8274 • BUILDING PERMIT
TOWN OF QUEENSBURY No $2,4
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Alan F. MPrnure
OWNER of property located at _ 94 Meadowbrook Road 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.
O
1. OWNER'S Address is C).
94 Meadowbrook Road
Glens Falls, New York - m
•
2. CONTRACTOR or BUI LDER'S Name
Skip Collins • •
3. CONTRACTOR or BUILDER'S Address
Hudson Falls, New York
m
4. ARCHITECT'S Name ¢
0
5. ARCHITECT'S Address 0
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•
0
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6. TYPE of Construction—(Please indicate by X) 0-1
( )Wood Frame ( ) Masonry ( )Steel ( ) V
7. PLANS and Specifications
sewage alteration per submitted specs' •
No.
8. Proposed Use
Sewage system for dwelling
m
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 8 • 19 85 V �'
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ,y.
town of Queensbury before the expiration date.) O
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Dated at the Town-of Queensbury this 8 th Day of fPCembPr 19 8 3 rfi
SIGNED BY //iaX,,I a. „J a for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
- 9 -- ). -$- TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT OE E Q Y E
SEWAGE DISPOSAL. PERMIT APPLICATION
M �,. ��r-. DEC : 81983
1. Owner' s Namee„,..,, 47 .f.i —�--� `j6 °�. . r c ,R,
Address 7,9 ' „ 1 APd . 79-819P 12,11213141516
_. Telephone No. .77 -. ° 3
2. Property. location
__,. ,..3 . .: Name
/of person or firm responsible for installing system
%/ � � Telephone No.
Address `. ,..%, .,_i ., .
•
4. Number of-bedrooms (residential buildings only)
5. Daily flow. \ /5rj ' . gallons/day •
6 Septic tank capacity /, � gallons ...
7 . Topography: flat, rolling, steep
% of slope _ - -
•
8 . . Nature of soil and depth K ,�¢//c /c/rA 'e /k 5:79-Jb 64;g,i,/
• - 9. If ground water, bedrock or impervious;material is apparent at what
depth does it. begin? ,(p_:_/ 77t 641.4 ft.
10: Percolation test: ' A- ' is required .
.�'f_ �/ B is not required
/ _ C 'If required what is the rate '.minutes/inch=
- : 11. - Water supply: municipal well, 'other -- -
.
_ �- •P .
12 Type of system propos• ed drywell, tile field, other
Any contractor; .corporation,' individual, ,etc: engaged in the construction
_ of a sanitary sewage' disposal. system who covers the same before inspection,
does not have an approved permit, or varies from the approved application
:will. .be 'subject-.to a penalty of; $250 as Provided for ' in Sectio-n'=`6:010. of :the
• Queensbury Sanitary-Sewage- Ordinance = _ " ;
Date - -
- ..,>.:.. . : ,. . :. . , .., .: .signature Cof - applicant -
'bn ..separate sheet `'of paper 'submit a,' diagram of _the proposed.,•septic. system .
i :- - with all'dimensions," .including'."distance :from- any structure, `'distance -from .,
:`property-line 'and :domestic water' ;supply, 'etc Include, all dimensions of - -
the system :itself �. , ;
eve_4_
Form 3-82
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date J'L/ ?
Name i12 P a:42-n.e l
Location 9 y e,4" , n 4.I 'In 0 IT A--
Permit No. ` J `7 Weather
• Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
, Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures '
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval v�
Floors
Insulation Foundation
Walls
Ceiling .
Building Inspector
REMARKS
r3-t _ ,4 s-c) cZ.5 C -__
•a.-�. .... _.�_...aJ.v.r. Nn. I 4 a.V11a1.7uT3n Ln sneer tjo'x ,cou.,: Glens: 'Pa11a,° NY
PERCOLATION TEST
Loca approx.
te holes' '. . . ., . :� •
where disposal: system zs PP oPosEo ; to be located,
2.,. .:Dig a.8"' to 12" diameter hole , 24" to 36'!; deep for Tile Fields. and •
from 5'; to 8' for leach pits., (6" below:tile ,_fields & 1/2' and full"
depth for •Leach Pits. Dig holes the day before conducting .perc.tests.
3. Fill -hole with water at least 12" depth,. let seep/ away, (presoak) wait
approx. 24• hours before-conducting final perc. `tests. - •,
4. Clean bottom of hole of any loose soil: 'or. other material that may, have .,
fal;len in hole. :. `
5. Place measuring device-'in•hole, do not disturb during tests.; very. dig-
; .'
tinctly mark""the 5'" and. 6". markings, WATERPROOF means pm NAILS•
6. 7 Carefully Pour .water into hole,•"with .as •little splashing as: possible,
to the 6" depth'. ..
7. Observe and record the .time in- `minutes . for;.water.`,to drop 1 ,inch. -
(from the 6".. to the 5" mark) : : ' •
8. Repeat; test a minimum of 3 times, until the time required. for;water .
to drop the 1",- for 2 "successive .:tests'gives equal results; ,the;.last'
time is 'used `for the design basis: for the Systems:
EXAMPLE �.
Run #1 : 15 min Run #4 26 min
20 ;min 5 . 30 min.. Stabilized Rate= -±
7 .
1/3 :24 min #6 30 min - ,
. _ 30'Hin
• _ ` Would use 31 to 45 min. soil
Run No � ." ..
Time Run No. . . . Time
l�rX 0O -
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Job fi Project c �!*/c C��i4�hfew1 ,
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Location w f/O� > Op ��,dQ sTc .413!=1 4.
i Date• C/1�83 7 �.? .. _ - . : .
Depth j'n. �'./ Weather:/lbT- wA?-+� "' srLTemp. . �b �f- °F
Soil profile• .,I( G-� � �.y- tDx�y'�'G�/?�y ,,:- L
y
le a -
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,✓�A Uri : - �G��G �w70-4 ,,cE 5, p -- Viz.._ .
",--: ; ' 1' 7_: £ vi,d,r l.,H,71-" /S �". - 3��,Q. 'GA7
_ Gas `O
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