1986-491 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-491
WARREN COUNTY, NEW YORK
— \Di1
PERMISSION is hereby granted to Martin Sheriden
Sherman ave.
OWNER of property located at , Street,Road or Ave.
Sewage Alteration
in the Town of Queensbury,To Construct or place a w
at the above location in accordance to application together with plot plans and other information hereto filed andH.
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is 157 Sherman ave. ro
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Morning Star Excavation
3. CONTRACTOR or BUILDER'S Address
to
Gansevoort, NY 12831 rt
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) cn
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( )Wood Frame ( ) Masonry ( 1 Steel ( 1
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7. PLANS and Specifications
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2 6'x8' seepage pits per plot and application
No. W
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8. Proposed Use
Sewage system for dwelling
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 14 1g 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 14th Day of August 1g 86
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SIGNED BY /�7aG4 v y�� for the Town of Queensbury
Building and Zoning Inspector rO
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ouwn of Qucenilurf1
BUILDING end ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 �'''�m OF �UEEN ����
Queensbury, New York 12801
RE. GE [iv E
SEPTIC DISPOSAL PERMIT APPLICATIO J2A13604911Hfivtill f Jh e_Y1 JQt\ ! ` �� :/a cala� ale
Owner ' s Name ,nib? Tell
Address 1VA-V A.//�
Person/Firm installing system /`7Z6? 7Jr//&' ,5'1 /?•
Number of bedrooms (residential only) Q" •
Total daily f l.ow: (compute @ 150 gal.per bedroom per day) 3O
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Topography. flat - rolling - steep - (circle one) Degree of slope %
Nature of soils:427
loam-clay- other- Depth ---- ft.
Ground water-- at what depth? /, -i ft.
• Bedrock or impervious material--at what depth? - --ft.
Percolation Test - Not required / Required -Rate min/inch.
Domestic Water Supply - Municipa - Weil - Other
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IMPORTANT!
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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 on wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size /04,e57 gal. •
Tile field- Length of each. trench ft. Total field ft.
Size of stone .# �7
Seepage Pit (s) Number . / Size 4/ ftX_4 ft. Size of stone_
Any contractor, corporation, ind-i:vidual,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.
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Signature of Ap scant /Date
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01/86 and/vl
Septic System Inspections:
A. All applicationd 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 ,instalier 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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i1
_town of Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION jff J�� , ' Sig ,
DATE /3/// 6 PERMIT NO. Y 6 _ 14 9 L
SOIL TYPE -4,- Loam - Clay -
Percolation est Required? YES O)
Percolation rate - Min/Inch �----�
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS-Number of) _ 52 4'c
Size- (2 ft. X </ft.
Gravel size el
PIPING: Size Type
Bldg. to tank y!i c/0
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank JO ft.
Foundation to absorption ft.
Absorption to lot line / ft.
Separation of pits .,t7 ft.1-
LOCATION ,+ YSTEM ON PROPERTY(circle one)
Front Left side - Right side -
COMMENT
I
SYSTEM USE APPROVED ES NO
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Buil ,fir ding Inspector
01/86 and vl
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