1986-713 BUILDING PERMIT
TOWN . OF. QUEENSBURY No. 86-713
WARREN COUNTY, NEW YORK
3
PERMISSION is hereby granted to Wm. and Jane Schwab
OWNER of property located at 3 Bay Parkway, Assembly Point Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage 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 RD #1
Lake George, New York
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2. CONTRACTOR or BUILDER'S Name
Adirondack Paving and Septic �w�
3. CONTRACTOR or BUILDER'S Address - S
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address .4
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6. TYPE of Construction—(Please indicate by X) 0
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( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications rt
new -dist box, new modified mound system per plot and application
No..
8. Proposed Use
Sewage system for dwelling
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0.00 October 20 88 rt
$1 PERMIT FEE PAID-THIS PERMIT EXPIRES 19 n
(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.) F.
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Dated at the Town of Queensbury this 20th .Day of October 19 86
SIGNED BY A) el for the Town of Queensbury -
Building and Zoning Inspector
•
TOWN.OF ',3 , R° I
• own of Queenitury APPLICATION FOR SEPTIC 1 P.,:S
BUILDING and ZONING DEPARTMENT s : Or
Bay and Haviland Road, R.D. 'I Box 98 • :.
Oueensbury, New York 12801 • - • OCT - 61 6
- . /� e�e .1'o . -
LOCAT I ON OF PROPERTY-FOR I NSTA"LLATION. a 1 � c �l oifI . •
s seln.. l`�g � ® e e n o n
OWNER'S NAME
ADDRESS G�ti 4•
!�� P -k TEL
INSTALLER' S NAME (1 ri.itLe 1� _k Pvk'usv—
i 4 � .t, TEL 4F1'O 3 7
- Number of bedrooms.(residential only)
Total daily f.low.(compute @ 150 gal per bedroom) 4d .
Topography . at - Rolling - Steep slope --.(circle one) % of slope
Soil nature: Sand - '!.. oa1 . .Clay - Other - Depth ft.
e
• Ground' water- -At what depth? -7 ft.
. Bed-rock. or impervious material - At what depth? . ? ft. -
Percolation test - Not required - Required - -Rate ' Ni44 min-inch.
Domestic water supply - Municipal - Well - .Other L o..r.
Separation- Watersupply(if well) from Septic absorption 1,(�4 ft.
Proposed System: Septic tank- tQb®gal. ( Minimun size, 1000,
gal. )
. . Tile Field - Each trenchgeertmt. Total system legnth .2„Z j ft.
Seepage pit(s) Number of . Size each ft X ft
Size of stone to be used # 47L Depth or thickness If ft.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * s* * * *
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
to abide by these and all requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance.
Signature .of responsible person • . - .ii 1/. _ _ ,,,,,,
. pump .
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05/86 and/v1 02.G G' L= }oi s ri •-i p •^,, �'L.-d„../•<,
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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 .Buildina 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 Queensbury Building.
Department--before further construction.
•
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Na�2 Cl-o vl5-ecw�� Cl(/`E //Al/c�i
l/ awn of Queen3 urcy
BUILDING and ZONING DEPARTMENT
OY Bay and Haviland Road, R.D. 1 Box 98
61. f Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME SC r:Uah
LOCATION R 1�grl; f .r'/Ssh , 1)/7
DATE //// w PERMIT NO. v A — 2/3
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
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) _
Size- ft. X ft.
Gravel 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 ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
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(G&c:-5 b c ,p . S`is)
Cz. aY Lime-1 tr' 7-14IC/�.
SYSTEM USE APPROVED NO
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Build ng Inspector
01/86 and vl
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