1988-245 BUILDING PERMIT 9
TOWN OF QUEENSBURY No. 88-245
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Oril & Sharon Bashaw
OWNER of property located at Stephanie Lane Street, Road or Ave. w
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.
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1. OWNER'S Address is
Same
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2. CONTRACTOR or BUILDER'S Name
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Asphalt Maint. Co. (Brian E. Granger)
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No. existing 1000 gal. , 200' tile field as per plot plan 1D
and application. ti
8. Proposed Use1-1
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sewage alteration
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 90
(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 17th Day of May 19 88
SIGNED BY "e-_t.4 - a• for the Town of Queensbury
Building and Zoning Inspector . .
APPR
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&Urn- Of 01,latagal DA
` D � ZONING &BLD� CODES DE°i. •
APPLICATION FOR SEPTIC DISPOSAL PERMIT TO 'OF 1EN'S131SY
TOWN O!= n, EEC !''1
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DATE J � / �� U
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MAY 1 c 1938
rl BUILDING & CODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION 1 ! 5 S i C
Owners Name: (2)'(' ; 1 h oc Telephone:
Address: J ,p 6 a PP ���( �� (L iq
Installer's Name: gS';q t7 . Gro ri i Telephone: 7c/d—d J./7 7
Y is ;
Number of bedrooms (residential only) —a
Total daily flow (compute @ 150 gal per bedroom) _ "S
Topography: circle one: `Fat Rolling Steep Slope % of slope
Soil Nature: circle one: and Loam Clay Other / Depth: feet
Ground Water: At what depth? . feet
Bedrock or Impervious Material: At what depth? - feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one:c ici al Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank / gal. (minimum size: 1,000 gal.) h
TILE FIELD: Each Trench 0 feet / Total system length .QC5 feet
SEEPAGE PIT(S): Numbeo£.__ �/Sizaeachf�et bee#-
Size of stone to be used # / Depth or Thickness _ -. feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
)co .sq) �� n� ; ; -
(over)
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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 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.
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I have read the regulations above and agree to abide by these and . requirements
of the Town of Queensbury Sanitary Sewag o - ce.
Signature of responsible person:
Date: S/J 7/q•
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
•
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-" 1763 . . HOIAr BEAUTY . . "D.Pl..A I I''
.awn of Queenitury
BUILDING and ZONING DEPARTMENT
nBay and Haviland Road, R.D. 1B 98i/ G�ueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ` ,. 7 " _
LOCATION Xi .e,_ ,
//J ll-- Y_l9s
/7 / r� G�.l.
Date `/,!� � Permit No. (�C�`/!';,
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms 7�j, i"
undation �VC�1 j%
Waterproofing I..
Backfill b '
Framing /
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call , hen ready)
Remarks-
/
BuY ing Inspector
6/86 and-vl
j4e _Town o f Queeni/ ur,
r BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INS ECTION
NAME C y ( 4J) .
LOCATION
DATE -5/7 / PEERMIT NO. E���7�
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
. Percolation rate - Min/Inch
TYPE of SY TEM:
Absorption ield, total length 0 0
Length of e-ch trench 750
Depth of tre ches 2 r
Size of gray-
SEEPAGE PITS4 ber o )i
Size- f ft.
Gr. . - size
PIPING: Type
Bldg. to tank 4 Pir
Tank to dist. box P V t_
Dist. box to field/p'__ ,
Openings sealed? OP NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
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Foundation to absorp ion ft
Absorption to lot 1'ne ft
s
LOCATION OF SYSTEM ON PROPER \ (circle one)
Front - Rear - Lest side - Rig' t side -
COMMENTS:
I COO T (L
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-2c c) 1 c
SYSTEM USE APPROVED YE 0
Building Insp cto
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01/86 and vl
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