94-332 BUILDING PERMIT
ro
TOWN OF QUEENSBURY No. 94-332os
WARREN COUNTY, NEW YORK
I w
rn
PERMISSION is hereby granted to MEADOW RUN DEVELOPMENT CORP.
OWNER of property located at Glen Lake Road 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
t�J
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
0
1. OWNER'S Address is
499 Glen Street
Glens Falls NY 12801
2. CONTRACTOR or BUILDER'S Name
td
0
ro
3. CONTRACTOR or BUILDER'S Address
z
1-3
0
4. ARCHITECT'S Name
ro
5. ARCHITECT'S Address
H
fD
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( 1 Masonry ( )Steel ( ) (1)
t.
0
7. PLANS and Specifications A)
Septic alteration to include one 1000 gallon septic tank
No.with one 8 ' xl0 ' seepage pit as per plot plan and application.
8. Proposed Use
Septic system t�
ID
rt
25 .00 June 24 96 n
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 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.) rt
(D
24th June 914
Dated at the Town of Queensbury this Day of 1
ff O
SIGNED BY for the Town of Queensbury
Building and Zoning I ctor
4 Ap. r TOWN OF QUEENSBURY /n
APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit 4/,' .
Fee Pa fi, S jU�11994
Received
Town of
Date: 3 Reviewed fay bury
6�Gh /% Idg.Dept
LOCATION OF PROPERTY FOR INSTALLATION: �Ci o.
Owner' s Name: fir% /r. L4. ./. Act
Owner' s Mailing Address: t/ G/.. �;/, ,+%t
'' // �M �� ,
Installer' s Name: (%i7', /9. L v/ Ii/.LYie., Phone #: 7ri' 'fdO0
Number of bedrooms (if residential ): ?" ��
Total daily flow (residential-compute @ 150 gal . per bedroom): li 00 6'/
Topography-Circle One: at Rolling Steep Slope % of Slope
Soil Nature-Circle One: Sand Loam Clay Other /Depth:
Ground Water-At What Depth? /0 64.«." 4)IL Feet
Bedrock or Impervious Material-At What Depth? Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch
Domestic Water Supply-Circle One: unici Well Other
If domestic water supply is a we -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank ' 7.re gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench feet//Total System Length feet
Seepage Pit(s): Number of lef / Size each: 11_ ft. x i1_�` ft.
Size of Stone to be used: # 3 / Depth or Thickness Y feet
**************
HOLDING TANK SYSTEM IF REQUIREp
No. of Tanks Size\of Each Gal .
Alarm system and associated electrical work to be inspected by a certified
agency. ****************
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of eensbury Sanitary Sewage Disposal
Ordinance.
67,41,y
SIGNATURE OF RESPONSIBLE PERSON: 1/DATE:
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
,it 64-170
Name , 4 c k:(ei`° �lih itc, `t,
Location /�, Ci /6L._
Date (J f/`,G/ Permit #
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches {
Size of stone
SEEPAGE PITS: Ni nber- /
Size - ft' x /p ft.
Stone size
PIPING: ,t 3/
Size Type
Bldg. to Tank =1 'f< ✓`lc_
Tank to Dist. Box 4'
Dist. Box to Field/ PYL.
Openings Sealed? No Partial
LOCATION/SEPARATION :
Foundation to Tanik /0 feet
Foundation to Absorp ion ___c,2o feet
Separation of Pits feet
Conforms as per/Plot P an Yes) No
LOCATION OF SYSTEM ON OPERTY:
(circle ojach .
Front - ea eft Sid -'-'.Right Side
Middle Front,- ar
COMMENTS:
SYSTEM USE APPROVED: YES NO
Arrived: /ll /c,
Departed: f/r r f`
Building Inspector
awn of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL� SYSTEM INSPECTION
NAME C WCk.
LOCATION C -6 Ai IA- I a j/'--{ )
DATE 6/477/ PERMIT NO. `V ,` /-`
SOIL TYPE - Sand - Loam - Clay -
Percolation Test 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 PITS4Number of)
Size- ft. X ft.
Gravel size
PIPING: Size r: Type
Bldg. to tank
Tank to dist. box I#
Dist. box to field/pit'.
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS: /
Foundation to tank ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
c
Z-j- IT re Alt
N&P i t-( VAl w�
ICE 7
SYSTEM USE APPROVED YES NO
Building In ector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name r_kcel f�dJ
Location 64.
Date 0://W Permi t #
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone 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 feet
Foundation to Absorption feet
Separation of Pits,- feet
Conforms as per Plot P1 an Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:,SIG <, eJ Z, Au0-4/1 ,, 4
SYSTEM USE APPROVED: YES NO
Arrived: /W
Departed: ft, u
Building Inspector
�: VIIONS BY
4
tk?
- --- — - -
77)
jj
_-� __ _._�_ �_.. ..._.. r. ..,._ .___ . __.•. _._ _. .w_..a.. _. _... /N1/� 'S"G3GGtl�?2€f Crltt.r�E' `�' --_`
C24,1G}' A-1-O!/`:% 450 CAA,.. ' ,2AY'
fIAI
All
�.
• `..; r'`".'-" � `-- .Clr 'Lri�• �.fir "
I�w � A rT k,4 67-1ew
o �
o N `
9 �✓r� ors
O _
� I
A
19✓Ar is - = P '=::,r C9 JUN 94
4 __ Received
Town of
F Queensbury
Bldg Dept
1tCC68L-
1" 4-0
BUILDING & CO DEFT. "
7 -6: ^16 4e- 46,6 REVIEWED BY
DATE .. .._ .._ ... �. 2. _-,•- ..�.`....' „ : `��,/ l
LLJ
m REQ DESCRIPTION MATERIAL DIMENSION ITEM DWG. NO.
Z • • sr � .r-- .
`" •'QR�F Sg�t"i,�[ F�� I' L.:.J c'-. i..�416 A 7
•'c`Q G, • BATE
UZALE
J • ! o • �r rG..fr' �,G:� ' /TJ {�' e'-1 . DRAWN
u
$ / 4304ZJOB
let Y,
$ "'e •••• • • SHEET
Z CRAW" , �. CHECKED DATC �
o � � F: n[c C. HardiclC; P.E.
:,� ► a. •� SO. GLENS FALLS, NEW YOU Dwa.No. OF SHEETS I
STOCKDRAFTING FOP.M NO.101•32