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1986-188 BUILDING PERMIT TOWN OF QUEENSBURY Na. R6-188 SCA s 1 _v/i iO\ARREN COUNTY, NEW YORK PERMISSION is hereby granted to Rose Corlew OWNER of property located at 94 Main St. Street,Road or Ave. Sewage Alteration in the Town of Queensbury,To Construct or place a n 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 Queensburym Building and Zoning Ordinance. 1. OWNER'S Address is 94 Main St. Glens Falls, N. Y. 2. CONTRACTOR or BUI LDERS Name Sanitary Sewer Service ad 3. CONTRACTOR or BUILDER'S Address P. 0. Box 224 n Glens Falls, New York 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame 1 ) Masonry ( )Steel 1 ) m re T. PLANS and Specifications sewage alteration - replace tank 1000 gallon No. per plot and application submitted. y n CD 8. Proposed use Sewage alt. for dwelling n 7 $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 5 19 88 (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 5ythDay of May �� t:z 1986 SIGNED BY //f�fitt� c- v" for the Town of Queensbury Building and Zoning Inspector cC77 TOWN2 OF QUEE���Np8'�8;u„r _/own of Queeniburl� M I5 G E H V E U, i . ^ BUILDING and ZONING DEPARTMENT JJJ UUU Bay and Haviland Road, R.D. 1 Box 98 M IR 5 01986 Oueensbury, New York 12801 A.M w r-ee PP.M.J 718,911414111213)41516 i SEPTIC DISPOSAL/ PERMIT APPLICATION n1 Owner's Name f: (26 2yf ((fi't Vc�C•latx. (1 Tel. L� /y = I �'t. i. Address Ott I4f^I/-/ & , ( (�Jp. > - OJtr /1JJhit)d' Person/Firm installing system C1i it' IrF)pki 17.4.0tc [4441/'-c. Number of bedrooms(residential only) 7--- Total daily flow: (compute @ 150 gal.per bedroom per day)_�1O D Topography: lat rolling - steep - (circle one) Degree of slope _% Nature of soils: Oloam-clay- other- Depth ft. Ground water-- at what depth? ft. Bedrock or impervious mat 'al--at what depth? ft. Percolation Test Not required Required -Rate min/inch. Domestic Water Supply Municipal Well - Other IMPORTANT! On a separate piece of paper, submit a diagram of the proposed septic system with all dimensions; including distance from any structure, distance from property lines and distances from any domestic water supply or shore-line of lake, stream, pond or wetlands. Include all , dimensions of the system itself. Description of proposed system: Septic tank size /Obi) gal. Tile field- Lengthof each trench ft. Total field ft. Size of stone # Seepage Pit(s) Number / Size ftX__ft. Size of stone# • Any contractor, corporation, individual,Etc. , engaged in the construction of a Sanitary Sewage Disposal System, who covers the same before inspection, does not have an approved Permit, or varies from the approved application, will be subject to a Penalty of $250 as provided for in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. �j / ' t +l-ik` V�'�/C5 9'gna[ureof pIica Date 01/86 and/vl Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Oueensbury 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 ,instal '.er and a fine of up to $250.00. C. An approved copy of the plot plan shall he available•on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. ❑. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Oueensbury Buildina ❑epartment before further construction. TOWN OF QUEENSBURY Building Department Inspectors ReportDate 40 xIP G Name fje?,"/ (qr.'r;A R 4 b c On) . (Amnion (,)rubs Permit No. Co — , S Weak Remarks ExcaOtion Footin• Forms Footin• & Piers Foundation Cement Coat Water sroofin• Backfill Final Survey Framin• Sheathin• Roof Felt Roofin• Siding Mason Veneer Roush P1.• . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railin•s Cellar Dr. Tile Concrete Floors Pl.. . Fixtures Gar. Fire•roofin• Door Closers Chimne Water Meter Inst. V Se•tic A.•roval r/ Floors Foundation Insulation Walls Ceiling .r 3k2 g Inspector REMARKS SANITARY SEWER SERVICE LUZERNE RD. GLENS FALLS N.Y. PHONE 792;7257 i I s � t r y t `l i F, i Y 4 = ) i i 1