97-093 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No 97093
TAX MAP NO. 56 . -3-8 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HAGUE, BRADFORD & ANN
OWNER of property located at 36 SHERATON LANE 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
3 SHERATON LANE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
CRANDALL, CHRIS
3. CONTRACTOR or BUILDER'S Address
R.D. #1 , BOX 1376
LAKE GEORGE, NEW YORK 12845
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
SEPTIC
( 1 Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
SEPTIC ALTERATION AS PER APPLICATION
8. Proposed Use
SEPTIC ALTERATION
25 March 27 19 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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 27 Day of March 19 97
SIGNED BYçU _(IkItlLfor the Town of Queensbury
Building and Zo ing Inspector
"`` Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury Permit No. 9 7-493
Dept. of Community Development
Building &Codes Office 742 Bay Road Fee Paid $ >_c
00
Queensbury, NY 12804
Location of property for installation: //i i7,3 giclyc.. (J/—
- �/ n,
Property Owner's Name: 6 is 5L, 44 ii /109
Property Owner's Mailing Address: � �� (.51)6'q,i ,._0_7c Oy. lY y /O
i]
Installer's Name: a y,(5 p/ r r/i/ / Phone # qq3-o1-43/
Number of bedrooms (if residential): 3 Total daily flow: 456)
(residential - compute @ 150 gal./bdrm.)
Topography: flat, V rolling, steep slope % of.slape
• Soil Nature: ✓ sand, loam, clay, other /depth: . ".. 4'"' "
Ground water: at what depth? 3 feet / Bedrock or Impervious Matend.L. R t 2 5 t d pth?c3%,feet
Percolation test: not required, required [rate min�pe dith:}� - E
Domestic water supply: municipal, ✓well, other
If domestic water supply is a WELL, water supply from any septic absorption is . /0a feet.
PROPOSED SYSTEM .-
Septic tank: WOO gallon (minimum.size: 1,000 gal.)
aZi q h Tile field: each trench VfVI CS feet / Total system length: fig 7 feet
op Kr) Seepage pit(s): number of 0 / size each: ft. by ft.
Size of stone to be used: # 0 / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: 0 Size of each: _ gallons
Alarm system and associated electrical work to be inspected by a certified agency. .\
For your 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 agree to abide by these and all requirements of the Town of
Qaeensbury Sanitary Sewage Disposal Ordinance.
l
Signature of responsible person: (7-1?-,--)6(
Date: Z 02
12_ Noon
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
1
Name i _
Location
Date 7 IR 14:7 Permit # 6 7k)6/ J
SOIL TYPE: Sand-Loam-Clay- /
Results of Percolation Test-if
(if applicable) Rate-Minute/Inch> i1i -
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Le gip /213‘_
Length of each tench Virrle
Depth of trenches\
Size of stone , �l-
SEEPAGE PITS: Number- /
Size - ft. Yx ' // ft.
Stone size i '
PIPING: Size T e
Bldg. to Tank 1'4 -4-
Tank to Dist. Box z; V' `
Field/Pi e( s
Openings Sealed? 4100 No Partial
LOCATION/SEPARATI$.`° \\
Foundation to Tank \\, ) feet
Foundation to Absor Tti on\ feet
Separation of Pits t, ✓ = feet
Conforms as per Plot P1 an\ u Yes No
LOCATION OF SYSTEM/ON PROPERT :
( 1e one)
rYn- - Rear - Left Side - `Right Side
fiddle Front - Middle Rear \,
COMMENTS:
- ,. ) b nt/r radij'ePeAll,-4' -
Elavy,4. 1-et,Lid //-4/1,../.1--
2:\\
fMbh /`/,c / A,4
SYSTEM USE PPROVED: YES N0
Arrived: aVi
il
Departed:
OV—
Building Inspector
peirc TOWN OF QUEENSBURY b1
ILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name RI-VAC1.4 't-&—
Location 5(PSi
Date 41q17 Permit # q7-oq3
SOIL TYPE: Sand-Loam-Clay •
-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: •
ABSORPTION FI'LD: Totai ;Length
Length of each\trepeh
Depth of trencheV
Size of stone ".
SEEPAGE PITS: f•N umbe r-
Size - / ft. x\ ft.
Stone size /
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption _ feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
CO— 5 ahr,w/ /Ycii-fe MMENTS: S� 1-1--/�1f1,-�-.3J
jt a4r`Ir�
� . �e vs,ur-
SYSTEM USE APPROVED: NO
Arrived: 9 20''
Departed:
Building Inspector
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447 ,
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ` r4d9 ` 02
L,
Location 0 U i�� 4�
Date '' '7 /i' Permit # b?;7-0:0
SOIL TYPE: Sand-Loam-Clay- pl
Results 'of Percolation Tes$-
(if applicable) Rate-Minute/Inch
TYPE OF SSTEM:
ABSORPTION,, FIELD: • Total L ngth
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS Number- f
Size - 1, ft. x P ft.
Stone size , 1
PIPING: ' Size Type
Bldg. to Tank FJ
Tank to Dist. Bo a
Dist. Box to Field/Pitt
Openings Sealed? \ 'es No Partial
LOCATI01/SEPARATIONS`
Foundation to Tank 1 feet
Foundation to Absorption _ fee.t
Separation of Pits feet
Conforms as per Plt Plan Yes No
LOCATION OF SYSTE VONPROPERTY:
(circle one)
Front - Rear .- Left Side - Right Side
Middle Front - Muddle Rear
COMMENTS:
.4 . . ,
/// a k
re.,/o ,' /4_ Si . iv__ 4
r _ A (7:4: '- 'cr 1 1-4
SYSTEM USE PPROVED: YES iiip
Arrived: /2(
Departed:
CD,—
Building Inspector
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MAR 25 1997
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M aN►ibRoNa 4" (Mw)
j'OWN OF CUEENSBURY
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REVIEWED CY _
PATE -3 Z 7
A- ,44 tE� /4, / 9 9 7
H. THOMAS JARRETT, RL
12 East Washington St.
Glens Falls, NY 12801