME ` /�d}e, -c c9/9 fCi,v ,. 1 iv SFAvick TEL Oft ` L
Number of bedrooms (residential only) --
Total daily flow(compute @ 150 gal per bedroom) -.7i,
Topography: Flat - 'olling - Steep slope - (circle one) % of slope
Soil nature: ‹17- Loam/- Clay - Other Depth ft.
Ground water -At what depth? /..i ft.
Bed-rock or impervious material - At what depth? .:,.�. � ft.
_
Percolation test -(Not required 7 Required - -Rate min-inch.
Domestic water supply - Municipal - Wel1.7 Other
Separation - Watersupply(if well) from Septic absorption 7 -, � ft.
Proposed System: Septic tank /C C(' gala( Minimun size, 1000 gal. )
Tile Field - Each trench ft. Total system legnth ft.
Seepage pit (s) Number of // . Size each ft X K ft
Size of stone to be used# .-. Depth or thickness ft.
*I ORTANT*MP * * * ! '* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
On a separate piece of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure ,
distance from property lines and from ANY DOMESTIC WATER SUPPLY or
shore-line of lake, stream,pond or wet-lands. Include all dimensions of
r
the system, itself .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
I have read the regulations on the reverse side of this sheet and agree
to abide by these and all requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance.
Signature of responsible person "'ti, . go<)/1 I , e0-1. ,/1 ,40),---N,
Date 9/1J .
-6
05/86 and/vl
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 Buildina 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, tile 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.
•
-own of Queenibur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ( L . CU(3 8„6'V\
LOCATION SUu,i s icL C IJ o,tz-t
DATE 11.I,1 /Rt., PERMIT NO. O 6 ' a 6
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, totes "---
Length of each tr h
Depth of tr - es
Size of 6ravei_
SEEPAGE PITS4Number of) /
Size- g°ft. x ,() ft.
Gravel size ' -
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit •
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /0 ft
Foundation to absorption ltO ft.i.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
!-- Moo c, i KC_.
�- to u
77 �
SYSTEM USE APPROVE. YES NO
AtIlr
Building Inspe.tor
01/86 and vl
i „....-,
- !
LO
I
i 2 1
i 7 ,
\ 7,;.; •
1 7---
• 44z,,, er,' , , .
q •,st'A'' '' 1 c_.4 , ,,(,,,,„, ,.,..;•; cz,
1 :,oi/. ..N;, Cr*-4 .----- .&1-•‘ ''''' - 31
i
k,
6 -.,. .:','.'.--".'•
\,.
' 6 )
$' 1
i Z' Xi. q4
,,-,....k
_
, .
-„,.... , ,
li .,-,,', z-,, ,, (
0,,,„ ,
k )
L____
. • • v ‘ , , ,
, _ r
- t .r
r..
C c,=Ic
,, !. q
::..,,, t''f
, 1 /
----- i ,..------..._._...... .i
1 i
b 1 5i
1 '
t ; 0
s
5,5-1 1 1
.... t 6 Stf
-4 1c4 1 ,
r-,
c't tz`'
i ,,' •,. f„,p,, --, c-
(,
,7.
b,-: 1 7
., ,to
1.,.,t
I Ii
, 7; ,,, ---, -,r1 ,•73-- (,,,,_
. 1 , 1
VCsr- AlAt ',.
:'. , IN,,`. •.:,,', r
1 ,
! A
i '•