1988-170 BUILDING PERMIT
H
TOWN OF QUEENSBURY
No. 88-170
WARREN COUNTY, NEW YORK
SN, 11 -?-3tp
PERMISSION is hereby granted to Michael Hayes = Daggets Vending
OWNER of property located at / W'( /-116„ et, oad 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
Same
CD
w
co
2. CONTRACTOR or BUILDER'S Name
Condon's Septic
3. CONTRACTOR or BUILDER'S Address
t1
eQ
CrQ
rf
m
4. ARCHITECT'S Name
tD
0
r•
0
erg
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by-X)
( 1 Wood Frame ( ) Masonry ( 1 Steel ( 1 r
7. PLANS and Specifications
No. 1000 gal tank, 8' x 8' dry well as per plot plan, and application C
8. Proposed Use
Sewage Alteration
cn
10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1, 1990 w
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D
town of Queensbury before the expiration date.) a
Dated at the Town of Queensbury this 21st Day of April 19 88 n
rf
N•
SIGNED BY
r f/ / P, t/G(� for the Town of Queensbury
Building and Zoning Inspector /Ire
J _ TOWN O}• C1°�.-...�.r,._ ,..
-
..7.wn fQuee44en o ;\f IJ •i
_�
APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING��R&141988 -
A, 1.\
CODE C`'r:
•\1in� r616--
DATEy//E‹ / P/
LOCATION OF PROPERTY FOR INSTALLATION. / L u —E& E ,d
Owner's Name: i/)cfl4 ./ IIA > Telephone: 7?").,-- q1(" -
Address: / �- U Z C.,/'�nl c Ef&'c
Installer's Name:«, Telephone: 79S 3 (5-/I
Number of bedrooms (residential only) '2--
Total daily flow (compute @ 150 gal per bedroom) 3no
Topography: circle one: dr Rolling Steep Slope % of slope
Soil Nature: circle one: er Loam Clay. Other / Depth: feet
Ground Water: At what Flepth? "vA feet
Bedrock or Impervious Material: At what depth? % fl/7/) feet
Percolation test: circle one: of require required /rate min. inch.
Domestic water supply: circle one: (Municipa)Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption - feet
PROPOSED SYSTEM: Septic Tank Jd QG _gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S): Number of / / Size each X feet by feet
Size of stone to be used # � / Depth or Thickness 3/ . feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * *.* * ** * * * * * * * *
(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 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. .
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person:ytgazo _ 1le Da �' ?AI('
"
Town of Queensbury
Building and Code Department , .
Bay at Haviland Road , '
Queensbury, New York 12801 .
(518) 792-5832
SETT, ED 1763 . . . ` ATURi:... BEAUTY n)0D,PI_ACE TO I.i`.F
CP/Pd41 .
�O, Ad i _loran of Queeniur , ��
I5 BUILDING and ZONING DEPARTMENT
✓ Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
IC DISPOSAL SYSTEM INSPECTION
NAME / Ct'.l'' � >1./J C��c�/d�
LOCATION .—U/,'�.P/1ir���/2-F?��4
t
DATE /4 PERMIT NO. -) r1 0
SOIL TYPE _. a• - Loam - Clay -
Percolation Test Required? YES p
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorpti•n field, total le •th
Length o' each trench'
Depth of renches
Size of gavel_
SEEPAGE P IS{Number of ' /
Size- ' it. X R' .
Gravel size .fi .,
PIPING: Size Type .
Bldg. to tan 17dc
Tank to dist. •ox ir cr
Dist. box to fi-,d/pit y er,
Openings sealed c NO Partial
LOCATION/SEPA•P TIO .
Foundation to tank /P ft.
Foundation t-• absorption c 2O ft.
Absorption ,o lot line /0 ft.
Separation of pits ft.
LOCATION 0 SYSTEM ON PROP TY(circle one)
ron R:ar - Left side - ' ht side -
COMMENTS:
SYSTEM USE APPROVE .-YE N
Build-'ng Inspector
01/86 and vl
mini HA y€s - DA( G E is u e►V)r pui Co,uLo,vs SF/o e C. J>/1,4 I 41 St44
C uevus`r43uty rV.y • °/ GLEPvs Fads ivy eZin/
c.
00
n1gw
I a I o®o aA4—
i0 ar E. t
VA f
l c) e s ;Lj- U E