1986-350 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-350
WARREN COUNTY, NEW YORK
PERMISSION is herebygrant d to King Hendrick Motel
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OWNER of property located at Route 9 e ka-of Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Sewage system for cottages moved on property F
at the above location in accordance to application together with plot plans and other information hereto filed and a.
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. H.
1. OWNER'S Address is RD #1
Lake George, New York
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2. CONTRACTOR or BUILDER'S Name Bruce Williams
Small Tyme Excavating
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name rt
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5. ARCHITECT'S Address rt
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6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( ) 1°
7. PLANS and Specifications
No. 1000 gallon tank, 2 6Tx8T seepage pits and 2 4'x'4 seepage pits
and dist. box per plot and application submitted for cottages.
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8. Proposed Use
Sewage System for rental units o r oa
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$ 10.00 PERMIT FEE PAID -THIS PERMIT EXPIRES - June 26 19 88 o rt
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the mm 0
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 26th Day of June 19 86
SIGNED BY -Gv 4t N - for the Town of
, Queensbury
Building and Zoning Inspector ui
• sown o/ QueensLry APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING.and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 TOWN OF QtSEENSEILJR?
Queensbury, New York 12801 DATE < /2. i_. ''4 ' G P
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LOCATION OF PROPERTY FOR NSTALLATION �� LAC c _ //``7��-a`�'/�, u MAY#���.Y 2 a i-I 86
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. OWNER' S NAME -71819a �.)2)3►41519
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ADDRESS r4- . c2E. ,.,„7S 8,..r TEL 179 —ot!/7
INSTALLER' S NAME ,670-11 /w4 6(01 Per* TEL GSA/ 9 o
Number of bedrooms(residential only) f7 -
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Total daily flow(compute @ 150 gal per bedroom)
Topography: Flat - Rolling - Steep slope - (circle one) % of slope
Soil nature: Sari - Loam - Clay - Other _ Depth fto
Ground' water -At what depth? //2_. - ft. .
Bed-rock or impervious m Trial -- At. what depth? A , ft.
Percolation test Not requi \
red L .Required - -Rate min-inch.
Domestic water supply- .Municipal fE3)--
Other
Separation - Watersupply(if well) from Septic absorption 330 ft.
Proposed System: ' Septic tank- /DDO gal. ( Minimun size,. 1000 gal. ) .
Tile Field = Each trench - - ft. Total system legnth _ ft. ,.,
Seepage pit(s) Number of . ' . Size each ft X 3' ft .
Size of stone to be used #i;3 Depth or thickness ( ft.
IMPORTANT! !
On a separate piece' of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure ,
distance from property lines and from ,ANY DOMESTIC WATER SUPPLY or
shore-line of lake, stream,pond or wet-lands. Include all dimensions of
the system, itself.
* * * * * * * * * * * * * * * * * * * * * * * * * .* * * * * * * * * * * *
I _.have read the regulations on the reverse side of -this sheet and agree
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to abide by these and all requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance .
YSignature of responsible person �_� c%•
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Date Sr•/Co - `cce '
05/86 and/vl ,
Section II Septic System Inspections:
A. All applicationd for septid 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 installer and a
fine of up to $250.00.
C. An approved copy of the plot plan shall be
available on the construction site. Failure
to produce said plot plan at time of inspection
may result in an immediate work stoppage.
D. Should unforeseen problems during construction
prevent proper installation, alteration or
repair of an approved system, a new proposal
must be submitted to the Oueensbury Building
Department before further construction.
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date S"
Name ter._*IV/(treni
t
Location 1. ( '
Permit No. $i -- 3.5"0 Weather
42 Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval (/' IM
\ Floors
':insulation Foundation
Walls
Ceiling
tir443A-A-'142
Building Inspector
REMARKS
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