1989-978 BUILDING PERMIT VW
TOWN OF QUEENSBUR`r'' No 89- 978
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++ l 'WARREN COUNTY, NEW YORKNO
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PERMISSION is hereby granted to CARL R ' S CAFE
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OWNER of property Street, Road or Ave.
located at Co i nth road / � g. Soofl>—Roe ru
in the Town of Queensbury, To Construct or place a Tem or Y'y 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.
F2.
OWNER:
WNE R'S Address is
Aviation Road Development Corp .
113 Aviation Road
CONTRACTOR or BUI LDER"S Name Vry
Dale Granger Construction O
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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)
( ) Wood Frame ( 1 Masonry l 1 Steel ( 1 tp
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7. PLANS and Specifications
No. Six 8 ' x 8 " seepage pits as per application ( TEMPORARY )
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S. Proposed Use
Temporary Sewage Alteration
s 35 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December 27 19 91 M
iI1 a longer period is required an application for an extension must be made to the Building and Zoning Inspector of the
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town of Clueensbury before the expiration date.) Ln
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Dated at the Town of Queensbury this 27th Day of December 1989 �
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SIGNED BY for the Town of Queensbury
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Building and Zoning Inspector r�1
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J�OWN OF QUEENSBURY
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i DATA / ' f RECEIVED
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DATE _ DEC ti 1989
13LDG. & CODE DEPT,
LOCATION OF PROPERTY FOR INSTALLATION ,t�7?Y-'F �� /�T �r'�'i Q4�. DE DEPT.
A VIA 7-103 j 40i446 I/ i >1�6mfL✓✓�"
Owner's Name: Z-, , AJ Telephone: _--
Address: d
Installer's Name � )I�� Telephone:
Number of bedrooms (residential only) / /A
Total daily flow {compute ( . 150 gal per bedroom) 3
Topography: Circle one: ( Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one Sand Loam Clay Other /Depth: Feet
Ground Water: At what depth? *[ZC—TrbW 2Z Feet 2zj "
Bedrock or Impervious Material: At what depth? 7t-,6Wi52).Feet
Percolation test: Circle one: not required required rate 4!:::Z min. inch.
Domestic water supply: circle one< Municipal Well Other
If domestic water supply is a we
Separation: Water supply from septic absorption feet 7,5 T,S�
�ys,T�r1 �irrtr� f�S
PROPOSED SYSTEM : Septic 'Tank gal. ( minimum size: 1 , 000 gal.) /
TILE FIELD: Each Trench feet/Total system length fee �r
SEEPAGE PIT(S): Number of 4P / Size each c' feet by feet �J
Size of stone to be used # /Depth or Thickness fee rr/� �ye� '�t
T
1 have read the regulation on the reverse side of this sheet and agree to abide by these /: 711:9k . -
and all requirements of the Town of QueensburynSa-nittaary Sew episposal Ordinance. �.
SIGNATURE OF RESPONSIBLE PERSON*
DATE:
OVER
I -P . I ,
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 tankso 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 . 000
co An approved copy of the plat 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
by submitted to the Queunsbury Building Department before further
construction .
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury . New York 12804
k�mark5 :
_lvwn o� �tteensburt�
BUILDING and ZONING DEPARTMENT
Bay and Haviiand Road, R- D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION
DATE 1 3/ PERMIT NO. l ' 74
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SOIL TYPE - Sand - Loam - Clay -
Percolation' Test Required? YES NO
Percolation rate - Min/Inch -
TYPE of SYS EM:
Absorption field , total leng h
Length of e h trench
Depth of tr ches
Size of ■3ra 1 —
SEEPAGE ?ITS Number Of)
Size- _ ft X _ ft. cit_
Gravel si_ze
PIPING : z re Type
Bldg _ to tan
Tank to list_ box
Dist_ bd= to eld/p t
openings seal ? S NO Partial
LOC.ATION/SEPA TI S :
Foundation to ft.
Foundation to rption ft-
Absorption to 1 line f t-
Separation of p 6 ft-
LOCATION OF SYS ON PROPERTY ( circle One )
Front - Rear - t side - Right side -
COMMENTS
�„�� dk! �C�C�►Id'gwt 1". i�'S /rt/�' 6'�'C�f"
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SYSTEM USE APPROVED YES NO
Building I Spector
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_loeern [,�� �upens6urt�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Z
LOCATION t —
HATE _! PERMIT NC), L' A
SOIL TYPE - Sand - Loam clay -
Percolation Test Required? SEES - NO
Percolation rate - Min/Inch .
TYPE of SYSTEM ;
Absorption field , total length
Length of each trench
Depth of trenches
size of gravel_
SEEPAGE ]'ITS{Number of)
Size-- __ft. X _ ft .
Gravel size
PIPING : Size Type
Bldg . to tank
Tank to gist . box
Dist . boy: to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATICNSc
Foundation to tank ft.
Foundation to absorption ft.
Absorption to lot line ft ,
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY (circle one )
Front - Rear - Left side - Right side -
CCMMENTS
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SYSTEM USE APPROV YES
Bui Inspector
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1 i ALL DESIGN ANU DATA TO REQUIREMENTS AND CTANOARDS OF THE
uTATE OF '.EW VCRK DEPARTMENT OF HEALTHY ,TAVDAg05 FOR
T NA'TE TREATMENT .k)RK�,, BULLETIN f• PART
SPEC IF ICAT IONS:
_00� WATER SUPPLY: INDIVIDUAL -PRIVATE TYPE
f WELL SUPPLY: 6' D I A . ]SIZE DRIVEN &/OR DRILLED WELL
t : T�LT�A U /' Ll '�T� P �.:��y\, CASED IN SOIL, GROUTED & SEALED AT JUNCTION OF
I {1/GE1 6 jT 1 / �' � CASING WITH LEDGE & DRILLED PORTION.
-- — MINIMUM CAPAC i `"! QPM.
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7011 ACr3ES" HOLE 7SAMETER
GRAVEL
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f 1p CLa_AN ,-- SAN,TAkY "-i''STEM6: 1'VCIVIOVAL-PR1"]ATE TYPE
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OR 1J? 70Ni --
PLAN RC.,ti` PRECAST CONCP.ETE TYPE AS MFQRD SAY
f',E FORT '[�fL_E. ..0., OR EQUAL.
DISTR1dUTlOti E)XE6* BUILT-1N PLACE TYPE OR FRECAET
' .Ln _ _EAL CJNCrTET_ TYPE 'A, AS ►•FGRD 3V THE FORT MILLER
.+ M1N.' Ehl 8LE _:i=_ . �0,0 OR EQUAL. i
• Y ��-_�^�° REINF CONc. TOE PRECAST COhCR[TE
Y - L' INLET P1pG LEACH PiT52
1f1iMjFT— �— i , OtlirlLS, A6 WORD BY THE: FORT MILLER CO., OR
f�•'•+AY•3TRAw OR UNTRT^ EQUAL*
I
SEWER PIPE: BtT'..Na1NO:;S-FIBER TYPE AS MFQRD BY ,
It« C-`----------- —� ! OR1►lJ SEAURG 9R EQUAL.
.. EFrECT1VE ErFFCTfvE C;AMETER �9+ i
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J-� _�••" •,' �. �. 'sad s � '� � Y�r !•+OUS£ TO •^EPTIC TANK- 14n DIA.. I31T-FIB f'ir'E AT r'
" 1 I r•e �, er Je - r ', ' 4 if ! F T PITCH M I N I MQM
MIN. CLEAN GRAVEL
t ; is x 'y ) r '•E� ,�� 7i SEPTIC TANK TO DISPOSAL- 4m DIA„ SIT -FIB PIPE AT
OF #i CRUSHED STONE
�� �41t ;,19','!FT P!TCHO MINIMUM
�ilftf ey •rl�i f ._�, ' New- s -
�' GRAVEL---,-,' ' 1. ,. �4 , Au. ! - . _ •'!` .. >. -- •{ -K-
-"'�+�-_.+fir.. `•� "[-' !-_ 1 :SjA
pull to .OIL AA
p[� 'TONE/GRAVE_: WEL► WASHED AND WELL GRAOED ROD GRAVELGECTIO OR CRUSHED STONMIN ,,.'f EN,TSSIONE•R.'' TYPIr.AL :..EA ;H P" �' = . , 7EON*`NTsi j t .• '^ .• ..:•.. A.. `' .� 'r' - .C?• _ 'i .1 -i J ..V:. ["•. .. i �.
T' #-� a�f •�' t .t '� �,1,� z.t �^a •�.r- 4,' ...T .�-_T V
a' • WATER OR: LEDGE a :+. a ! 't 1
11 *At_T-R
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1 INLET ZOutiIIN, I1 � OVTLET 3AN.TEE � j J �
S A F F L L r t, i , a. ✓ f,. `i• - f'...,t.�,
1 _— OFLVu1J POUJYJEU 1N EE i
DEPTH i �n MIN IFFn
Aif9LO�KPLANor YP1CAL SEPTIC TAM u+• . i. TEAR•T• .
.. dR'>tC si�if __�SECT1ON Or LE D BY �!M ,,1�P,.l Il.��i`� e NO.
i_ ,A 3UT ' 1 + I 11 [A;eL
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rl C WEER V, •t ,.
..- r 1 { 206 (GLEN SPREE`
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