98-715 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 98715
TAX MAP NO. WARREN COUNTY, NEW YORK
) 1O . 1 - / .01-5
PERMISSION is hereby granted to BOYCHUK, AL, MARIKA,
OWNER of property located at —' "' n LDCZ RD. 3L, `\ �, 4 L Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SEPTIC 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.
1. OWNER'S Address is
ADRIANNA, LARISSA & LYDIA 35 ORCHARD DR.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
QUEENSBURY SEWER
3. CONTRACTOR or BUILDER'S Address
JAY SWEET
0
4. ARCHITECT'S Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
SEPTIC
( )Wood Frame 1 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
SEPTre•ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
$ 35 2000
PERMIT FEE PAID —THIS PERMIT EXPIRES November 13 19
(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 13 Day of November 19 1998
SIGNED BY 11111160443., for the Town of Queensbury
;uilding and Zoning Inspector
/% TOWN OF QUEENSBURY
Iwo 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P8715 Application Number: 98715
Tax Map No: 523400-303-015-0001-006-000-0000
Permission is hereby granted to: J. ALLEN FURNITURE
For property located at: 36 DIX Ave
in the Town of Queensbury, to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: OMALL FAMILY LIMITED PARTN
35 ORCHARD Dr Septic Alteration Commercial
QUEENSBURY,NY 12804 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
OUEENSBURY SEWER
JAY SWEET
Plans & Specifications
98-715 J.ALLEN FURNITURE
SEPTIC ALTERATION AS PER APPLICATION
$35.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,November 13, 1999
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To n of een/ V F 'a ��� : mber 13, 1998
SIGNED BY \. for the Town of Queensbury.
Director of Building& Code Enforcement
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury
Dept. of Community Development Permit No. S "' I
Building &Codes Office
742 Bay Road I1 pM r r Fee Paid
Queensbury, NY 12804
Location of property for installation: X a 0 e : (L)P,(6-)-e
t o
Property Owner's Name: Cx /
Qy
Property Owner's Mailing Address: ( , a' 0
Installer's Name: ( kto Naq u CAI Phone # / -„ $ c (f g'
Number of bedrooms (if residential): Total daily flow:
(residential - compute @ 150 gal./bdrm.)
Topography: ' flat, rolling, steep slope % of slope
Soil Nature: sand, X loam, clay, other /depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: not required, X required [rate 7 min. per inch J
Domestic water supply: (e municipal, well, other
If domestic water supply is a WFT.T,, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tan�d o gallon (minimum size: 1,000 gal.)
Tile field: each trench A 0 feet / Total system length: 6 C feet
Seepage pit(s): number of / size each: - ft. by ft.
Size of stone to be used: #41 2 / depth or thickness / feet
•
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
(Alarm system and associated electrical Rork to be inspected by a certified agency.)
For yot=protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and rise to abide by these and all requirements of the Town of
Queensbury SAnifAry Sewage Disposal Ordinance. 1
Signature of responsible person: f —
o po pe Date: // /Z
TOM OF QUEENSBURY
BUILDING b CODE ENFORCEMENT -
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
• Ty)LAName Location ID ,<-, . /z
Date 11-1 Permit # /i3
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) 'Zate-'Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each tr- ch •> (0- zr E.NO
Depth of trenches L
Size of stone
SEEPAGE PITS: N • -r-
Size - . x
Stone size
PIPING: Size Type
Bldg. to Tank Liv, C.P.-Tc--C'D hi.H Lj
Tank to Dist. Box v�\%
Dist. Box to Field/Pit
Openings Sealed? 400010 No_ Partial
LOCATION/SEPARATII ' .
Foundation to Tank feet
Foundation to Absorption 7 D feet
Separation of Pits feet
Conforms as per Plot P1 an es No
LOCATION OF SYSTEM ON PROPE .
(circle one)
Front - Rear - Left Side - Right Side
Middle Frontddlle Rear
COMMENTS:
6‘1 _e_.1. tAL,
Dt \Vb-7\-TILL. \C �
SYSTEM USE APPROVED: YES NO
Arrived:
Depart
i i g sector