1988-731 BUILDING PERMIT
TOWN OF EENSB RY
�� No. 88-731 0
° WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Michael Choppa
OWNER of property located at l ) 'Michaels Drive 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
16 Orchard Street
Glens Falls,New York 12801
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2. CONTRACTOR or BUILDER'S Name W
3. CONTRACTOR or BUILDER'S Address �d
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( ) N
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7. PLANS and Specifications ri
No. Moving existing tank rD
8. Proposed Use
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 11 19 90
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.) fD
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Dated at the Town of Queens? this l lth Day of October 19 88
SIGNED BY ( avd7 for the Town of Queensbury
Building and Zoning Inspector
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TOWN Or QUE N.SL_:: a-Wit of ateendeitl 1 P11 +
Ft? DAT.�7 r� 5 i Z
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�. PLICATION FOR SEPTIC DISPOSAL PERMIT 201111iG J. BLDG CUD '
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BUILDING & CODE DEPT. ) I 7—DATE aafe-b
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• LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: 1/6H0G—Z ci-eopm ?3— rJ 79
�������� Telephone:i-
Address: �� i�=Lfi`�/e� 57 G� %�Z
installer's Name: /V/z �/�Z C /� • Telephone: 793 — 175/ 7 y// --
_Number of bedrooms (residential only) -
Total daily flow (compute @ 150 gal per bedroom) _• �S
Topography: circle one Rolling Steep Slope • % of slope ••
Soil Nature: circle cnifrcrSzintlLoam Clay Other• / Depth: feet
Ground Water: At what depth? /t)/e k) feet
Bedrock or lugpervious Material: At what depth? ,o��� feet -
Percolation test: circle on . not required . required / rate min. inch.
• Domestic water supply: circle o Municipal ell Other
IF domestic water supply is a Well:
Separation: Watersupply from. Septic absorption feet •
PROPOSED SYSTEM: Septic Tank /poo gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet •
SEEPAGE PIT(S): Number of / Size each feet 13y feet
Size of stone to L,L2 used If / Depth or Thickness feet
• 4 4 4 4 4 4 + 4 4 ,14444444444444444444444444 4 4 4 4 4
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
• 4 4 4 4 4 4 • 4 * + * 4 4 4 * 4 * 4 444 . 4444 4 4 4 4 4 4 4 4 4 4 4 4444
• Me crew fo E. k 4)(0 .l A , - ai•
(over) •
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Section II Septic .System Inspections: •
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A. ` All ipplications for septic system installation, alteration or repair, as
,,;, ...required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be subinitted to the Building Uepartnient at least 24 hours before start
of construction and shall include a plot plan showing: .
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1.) :;the proposed location of the system
24' location and distance to lot lines
3.) ;location and distance to structures,
41.1.:location and distance to any water supply
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5.) `'size :and.diniensions of all tanks,distribution ,
,'' ::boxes, the fields and/or drywells
B. °`..1• 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
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site. Failure to produce said plot plan at time of inspec►ion may result
in an immediateWork stoppage.
D. Should unforeseen problems during construction prevent proper installation, •
r; alteration or repair of an approved system, a new proposal must be submitted
to tin- 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,Quecn::bury Sanitary Sewage Disposal Ordinance. '
Si nature of responsibleperson a
Date: -:j G2�/ dir I - •
Town of Queensbury
1 • _,Building and Code.Department '
r s Bay at Haviland !toad
Queensbury, New York. 12801
(51 R) 792-5832 •••
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M.V. CHOPPA CONSTRUCTION
GENERAL CONTRACTOR (518) 793-8379
P.O. Box 2213
Glens Falls, NY 12801
April 3, 1990
Town of Queensbury
Bay at Haviland Road
Queensbury, NY 12804-9725
Attn: Dave Hatin
Re: Inspection of Septic System, Permit no. 88-731 / 16 Michaels Dr.
Dear Sir,
In response to your letter dated March 26, 1990 concerning a septic
system inspection at 16 Michaels Drive, please find attached — Town of
Queensbury Septic Disposal System Inspection slip noting system use
approved.
Sincerely,
Michael V. Choppa
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- .awn 01 Queenibury \
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BUILDING and ZONING DEPARTMENT
Bay and HavilandRoad, R.D. 1 Box 98 i. .
Queensbury, NeN York 12801
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1:.: • SEPTIC DISPOSAL SYSTEM INSPECTION ' f
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1 ,LOCATION ./6 aEgAnNL. 1/(/r,l,v),<1;
DATE.914777/(1V PERMIT NO.
SOIL TYPE - Sand 7 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: _ . , 7
- ;, SEEPAGE PITS4NTimber of) ..._SizF7, ft. X _ •:ft. • ,
• ; , Gravel size ,
-, . . PIPING: Sizia Type , ,
• t '
• , Bldg. to tank 7 i in; t.,
Tank to dist. box . 1-1 //J.' "--- •
.;,;,.. .-..Dist. brax--ta-fiel :., ', ...-..L._______
d' Openings sealed?. (YES .. NO Partial
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LOCATION/SEPARATIONS:
Foundation to tank /----ft.
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Foundation to absorption ft.
Absorption to lot line -ft. •
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• , • Separation of pits - ft.
1 LOCATION OF SYSTEM ON PROPERTY(circle one) •
' - Front - Rear - Left side - Right side - ,
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‘L- COMMENTS: - • -
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/- No d,///ii 1_10(!(- ,
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SYSTEM USE APPROVED /YES NO /
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Building Inspector
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M.V. CHOPPA CONSTRUCTION
GENERAL CONTRACTOR (518) 793-8379
5i�� I6 2 Z, /995 P.O. Box 2213
Glens Falls, NY 12801
g /. /A5 ,/-?�'//7 /Vo, 88-63Z
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