87-136 •
BUILDING PERMIT
TOWN OF QUEENSBURY No 87_136
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Vito Cavallari
OWNER of property located at Corinth Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage Alteration for Restaurant
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at the above location in accordance to application together with plot plans and other information hereto filed and o
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is Box 4316 Corinth
Queensbury, NY 12801
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2. CONTRACTOR or BUILDER'S Name
Paul N. Naylor Jr.
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3. CONTRACTOR or BUILDER'S Address ri
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4. ARCHITECT'S Name lv
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and SpecificationsGQ
No. 800 gallon seepage pit and grease trap per plot and application
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8. Proposed Use - H
Sewage system for restaurant rw+
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 9 19 89
(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 9th Dayr of April 19 87
SIGNED BY // I CLcluoter for the Town of Queensbury
Building and Zoning Inspector s
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„Y.-n. 4°161.6, ' ip)i---
TOWN OF QUEENSEUR
APPLICATION FOR SEPTIC DISPOSAL PERMIT ` 1 l•
Lip rs II
APR 81987
DATE Apt--.1( / BUILDlN & CODE DEPT.
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LOCATION OF PROPERTY FOR INSTALLATION My, 4 2 ecrv,-h
ed
Owner's Name:\I l-b (Th Nfa. Rar) Telephone: 1 ?c -Eq(y
Address: _ L o CCXij l IL l,) s 11 U--I ) ,
Installer's Namr-eacti. 14. iv$j or j,( Telephone: ` 93 010
Number of bedrooms (residential only) \ _
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: 120 Rolling Steep Slope % of slope
Soil Nature: circle one: an Loam Clay Other / Depth: feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At th? ›(,._ feet
Percolation test: circle on : not required r quired / rate in. inch.
Domestic water supply: circl Municipal We 1 Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank //LIV 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 �_/ �c ,7„ •
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Size of stone to be used # /.--- / Depth or Thickness _ feet A PO
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
E U b S a 11(311 5e-e, aye.
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(over)
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, 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.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person:
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
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SFTTI Fri 17/q _ _ _ HOAAF (1F NATIIRAI RFAIITY _ . . A (;O(ll) PI ACF TCl I IVF
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Jocun of Queeniturcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPT DISPOSAL
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/�/('SYST INSPECTION
NAME d`/%� / YX" .
LOCATION ( ,d'/lc/✓ 0245gv 1
' DATE r7PERMIT NO. � - I3
SOIL TYPE - Sand' Loam - Clay -
Percolation Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches .
Size of gravel
SEEPAGE PITS{Number of)
Size- gt; ft. X q ft. �;; -='-"�';
Gravel size ' 2--
PIPING: Size e
Bldg. to tank L.¢ Art
Tank toraist.—b x f L L ‘
Dist. to field/.i
pings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation to tank 76 ft.
Foundation to absorption
Absorption to lot line ft.
Separation of pits ft.
LOCATION 0_ SYSTEM ON PROPERTY(circle one)
Front - 4:1110 Left side - Right side -
COMMENTS:
j -5?-be4 24.41T -
SYSTEM USE APPROVED YES NO
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Buf lding In'p'i or
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