1987-009 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87-09
WA R R E AJ COUNTY, IV E W YC7 R K
PERMISSION is hereby granted to Daggetts Vending
OWNER of property located at L4 Western Avenue sDtk�y_-� Street, Road or Ave.
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in the Town of Queensbury, To Construct or place a Sewage Alteration eqq
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at the above location in accordance to application together with plot plans and other information hereto filed and (6
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. r
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1 . OWNER'S Address is 4 Western ave . ID
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Glens Falls , New YorkDo
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2. CONTRACTOR or BU1 LOE R'S Name
Adirondack Septic
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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S. ARCHITECT'S Address
S. TYPE of Construction — (Please indicate by X)
i ? Wood Frame ( ) Masonry ( 1 Steel ( 1 rD m
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7. PLANS and Specifications M
No 1000 gallon tank , dist . box and 3 seepage pits per
application submitted . m
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B. Proposed Use rt
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Sewage system for commercial building
$ 10 • 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 14 19 89
(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 data_)
Dated at the Town of Queensbury this �14th Day of /`� January 19 87
/SIGNED BY / L � 63 ftiJ.. �'_!� for the Town of Queensbury
Building and Zoning Inspector
�OWn IFOWM QF 4iE049BURY
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APPLICATION FOR SEPTIC DISPOSAL ;Z :�r
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71819
112
6181415
DATE 1 `117- j �
LOCATION OF PROPERTY FOR INSTALLATION J)e,2 c� A4 F{O , 9..
� O 'Tele hone;Owner's Name: 4 l (r �"TF a' P
Address: �-
Installer's Name: 3,� Telephone:
Number of bedrooms (residential only)
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Total daily flow (compute @ 150 gal per bedroom)
Topof raphp: circle one: lat Rolling Steep Slope % of slope _
Soil Nature: circle one: Sand Loam Clay Other / Depths _ feet
Cmaund Water: At what depth? 4 ,Z r feet ,� q
Bedrock or Impervious Material: At what depth? 1�+ feet
Percolation test: circle one: not required required / rate b - `� min. inch.
Domestic water supply: circle ones unicipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM : Septic Tankj =_ gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each 'French � � feet / Total system length _ feet
SEEPAGE PIT(S) : Number of / Size each _ feet by > feet
Size of stone to be used # _ / Depth or Thickness _ feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
I M P O R T A N T
...Pl,ease...LIST NEW EQUIPMENT TO BE INSTALI.EI]
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least Z4 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
Be 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 $250.00.
Co. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction,
I have read the regulations above and a to abide by ese and all requirements
of the Town of Queensbury Sanitary Se age Disposal ce.
Signature of responsible person: {
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Date: ��2Z . 7 & c'
"Town of Queensbury
Building and code Department
Say at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . HOME OF NATURAL BEAUTY A GOOD- PLACE TO LIVE
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BUILDING and ZO 1 Box 98
Bay and Haviland ° York,1280A
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Bay and tiia.ijand Road. 1 1
C►ueensbury, New York D. 01
SEPTIC L)I SPGSAL SYSTEM INSPECTION
i.Ln�SE_
LOCATION
1 PERMIT NQ .
PATE 1,
Cla7r - ------
SCTL - - " - Bo
TYPE and
Requiredo YES
_
Percolation - Min/Inch
percolation rate
TYPE of SXSTEMI total length
Absorption fieldr
x,ength of each trench
Depth of txenahes �����
Size of gravel of]
SEEPAGE P I`tS (L�tumla e /f t .
Size-
Gravel size Size rYPe
Bldg II, to tanl<
TanK to dirt . box -�
gist. t+ox to field/Pit J---- partial
opening alea? YES t3o
TIOES : '�f t.
�cAT IC113/SEPARA
roundation to tanit ft .
roundation to absorption
Absorption to lot line _�-ft.
f Pits - circle sane)
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$eparation T pR6PERTYt
by ,Tltl S heft side - Right side
Front Rear
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SYSTEM USE APp�3VED YES
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QUEENSBUR.Y TOWN OFFICE BUILDING
RAY AT HAVILAND ROAD
QUEENSBURY , NEN YORK , 12801
TELEPHONE : ( 518) 742-5832
January 21 , 1987
Daggett ' s Vending
4 Western Avenue
Glens Falls , New York 12801
Re : Septic Permit No . 87-09
An inspection was made of the septic system alteration on
your property . The use of the system was denied for several
reasons . Your contractor was notified that the system was un-
acceptable .
This correspondence is designed to notify you that the
system, as it exists , does not conform to Town of Queensbury
Sanitary Sewage Disposal ordinance and is not to be used .
Further information may be obtained by contacting this
office . _
Since /ely
Victor Lefebvfe
Code Enforcement officer
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SETTLED 1763 HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE