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1991-567 a - _ CERTIFICATE OF :-COMPLIANCE -TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date ,�G.(I/0'X,ita /1 19 9/ This is to certify that work requested to be done as shown by Permit No. 91®567 has been completed. This structure may be occupied as a Septic Alteration Location Rotate 9 _ Dave White Ef terpr°i ses Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg.& Code Enforcement c a x BUILDING PERMIT TOWN OF QUEENSBURY No 91-567 cn WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Log Jam Restaurant OWNER of property located at Rte 9 Street, Road or Ave. r ca in the Town of Queensbury,To Construct or place a Septic Alteration c., 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. I/f 1. OWNER'S Address is e+ Dave White - Dave White Enterprises lv 2. CONTRACTOR or BUILDER'S Name 3. CONTRACTOR or BUILDER'S Address V) 4. ARCHITECT'S Name r+ 5. ARCHITECT'S Address 0 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( I Steel ( ) 7. PLANS and Specifications No. Septic Alteration to include: 18 Seepage Pits each 10' x 8' using #3 Stone, 2' Thickness as per plot plan specifications and application 8. Proposed Use Septic Alteration $ 35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES AUGUST 14, 19 93 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this __loth Day of / /"., August 19 91 SIGNED BY /G,.{ - - for the Town of Queensbury Building and Zoning Iriector OWN OF LEEFNSBUI-i �, RECEIVED �� C TOWN OF QUEENSBURY - APPLICATION FOR SEPTIC DI�WAL8P�§§i�T Permit # �/J0' Fee Paid/L5 Q BLDG. & CODE DEPT. Date: �✓ .) - t p / Reviewed By r LOCATION OF. PROPERTY FOR INSTALLATION: �� a JcY.4v� kgXAWLY Owner' s Name: 3i -V`L LJ671'/-E .^ �i9VE LuttrlitA e'iv ?`elkflrfu &S Owner' s Mailing Address: 96 ��gyy1 IQESTUI H/� Installer s Name: C M 6` .SF -�cc� f kAt u Phone #: 79f— & / � `bp�ru s t Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom) : Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal Well Other If domestic water supply is a well - Separation: Water supply from any septic absorption feet (agea G,gy'septic, ��isflIU9 . PROPOSED SYSTEM: Septic Tank gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length feet Seepage Pit(s): Number of f$R / Size each: /0 ft. x ft. Size of Stone to be used: # !J / Depth or Thickness 2 feet ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** 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: 4:69 C t(jir`_ DATE: 53 8 2V i,4. • 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, tile 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. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: 4y TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT 5-.r1.3i l9 19C!/ PROPERTY LOCATION\ 6 OWNER OR TENANT y BUILDING SEWAGE ;(\ SIGN OTHER REMARKS: ff,, j� CuiZr7/4'(L J6J Lrt-Ce voles) J .12ifi ii:,S I /� ] ^-J7-i 1�l Ufa-^ f),cc& (LL1 L��J f�:�J I'' k-c y� 13cy, StL-P 6-R rs t '/oA C3a-C'Lc73/j c1ty- ; c�Arm mur-cgLE',FC � l—1 -_ E�IAI INSPECI4OR/ "HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE" SETTLED 1763 � - JAI 5;1 TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury,NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT 19 . - PROPERTY LOCCATION • I ivl OWNER OR TENANT • BUILDING SEWAGE SIGN OTHER I REMARKS: a ,/ EXl=Pile-VOL C i r P(lc Li i 5 ,LroA-ram.-sio 9 i= G ) fi�rf✓at ti i M 11'� r. 1 .trc; r INSPE TOy "HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE" SETTLED 1763 qi .'61 Eli Ity".WTOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT�t (,? i (�f l9 �F -FT r .7 PROPERTY LOCATION ;' c Af 1 _ Pf OWITCP OR TENANT BUILDING SEWAGE i SIGN OTHER REMARKS: - —60/4-- jas -r-PC1-- OA 60(6-S, .\,‘ 11--- SCI-Cc N2'riA4), tho-c,, 0 K ro-- cz,,,,,k_,/; fogeos, t-, ,,,, \ CAc Ior-eht)5e ricboo1 :3O & cri+ Alt 5----.J ACI-7- 1-14.c_6-s ; Are_bi\--.9 Vi: iBei7, CONTACT THIS OFFICE WITHIN .1/ -� /ram �i ----- INSPE OR s "HOME OF NATURAL BEAUTY. ..A GOOD PLACE TO LIVE" SETTLED 1763 _Jown o� Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 19 SEPTIC DISPOSAL SYSTEM INSPECTIONAr NAME Z (') C� n, 99 LOCATION � j — DATE R/Zi ?( PERMIT NO. 7, c— (� 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 ,J Size of gravel Y f SEEPAGE PITS{Number of) If Size- ft. X _ ft. / Gravel size • I • 'u PIPING: is Size .,' Type Bldg. to tank Tank to dist. box Dist. box to field/pit I. Openings sealed? YES ;' NO Partial 1, r LOCATION/SEPARATIONS:` Foundation to tank., ft. ' Foundation to abs7rlition ft. . Absorption to'lost lihe ft. Separation -of pi:ts ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear )- Left side - Right side - COMMENTS:r'> S [x • SYSTEM—ttaE -- P • /2;5-j— ///:/lei • Building nsp" ctor 01/86 and vl Own~O f Queen�bury BUILDING and ZONING DEPARTMENT Bay and Haviland Road,'R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION ' NAME WO 9914„7// 4C2 a--) - LOCATION 9 DATE ffr�ii/9/ PERMIT NO. %/— 5' ' `J 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 PITS{Nuinber of) ' ' Size- ft. ) ft. I Gravel size PIPING: Side Type Bldg. to tank Tank to dist. box , e' Dist. box to field%pit J Openings sealed? `YES/ NO Partial V LOCATION/SEPARATIONS% Foundation to tankf% ft. — Foundation to absorption _ ft. Absorption to lot lineft. Separation of pit" ft. LOCATION OF SYSTEM ON P� OPERTY(circle one) Front - Rear - Left sid - Right side - COMMENTS: y / • / Ii. CLC. \ ,. / LacA 4 R / m� �, SYSTEM USE APPROVED Y NO ( / / C. - . Building nsp ctor 01/86 and vl TOWN OF QUEENSBURY Bay at Havitand Road, Queensbury, NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT • 4)6 2-'7 19 9 ( t_c cz-\--72 - S).42-11C_ •34Srie(--,A1 PROPERTY LOCATION OWNER OR TENANT BUILDING SEWAGEJc SIGN OTHER REMARKS: CA-LCI ti 3a 1 I C) 11 /► 'i�� -;f/ri 1�raP��_ � .O 1 ,rt 6L-ri 5c& '. / y 1 i2 i—Y. —t t7; _A-S , t�Pe2l 6 : -cri f CPNIACT-TTYS`dFFTCE THIN —� ,/,„) INSPECT • "HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE" SETTLED 1763 .4111111111A • F TOWN OF QUEENSBURY �_ _�' Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT 19 ! 9 , PROPERTY LOCATION k k.) �►i C cJ OWNER OR TENANT BUILDING SEWAGE X SIGN OTHER REMARKS.:—,flak_ '54P4-fo ) tt:S ffu'.P r( h•iC7!)�G�tTT4? Di i�}Zvi F2—��✓�_ ‘ To)./ ✓Jo �Q11yr4- . 1 f iDtA (:, iO.l /.6�IZ8rP/`--1�L�Y� GQN- INSPECTOR "HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE" SETTLED 1763 _own o/ Queendburty / BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME s (f /1/j/,� ieWa, (../4 LOCATION o .j DATE Of/ ,l PERMIT 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 PITS{Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: 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 - COMMENTS: t 1 p �'c�JNn LOPiC-G:L-`5 S t O �C: )-t 1G )(LA SYSTEM USE APPROVED ;S NO Build' ng Inspector 01/86 and vl 001 row TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT 19 9. / Los G PROPERTY LOCATION OWNER OR TENANT BUILDING SEWAGE SIGN OTHER REMARKS' Cf -Ft) G IO/'1 3(2_,6 w R O)J Si 4,4c PI;0,ue- 2 4-(5-- 5 6 3 L/ U)( cauri -er & ' 7L �oc) 'o,L A_tio No-rt F 4 T..-ks o r6 t e,- n/ T/ - !'Dr A/14j JZ'GJ'rrS"l?� CONTACT—TBTS—OFFICE -N- ( Th S Q INSP- CT R "HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE" SETTLED 1763 I 01,_.-0 (0 .)-E-:--vikPg--3-- --A-ov-vi--r 1 1'a --17 1 a'Pr%C +ia?.hc P2 /J45 /,�U�� --&1) ,1 ccL 3 /1)/9;�.� if@ Li 711-- 677 ✓- (.Frz4-, AA) D c -rL iii, rt- / 1 . rLctii,u(0 iV TO C 71,ir 1t&,o.. A Snvi ror2: 1--,&& WAs iiv5 .4. -, 8v Co.,crvtcTo iz J . ~r„,,,° C TT a.:6; A -L tii Ly Po s ta. 4.. QvA.,u7---rn Z 5 o� . Gi24-4 (p)t- mit& 0 ,B5 Z-i2_0(-19 _, . • 4 pc-1 14/4 W43 4, c-7: (c7 i l--SA 12- 0 ChArriactorz_ o Ti. -1- :L&L[ C;-0fz._ NovP o L,6ALA_Lc_/ -c:(_p co r!'�Cf- L 5 0 r AS A c&i:4 Pro Pee-ril.A-5.,G--v&0 r6 a_ -/1rc--et, ay e,f4iivc I i116,I jut 2.91')L I S Air-Oct; f irsi hAJ & L.(s 41 2 50 Fr.------� TO NYS. ROUTE 9 FROM EXIST KITCHEN INKS I I 5F-WAGf-.APPLICATIO ' RA N RATE " i 1.2�6PQ/FT INV. 527 FT 1 L ENGT q OF Ai3 SORPTION FIELD . trtR�M GREASE ie = �) Ca GREASE AP 88, 1. ,; DOSING TANK 350 GAL./DOSE- 1560 LIN.F7; 2W� GAL. OUTLE s-'CE CENTER ( EI SED ON 40 EMPLOYEES) 4. `• s LENGTH OF ABSORPTIONT FIELD: - - ems•. 2 0 _ i• k/Fr /Fr CLE N UTS f A 0F - - -- --- FOR PEF�,COLATION T RE a - .. TE5 RESULTS SEE WG. A 44-4 _ )80 LIN; FT . -° r i"°►. ' -` .a .. '• •_ • - ' . - 6 K}r! TIE NT I D EXIST. SEPTIC 80XC,A.L. q4 -3 TN �5 DN'G. REPLACES t-44 - 4 . a. _i . 1 SEPTIC TANK DrSCHARGE PIPE - IM! 527FT I G Z O _ �:- , ._ "►: ,• t ar ISK PROPERTY �� to 7NRLl TRH G : -- — LINE — LOG JAM OUTLET CENTER V' �i'_ 40 Jc !� S5 I j/.V>'S /a .t ��/� FII�iT>t— Te ITT— �J - t • - �' +. t +-}_ UY, �+ _ I .+e�SS 00/i✓J7� iy �� �7,, •;-3 x Sr,,. V .r i - - -- ' I i��..l. YQl - - - _ - _ Y=a '• - •?' - 't r•.:5c q,- >ti•`n---�ci'•� L _ SELL.- 500D (o(h PVC - I s � �• ��UO � • IN. ��:..:• �r�;�;� f� �t -. ' ,� '` "`�;` r AROUND PIPE w :.- OM KITCHEN —� � - 2' J SEAL-'!% t a -G-iL ^' ;•+� 1 �� �' !!-otlo to -Ave_ D le"PIRG ` �;,i ! v Xf- t •ia r3 i N' ti T s - _ q y 2 'tr `� � R , tO DOSING F" srPrrc .E SEAL- - ANK TANK --a sF�L _ �- -� ►GN uIATE�2 47 �'{�.,.� r t`y �>VL41 330 ( STYLE •B� LbS�AKs . D/5. �}x --T ^ r , F`_ r"rY 1 DISTANCE - NK G'ryx 8'G = SYSTEM t G 3�1CR iD(o�PMr. e s E_ f E a- REST. LOW WATERLEE T • •�.:-57�'E. a . - - i �•`r!F• T _ ) ��v." *'c - '~ J i.�.5.'y t _ i - - - _ - _ - �T _.1I �� _ J/ —�— sZ 51bN� • • • - _ - - 12�%• __ yf s�'�" [. •r•►., `. +t- .: -i -� - • �: , -- : .a - l.4-(r i ER _ )8 Zo SAL ��5� T�E;4p ✓ -JI a► - - , STG1/E y , • s' i { j Y� .ilc`� 4 ` t #• �y't— �� • r �C.EY-STYl- :.�t8. SIN6.IANK �;1.� - 1' t Y I o� �; : i 5 WALL w SEPTIC DETAILS —RE STAURANT 5 1oGer�o�✓ 5rerE4 wit t xcc,67S5 Fi•;•✓TS 4J 0 1 d � •N� r 7'N v l4S 30' yvN QUE REV�EIVVED BY DATE FILE COPY a . T !.s 1 ,EEC -,� of 5y. a ..,