2001-351 411TOWN OF QUEENSBURY
742 BayRoad,Queensbury, 12804-5902 (518) 761-8201
F � Q Y�
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20010351 Date Issued: Thursday, May 31, 2001
This is to certify that work requested to be done as shown by Permit Number P20010351
has been completed.
Tax Map Number: 523400-073-000-0001-018-000-0000
Location: 431 AVIATION Rd
Owner: QUEENSBURY UNION FREE SCHOOL DISTRICT
Applicant: QUEENSBURY UNION FREE SCHOOL DISTRICT
This structure may be occupied as a:
By Order of Town Board
Septic Alteration Commercial TOWN OF QUEENSBURY
'4t11-
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010351 Application Number: A20010351
Tax Map No: 523400-073-000-0001-018-000-0000
Permission is hereby granted to: OUEENSBURY UNION FREE SCHOOL DISTRICT
For property located at: 431 AVIATION Rd
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: QUEENSBURY UNION FREE SCHC Septic Alteration Commercial ''
431 AVIATION Rd Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-351 STADIUM SNACK SHACK
SEPTIC SYSTEM FOR STADIUM SNACK SHACK AS PER APPLICATION
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,May 31,2003
(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 Town u nsbu Jhur>s;A y -May 31,2001
SIGNED BY ; 'r for the Town of Queensbury.
Director of Building&Code En orcement
05/31/2001 09:54 5187426091 Q13YSGHELll5UKNll5 HAUL U2
FILE No.317 05/30 '01 PM 04:00 iP:TOWN OF QUEENSRURY FAX:518 745 4437 PAGE i
Application for Permit—Septic Disposal System `" / c
Town t f Qlicaimbmy 74211rf 1(otnl Quec,o1:,►y,NY 12801 (318)761.8356
I. OWNER INFORMATION;
Location of installation: SMOiur.4('SrJAc-4-SH 4' O to Use l_
Tax Map No. , 3 t/� / 7 �� Pile lrerruit N /I
Owner's Name': ()N sash g CC-!. c ICILIVICr. ire°Paid ,
Addren:`Pi AVia§rica imp QuE$340 g-k/,NY 1247o4
2. INSTALLER'S NAME ; 5c ADM.MA1NrEarAr,lclr craci2 ConrrAcr PHONE NO. 14i2-4020
3, RESIDENCE INFORMATION;' (circle year of dwelling.Indicate II bedroom(s)and multiply ft of
bedrooms with applicable gallons per bedroom to oqusl total dolly flew)
Year of House:___. o,of Hedrooi x Cump tpjtipg_ Total bai� Pow
980 or older. A/A- . . x 150 gnbbJnn 1.1/H4w14 t;SAGE Ala, 4 Ra_ro/2F.-oT/irt l treat'
19 -- 4 1 x 130 get/bdrnn _ S vec-v/N1.- f'/f'S «?. 0r620.4s
1991 present K. 1,10 gal/bdrtn n . /1+44 / ro,LEr 9 /srrr+t (,whose..
at74&,_tMf 2-yar ct rr /s/:wG.
Garbage Grinder Installed yea_ / no t Bu,cpr u; :445 /r400/T,#W44- Nor
Spa or whirlpool intrtallod yo9 / no ,✓" wAoltric' shvie +N [eaGFsft•04 r4e84-
4. PARCEL INFORMATION: Orate applicable information&Indicate maaiure»rants)
eitgtly S. . IMP— C1toiurd_W.nter_,_I.ledtaeh.oar_Imr+Qrxayi�e,rvlatRclnJ_ r• • Wiiter.,�uppty
'►r+r. ! al what depth al wind depth
fulling cram fc,rr feet we
Sleep slope clay fr,uell;water,r„lpply •
_%slops other from any ScplIc-.t) Ie,;,
depth; absorpfron is ft,
other
Percolation Test; (Tba be erntrplered by licensed proJessiunal engineer pr archlrrcr)
Rare: , nitnnic per Inch
5, PROPOSED SYSTEM: Tor New Censttuctleg; All Individual sewage disposal Systems mini be designed by a licensed
professional engineer or architect Widens i i tnllcd fit a Planning Matti aIiunvad subdivision). Add 25u Ohms to the ski.:
of(he septic tank and leech held for each(iacbngc Grinder,Spa ur Whiiiptiol'I'1+b,
Septic Tank: ir.PSO gallon(,,mt,size 1,000 gal,) ��
t', • '
ED
Tile Field: each trends 401 ,/t, Total System Length:
Seepage Plt(a): weber of .. . . sew nfeach: ft by ft. MAY 21 2001
Site atStott.to be u*ed: I► /depth rm rhtek,rrar
--- TOWN OF QUEENSBURY
Bed System Size; - x BUILDING AND CODE
Alternative System: _ . - length and/or site �.
6. HOLDING TANK SYSTEM: (if required)
Number of hanks: / Size of each: _gallons /TOTAL Capacity: gallons
Nola: Alarm System and associated electrical work imist be inspected by a Town approved
electrical inspection agency,
7, SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please reed)
For your protection,please note Mat pursuant to Seaton 130-29 of the Code pillar Town
of Quoenabury,any permit or approval limited which in boned;emit or in granted in
rolim+ca upon any i„ptor(e)n+ir,reprthut'nriaa or fniluro In'mkt,n materiel fact or
circ+uustnnco know„by or On behalf or nu applicant,nhnll ho void,
I have reed the regulation*with Easporlt to ilrfa nppnoatlon and agree to abide by tJieto and all
roqulromonta of tiro Town of Quoensbuty Sanitary Sewage Disposal ordinance. •
22/ 4/16/2,e1_0
g ate', f res nsible person ate
TOWN OF QUEENSBURY . 311A
BUILDING &_CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ar,,, ,UUV1,
Location rx �� 0d
Date,36- (Permit #(2),ej d
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Mi u.e/Inch
TYPE OF SYSTEM:
_ ABSORPTION FIELD: Total Length J�
Length of each trenc CO
Depth of trenches 2=y-
Size of stone .
• SEEPAGE PITS: Numbe
Size - ft. x 1111111, ft.
Stone size _
PIPING: maize Type
Bldg. to Tank � 'I"
Tank to Dist. Box At,
Dist. Box to Field/Pi,.
Openings Sealed? • ap No Partial
LOCATION/SEPARATION
Foundation to Tank �' feet
Foundation to Absorpt'on feet
Separation of Pits feet
Conforms as per Plot 'lan 40, No
LOCATION OF SYSTEM ON PROPERT :
(circle one)
Front - Rear - Left S 'de - Right Side
Middle Front - Middle Rear
COMMENTS:
.Sec ,obi
/e ei 1 t/, «X PAP!
SYSTEM USE APPROVED: jY. NO
Arrived: 3'
Departed:
(5D4'
Building Inspector
gao%UtA :._FtL9
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lip E,, ,., ,, , s,ft-CK 5L4ic
mry . 21 200i
TOWN OF Okir- a
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BUILDING & ' DE EPT.
REVIEWED BY A
DATE i ov
, O 3.1=1L WR-(6046 n 1A11 lie°I Thew i/142001 sire. iv:)KK k't u;4J
1
FORT MILLER • • Y
-', THE PORT MILLER CO. INC. < < .
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750n� 000 Gallon
Heavy ut ;4 .�_
Y;` eptic Tank
CONCRETE: 4000 PS!
REINFORCEMENT: ASTM A615-GRADE 60
ENTRAIN.:SD AIR;
ti17�EETS ASTM C890 9,0%
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4'—3" PIPE SE:,ALS PROVIDED AT ALL
PIPE CONNECTIONS SHOWN.
INLET AND OUTLET TEES
THESE I'1RE INLET KNOCKOUTS
SUPPIJEO BY CONTRACTOR
ON THR'rE SIDES FOR 4"PIPE.
TANK TAI;JK WEIGHT, LBS
SIZE OUTSIDELEVt=LD'
GALS. HEIGHT ' ' '0' ,1, • . TOP , BOTTOM TOTAL —
SECTIO.l SECTION WEIGHT
DESIGN CASE 3 750 5'-0" • 4'_0n, 4'—1M 4'.I?„ 4502 5214 9716
(TRAFFIC) �
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