1986-767 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-767
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Barcy Enterprises, Inc.
OWNER of property located at go Route 9—Lake George Road Street, Road or Ave.
Sewage Alteration
in the Town of Queensbury,To Construct or place a
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. t=y
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1. OWNER'S Address is Rt. 9 Lake George Road
Queensbury, NY 12801=
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2. CONTRACTOR or BUI LDER'S Name
Horning const.
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3. CONTRACTOR or BUILDER'S Address
Glens Falls, New York
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4. ARCHITECT'S Name m
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( ) Wood Frame ( I Masonry ( )Steel (- ) - _ CD-
7. PLANS and Specifications
repair broken line to drywell
No.
8. Proposed Use
Sewage system for restaurant c°Ro
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Nov. 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
5th Day of Nov. 19 86
SIGNED BY for the Town of Queensbury
Ac- l,L,S Building and Zo ing Inspector
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• 5014A of QuFPn3tar
y APPLICATION FOR SEPTIC DISPOSAL PE , T
BUILDING and ZONU G DEPARTMENT . . ,C)WN aF.QUEFt4 : L1I•
. Bay and Haviland Road. R.D. 1 Box 98E6 E !
Oueensbury, Nev, York 12801 • mu
_- ... DATE x .. • ; , .•
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LOCATION OF PROPERTY FOR INSTILLATION • Q 6a_ c
AM- 1 dre M°
OWNER'S NAME r. a• B a 3 e e s
AL
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ADDRESS
- J-A\\-L6_42.• - G.F. S - TELL
INSTALLER' S NAME •
,R -5W.u— Cow iL io TEL.
Number of bedrooms (residential .only' •
Total daily flow(compute @ 150 gal per bedroom) 3�n
Topography:(Flat)- Rolling - - Steep slope -(circle one) % of slope
• Soil nature(San)-. Loam - Clay - Other , Depth ft..
Ground water -At what depth? \ 5 ao ft.
Bed-rock or impervious material - At what depth? Poo? ft.
Percolation test - Not required - Required - -Rate min-inch.
Domestic water supply -unicipa -- Well - Other
Separation - Watersupply(if well) from Septic absorption • • ft.
• ry^ cystem: Septic tank
p gal. ( Mirimun size, 1000 gal. )
QZC �Q aP��W 1rw e_ 71-o t caA.� •
-
Tile Field - Each. trench ft . Total system legnth .' o, •t-- ft.
Seepage pit (s) Number of -3. Size. each (p ft X Oft
. Size of stone to be used f ' Depth or thickness ft.
IMP* *OR*TA* *NT ! !* * a * * * * * * .* * * * * * * * * * * * * - * * * * * * * * * *
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 .
* * * * * * * * * * * * * * * * * * * * * * * * a * * * * * * i .* * * * *
J I:G ,.'c ]'G .. t ':r' 1'E: c ^•):: -07: ti:c r,1:cr.sc £icc of tk si c):,: ogrce
to cL i c by tk . c>.d c 7 2 recui relrent s of The Tor.'n of .Queensbvry
Sanitary Se oce iispcsci Ordinance. -
Sianctvr'F: of r'c ion ble rrreel,.
05/86 and/v) •
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Section: II Septic System Inspections:
A. All applicationg 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 efore 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
PP 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.
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.
flown of Qaeeniar , '
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION •
• NAME ?G P C %&
LOCATION E 6 - 7 6 7
DATE Q /2'3 PERMIT NO. e06411
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 • YSTEM ON PROPERTY(circle one)
Front 4=1311W Left side - Right side: -
COMMENTS: 0
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66
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SYSTEM USE APPROVED YE NO
• Buil ing In ector
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01/86 and vl