1987-869 BUILDING PERMIT �
TOWN OF QUEENSBURY No. 87-869
I r WARREN COUNTY, NEW YORK
Canal Quattrone
PERMISSION is hereby gr
anted to
iSeelye Rd . , Rockhurst , Cleverdale , N . Y .
OWNER of property located at Street, Road or Ave. v�
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in the Town of Queensbury, To Construct or }glace 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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t . OWNEWS Address is Same
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2. CONTRACTOR or BUI LDE WS Name rt
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Sunsoval , Inc .
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3, CONTRACTOR or BUILDER'S Address
Cleverdale , N . Y .
4. ARCHITECT'S Name fD
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5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by XI
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I ) Wood Frame I ) Masonry { } Steel { } n
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7. PLANS and Specifications {1d
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No. 1000 Gal . Tank as per plot plan , and application �
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S. Proposed Use tD
Sewage Alteration
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$ 10000 PERMIT FEE PAID THIS PERMIT EXPIRES Dec ' 16 , 19 89 �
(If a longer period is required an application for an extension must be rrrade to the Building and Zoning inspector of the
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fawn of Queensbury before the expiration date-) �
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Dated at the Town of Queensbury this 16th Day of December 19 87
SIGNED BY .�°�7 for the Town of Queensbury �
Building and Zoning Inspector r
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f GG APPl-JCATION FOR SEPTIC DISPOSAL PERMIT � C7� � � L + 774
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DEC 49 198
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f3tJdI...0r;VG, 3c �-{:f'E f7
f DATE December 9 / 87ERT
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LOCATION OF PROPERTY FOR INSTALLATION Seelye Rd . , Cleverdale
Owner's Name: _ Carol Quattrone Telephone: 656 - 9922
Address: _ Seelve Rd . Rockhurst . Cleverdale NY 12820
Installer's Name: Sunsoval , Inc . Telephone: 656 - 9956
Number of bedrooms (residential only) _ 3 _
Total daily flow (compute @ 150 gal per bedroom) 4 50
Topography. circle one: la Rolling Steep Slope % of slope
Sail Nature: circle one: and Loam Clay Other / Depth: 5 feet
Ground Water: At what depth? 5 feet
Bedrock or Impervious Material: At what depth? over 5 feet
Percolation test: circle one: not required required / rate - min. inch.
Domestic water supply: circle one: Municipal Well Other lake _
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ 105 feet
PROPOSED SYSTEM: Septic Tank 1000 ` gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench - feet / Total system length - feet
SEEPAGE PIT(S) : Number of - / Size each - feet by - feet
Size of stone to be used # J Depth or Thickness - feet
I M P O R T A N T
,,,Please...LIST NEW EQUIPMENT TO BE INSTALLED
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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, the 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 Queenshta y Sanitary Sewage Disposal Ordinance.
Signature of responsible person:
Bate: December 9 , 19 $ 7
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SE I- TLED 1763 . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE
flown o/ �ueeres� �� rr
BUILDING and ZONING DEPARTMENT
Bay and Hav+land Road. R. D. 1 Sox 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
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LOCAT I ONE — -T - .y
DATE PERMIT NO .
SCIL TYPE - Sand - Loarn - Clay }AtJ �]
Percolation Test Regulrl YES fl
Percolation rate - Min/Inch "�✓; �—
TYPE of SYSTEM total length
Absorption field ,
I.engtb of each , ench
Depth of trenche
Size of gra I
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SEEPAGE PITS p
Size_ ft. X _ ft_ _ �-
Gravel size - -- ---
�size f Type
PIPING :
Bldga to tank.
Tank to dirt. bo
Distv box to fiel NO Partial
Openings sealed? ES
LOCATION/SEF'ARAT I ON S .
Foundation to tank it.
Foundation to abso Pti a f ft.-t
Absorption to lot line ft.
Separation of pi s ON PRO RTY car one)
Front Ofi1- Rea - Left side ig It side
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Front uu ��COMMEI3T5 : 4yj
SYSTEM USE APPROVED YES NO
B uilc3in No
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FROM 'T "E DESK OF
JOHHN A. MASON
12 / 9 / 87
Dear Mack :
Enclosed please find a copy of
the Quattrone septic system on Seelye
Road at Rock.h.u.rst _
If you have any questions , please
call .
Best ,
John
Enc .
JAM / 7 ]
SLINSOVAL, INC.
CLEVERDALE. NEW YORK 12920
518 656-9986
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