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1989-766 a l " c o P y " I CERTIFICATE C►F COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK i i Date November 13 I4 $$ I t _ � 89-7gB This is to certify that work requested to be done as shown by Permit No. has been completed. sewage alteration as per plot plan and specifications (see attached). 22 81x12' This structure may be occupied as a Location Abbey Lane i Owner Prime, Inc. (Sheraton Inn) By Order Town Board { TOWTiI-�F QU*N L3 ' C tf4F R NT OFFICER Director of Bldg. cSc Code Enforcement - - x BUILDING PERMIT TOWN OF QUEENSBURY Q No. 89-7 66 WARREN COUNTY, NEW YORK ru cm PERMISSION is hereby granted to Street, Road or Ave. OWNER of property located at A - - in the Town of Queensbury, To Construct or place a _. SEWAGE ALTFRATTClN 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. cn 1 . OWNER'S Address is S m PRINT£ INC . ABBEY LANE o z 2. CONTRACTOR or BUILDER'S Name + CONDONS SEPTIC & DRAIN 3. CONTRACTOR or BUILDER 5 Address GLENS FALLS ,Nay . 12801 4. ARCHITECT'S Name oa m r9 5. ARCHITECT'S Address M 6_ TYPE of Construction — (Please indicate by X) ( ) wood Frame I i Masonry ( ) Steel i } 7. PLANS and specifications [�+ Na. Existing Septic tank , 22 $ ` x 12 ` Seepage Pits as per Plot plan , and application . �+ S. Proposed Use �- -1 m Sewage Alteration c ffi PERMIT FEE PAID — THIS PERMIT EXPIRES XX (xxXXXX September 27ts 91 (If a longer period is required an application for an extension must be rnade to the Building and Zoning inspector of tha town of Quaensbury before the expiration date.) _ S tember �� Dated at the Town of Queensbury this Day of 89 �- for the Town of Queensbury SIGNED BY Building and Zoning lnspector UWN OF QUE• ENSBURY APPLICATION FOR ;=v SEPTIC DISPOSAL PERMIT 14 ()F EivF_'D���R DATE 5UDG• & GGO� �C: b Ct LOCATION OF PROPERTY FOR INSTALLATION Owner's Names P2 I .A"1 � t A.1 c _ Telephone: Address:S ,iG srPN-VL) x..) 1 A; Installer's Name} ry D / �S �. i �J" F r f&elephonex _ Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per Topography: Circle one: lat,,s Rolling Steep Slope % of Slope Soil Nature: Circle one: ano�/ 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 rain. inch. Domestic water supply: circle one: Municipal Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEMe Septic Tank 1S 'f jV&Agal. ( minimum size: 1 . 00n gal.) T1 L�r1I��H�M--�s`8n^h SEEPAGE PIT(S): Number of / Size each feet by ' feet Size of stone to be used # - /Drpth=,&r Thickness ;L feet I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage posal Ordinance. SIGNATURE OF RESPONSIBLE PERSON:C BATE: q 12 `} OVER 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 plat plan showing : 1 . ) the proposed location of the system 2 . ) location and distance Co loC 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 installa~ tion , alteration or repair of an approved system , a new proposal must bu submitted to the Queensbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Hay.iland Roads Queensbury , New York 12804 k� iaaark5 ; _Down o/ Queen3l urm 16 � BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INNSPECTION NAME ____ / G7Q "'' " �.s 4 =► LOCAT I ON' DATE / 1 PERMIT NO j 7 / ri I✓ SOIL TYPE - Sand - Loam - clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch,`. f TYPE of SYSTEM: �Yp Absorption field , total ength Length of each trenches Depth of trenches Size Of gravel_ _ SEEPAGE PI (Nximbe ) Size- ft . X Gravel size T PIPING : Si �Type Bldg . to tank " Tank to [list _ box _ Dist . bo]: to fie / Openings sealed? S NO artial 4 LOCATION/SEPARA IONS : Foundation to k ft- Foundationto bsrrption t. Absorption to of line t. + separation of its f t . 0 �r i.�T 4� LOCATION RTY (cir�ple one) Front -Rear t side Right side - C C24MENxS : SYSTEM USE APPROVE YES CO) Buil i Spector 01/86 and vl .�7ow1n G►F Queen3btlry BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R. D. 1 Box 98 f Oueensbury, New York 12801 ✓ SEPTIC /%DISPOSAL SYSTEM INSPECTION NAME___ LOCAT I ON DATE 1�. / PE IT Nd. SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch - TYPE of SYSTEM: . Absorption field , 'total length Length of each trerxch r Depth of trenches , P. Size of gravel zt _ SEEPAGE ;71 -ENumbe £} Size- ft. X t. Gravel ze PIPING : W3.A e Type Bldgv to tank Tank to (list . box Dist. boa: to fiel Openings sealed? Y S NO Partial LOCATION/'SEPARAT so Foundation to tangy- f t- Foundation to ab option �£t _ Absorption to l(it line £t. Separation of viis ft. LOCATION OF SY$TEM ON PROPER (circle one ) Front - Rear Left side - Rig t side - CCJMMENTS : �+ SYSTEM USE APPROVEi5r, NO BillInspector 01/86 and v1 _Jnuvn v� '�ueerrs6urt� � � ! BUILDING and ZONING DEPARTMENT fl Bay and Ha u Read, R. Q. 1 Box 9 C) ueensbury.ry, New York 1280t SEPTIC DISPOSAL. SYSTEM INSPECTION NAME LOCAT I ONI DATE /� PERMIT NO , ` 17 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch _ f r TYPE of SYSTEM: '< Absorption field , ' total length_ Length of each tr nch Depth of trenches Size of gravel_ SEEPAGE - ITS-(Number f ) Size- to }C j 7 - .►r Gravel size PIPING . 9Wz Type Bldg . to tank Tank to di St . box L Di St _ bo): to field, .1r4 ------- C7peni ngs sealed? ( Y O Partial LOCATION,/SEPARATIO Foundation to tan ft., Foundation to ab rption kft . Absorption to 1 line eft . Separation of is At 140 ATION OF SY TEM ON PROPERTY ( ircle one ) Front - Rear Left side - Right side - COMMENTS : i E SYSTEM USE APPROVED YE i} DXCI r �S' 7 Bu ding Inspector 01/86 and v1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATEfi! � / PERMIT NO , SOIL TYPE - Sand ' - Loam - Clay Percolation Test Required? YES - Q Percolation rate - Min/Inch - 3 TYPE of SYSTEM : Absorption field , total len?gi�i Length of each trench Depth of ltrenches_ Size of gravel SEEPAGE PTTS4Number f) "+�� Size- -- ft_ X Gravel size PIPING : �. ize Type Bldg _ to tank Tank to clist _ box / Dist . boa: to fie7A/ Openings sealed YES Q Partial LQCT,TIQN"'S£PA TIQNS c { Foundation t tank ft. Foundation abscrpti.on fit . Absorption o lot line Separation of pits £t. LOCATION SYSTEM ON PROPS Y (circle one) Front - av - Left side - Right side CCIMMENTS SYSTEM USE APPROVED YES NO Building Inspector 01/86 and v1 c� .Dawn a/ Q"eens �csr f' BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC ,DISPOSAL SYSTEM INSPECTION NAME LOCATION BATE / P`ERMIT NO . 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 PltS4mmmber of} Size- ft. X ft. Gravel -maize PIPING : $ize Type Bldg . to tankcc Tank to dist . box Dist . box t0 Held `� x ...,� openings sealed . YES NOo'Parti-al LOCATION/SEPARATIONS : Foundation to tank ft_ Foundation to absorption ft . Absorption to lot life t . Separation of pits 1. ft. LOCATION " ..-SYSTEM ,0N PROPER Y (circle one) Front -Ae•ar ) Lefit side - Right side - CCIMMEN9t : -r t ejl �G' J 4rl r SYSTEM USE APPROVED YES NO Build ' g Irisp ❑tor 01/86 and vl fl©w,n 0/ uee►t36rxr1�C L BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAMEjd }r2 - LOCAT I ON .j� DATE 011 //5�57 PERMIT NO. SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE o SYSTEM: Abs on field , total length Length each trench Depth of '�dtrenches Size of giigvel SEEPAGE P�*Nuimb�tof) Size- LJ f1E.._ X ft_ S_ Gravel size PIPING /bl Siz Type Bldg _ k Tank t . box Dist. fie' d/p Openinled? ; S No Partial 11 LOCAT l ARAT I Foundao t k Foundao sorptb9nAbsorpto of line ' .Separao pits ft. LOCATISTEM ON FRO ERTY (circle one) Frontr Left side - Right sideCOMMEN SYSTEM USE APPROVED YES NO Building inspector 01/86 and vl II / � ' awn v/ Queenshury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 9 Clueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION 1 e d ie i.7 DATE ' G� / PERMIT NO* � ' SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - 0 Percolation rate - Min/Inch TYPE of YSTEM: Absorpti n field , total le th Length of each trench Depth of t e 1 1 Size of gra el_ SEEPAGE PATS Numb o Size- <3 ft. X - Gravel size PIPING : Size Type Bldg . to tank Tank to disc. Dista box to f ' /pit �^ Openings seal YES NO Partial LdcATION/S RATION Foundation o tank ft. Foundatio to absarpt on ft. Absorpti to lot line ft. Separat ' n of pits ft. WCATI OF SYSTEM ON P'R ERTY (circle one) Front Rear - Left side Right side - CCmMEN 4 { dot —r e A*1 eYr e7 SYSTEM USE APPROVED "YES NO Building Inspector 01/66 and vl I SOVT+t L'Nn OF $u°iLDiN6 X-87 pAR k�'s � II � 1111 � ( 4 Z�• /�ctctr t //✓,srr.c_c ___L�_.�k�we t ' 'e�..G_. l©� oP iN . /$' f. e • �iiit cruG Lor, -- IM S r,4 c 2 Dzywe-c s oo DiA k iz' cictrT e "Y;$IeA-cr a�i c o/Ct !~.� @ �ddyC �' /Z Gat/GQy r 1920 -,Kc1GAy /J SiGt ",Dry} S�Avjt jA-rlow t _ �. J f.. u:n t1 xfjj _ ur SCALE APPROVED BY DRAWN BY J ATID!.Y !' _.t `w' ❑ATE ...Z-..� REVIgED L - 3,1 d RF,WING NU115ER - ; '���_ 1��4'jrwe Lc D�'r�frL. ..`�✓ur,4! SiDc Sysrc-.�-� `F - =,a.oR.Fr,�