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1989-922 BUILDING PERMIT 0 TOWN OF +QUEENSBURY Na 89- 92 WARREN COUNTY, NEW YORK v PE MISSION is hereby grant to LONG JOHN SILVER ' S rSEAFOOD SHOPPE i ~ OWNER of property located at Lai g.- Street, Road or Ave_ i � e co 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. [20. OWNER'S Address is Sanders Restaurant PO Box 1107 - Clifton Park , NY 12065 f— c CONTRACTORi or BUI LDE R S Name American Degreasing i x 3. CONTRACTOR or BUILDER'S Address to r— rM s*f rir d. ARCHITECT'S Name Cori M S. ARCHITECT'S Address to" C] 't3 TY ft"I 6. TYPE of Construction — (Please indicate by X) ( ) Wood Frame ( ) Masonry ( ) Steel ( ) r r7. PLANS and SpecifiartionsNo. Installation of Alarm SystemProposed Use f�D Sewage AlterationX CL $ _ 5 PERMIT FEE PAID — THIS PERMIT EXPIRES November M 1991 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the LOP) town of Queensbury before the expiration dare.) w Dated at the Town of Queensbury this 22nd _Day f November 79 $4 SIGNED BY for the Town of Queensbury f>y Building and oni I nspector J, TO %VN OF QU LEE NSB L►rr APPLICATION FOR IC�WN C3F 4URECEIVESgUFiY SEPTIC DISPOSAL PERM NOV BLDG. & CODE DEPT. � DATE f I LOCATION OF PROPERTY FOR INSTALLATION j2i:� 1C `�„�� y , , Owner's Name: ��{ ri , " �1e �. _ Telephone:r 26 f Address: k ' r 1 n I" � � legG% --�^' Installer's Name: anon �-c c .- 3C�� Telephoner Number of bedrooms (residential only) , Total daily flow (compute a 150 gal per bedroom) r Topography: Circle one: /V�iat Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand 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. (X Domestic water supply: circle one: Municipal Well Other if domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank gal. ( minimum size: 1 . 000 gal.) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of I Size each feet by feet Size of stone to be used # /Depth or Thickness 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 Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATEr OVER Septic System Lnspections : A . All applications for septic system installation . alteration or repair , as required by the Town of Queensbury Sanitary Sewage Ordinance , shall ba 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 anti /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 . Co. 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— tioo , alteration or rupa .i.r 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 Haviland Roads Queensbury , New York 12804 k�mark t� _ . - `}�a#ional Headquarters �,, 910 We otl.; lve.,' CollingsiNood, IYJ. Of310f3 Date f= iJCAP City, fawn or Township— J(A Jr"�ratw�+ Sir ff �'*�+ « County ,t„ Cf /x`K vq State L4cationf AdJiF dress if Located in Rural Area - Plaase•4^ttach Directions) pole # Own ` Pecim k. u �= C ccupied.As r Ae3ilding.` i�low� � , Old � Occupon WOrk Area in 13u11dln Floor #retc: for: WiringService .• o :. Head for In lciri: Fee Ramitted- $': Q Check lIM1 O. Nleke. PaY T M.D. LA. Number fiou ae. .rse 1 soa » xnoo 22"1 2500127601.30001 ; cl# gh Vgring Outlets Elect. Heat Switches ' " Nl _ Amp. Servfce-= urfaae ) )rapt Dishwasher Range : ' Lighting Water Heater Air Conditioner Dryer Pum . t _ Receptacles `. Oven Cssrbdge. Disposal Wiring and Controls for Bdr_i Num r of F"x u 74 '� Oractional H.P. 'dent Fans 5tin e+ctacles r Al Other Equipment ' MOTORS H,P, /�!. /i . 1/' 1/$- 1/6 1I$ 1/ 1/2- 3/4 : l lrls 2 .S 10 ' 15. .,2$ 25 3D i.Ll 50 75 100 Mark Number " - - . of Each Size " play A scent's - _ , }`}. •;,; . � °`C.,,_�.i ;:. � „ `rii" `-..,..,4. Signature Perrnll ,.#`� T/A r NAIyIE ! ' Applicant Address: _ ar ' (State) Service Request Phone # Ele r x#AiYE RECEI V - alN3P C 1 Era: ' Correct Location : Same as Above or: Red Notice Label uT7 U" o.- . Rough Wiring Outlets Suri`ace -Unit t3vein Switches - Rart - S s - R�ce les :-` r y r Heaterhit Fixtures ` . 1 p atfArrip. Service Equipmenx.. rner, ' CilY9 Con a. 'fai $ c Am `'Sevviev"Cbnducto ` - - , Van; s . MOTORS iiP. 20 1l12 1/14 1(a �/B 1/4 1,/8 15 2D P5' sa 5 fuierk Number !' :w r' F!av t J of Each Size! - + — Elac#. tie* so 4 zooD 12 asoo r mm rasa ssoa zssp =y. - t ' � 4 RW Progress: Inc.M t,KD _ Contractor [�CF- Wolalion: Work C. [Q ' - LfA ' Owner CASH Fee CH K # LLA _ _ _ _ MC3 © .IPA 1I�tV ' ' .: e.•kiEF k }�f l'4+�flfetiftiitlllr'Q a r `lr`1"-i aw:'" ....y w, .}^���r�lsMr7'l'19�w=t. er Cut in Card Temp" JV fie Flnat " , Data APP idATSIY It Pa"J�"FlT1Y1114r�3:`.�i14`� - .. _.... .. : . . . :::. ,. .. '. . . i . . .... . . :!. -.. L - . TOWN OF QUEENSBURY RECEIVED v AMERICAN DEGREASING p.Q• Box 4641 NOV 21 1989 Queensbury, NY 12804 BLDG. & CODE DEFT. _ (518) 793-5077 � ► /� � /'] ��'�" '�/�"r'' y''""' (�,,.+�"' T 1 ) ter/;fir L.��� i AMERICAN DEGREASING P.O. Box 4641 Queensbury, NY 12804 3 / (518) 7}93-5077yW // ZZI 1�e ' ,,od " A lov { 47.EAlov x . L I IVOV ' 7 yc do RAD�IIE JCW" !SILVERS LAKE GE iiRG E Fi D. 9URY, 14Y +2804 QUEENSBURY L 7232