8517 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8 517
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Ralph and Janice Woodbury - Woodbury Apts. o
OWNER of property located at Linden Avenue Street, Road or Ave. phi
1-1
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 :PJ '-d
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. p,'n
1. OWNER'S Address is 46 Twicwood Lane CD
Glens Falls, New York r
N• t
a- co
O
2. CONTRACTOR or BUILDER'S Name Qp
O.
Frank Shaw Septic Service -
n
3. CONTRACTOR or BUILDER'S Address
Gansevoort, N. Y. • ¢
N
4. ARCHITECT'S Name
CD
5. ARCHITECT'S Address O
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
1500 gallon low profile septic tank, pump chamber/ U,
No. sw. alarm, dist. box, 3 seepage pits @ 4 'x8 ' s
18"/24" #3 stone per application and plot submitted
La
8. Proposed Use N
•
Sewage system for apartments
rh
CD
n
. rr
$ 10 OD PERMIT FEE PAID —THIS PERMIT EXPIRES May 21 1986 a
(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 21 St Day of May : 19 8 4
•
SIGNED BY i CL• /3 for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEFNSBURY
L/ BUILDING & ZONING DEPARTMENT TOWN Off' OL9E IuSBUR`!'
� SEWAGF DISPOSAL PERMIT APPLICATIO
1. Owner ' s Name . `,) 1984r- , y
4 bud. eV. E40r 1
Address �'°�• P�°
7lg1911.011l12)112l314J5I6
Telephone No.
2 . Property location 4,L, 7 -�
3 . Name of person or firm responsible for installing system _,,./2
_ Telephone No. 7p-3 2 I/
Address
4. Number of bedrooms (residential buildings only) 4/4
5. Daily flow /"U gallons/day
6. Septic tank capacity / gallons
7 . Topography: flat, rolling, steep .
of slope j,
8 . Nature of soil and depth -
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? 7 r ft.
10. Percolation test: A is required
B is not required
C If required what is the rate C 7 minutes/inch
11. Water supply: municipal, ell, other
12. Type of system proposed: 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 Section. 6 .010 ' of - the
Queensbury Sanitary Sewage Ordinance.
Date 0/r 51
signature of applicant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
Form 3-82
TOM OF QUEEKSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name BERo RRD
Location (4 0n E_ k
Date to LI Permit #
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone 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 feet
Foundation to Absorption _ feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
WeT t�1 1 DeA - IIRPPE'
\mw_\ \i ‘A,toLAD
SYSTEM USE APPROVED: YES NO RW-it*
Arrived: ; -Niii
Depart•. A �
i ding b p,_, tor
TONA OF QUEEWSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name cD)
Location 018 Ld rJnFt`� I\ E
Date (c'.� 5 Permit # PE v),
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone 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 feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEMS ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
M cc -kg-% �P,►���Rn
`3 LL A� tZ Gta�D�bJG
`o VI 1f US I�P�PROVED co YES ` MO
� �!\�-
��Arrived
Depar ed:
ui di 1 'pec r
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name .J�" lik Y , PG`� pv L
Location 4/Alb r, / :4-17
Permit No. P Weather
' / 7 Remarks
Excasia ton
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. VOL.,.Septic Approval (�'`
Floors
Insulation Foundation
Walls
Ceiling
1/11
Building Inspector
REMARKS
X' 1 �� -
I
I
t
t
1 0_ _
it i
1 ■
"--2 1 P G is.
'it? 0
1 \a° i d
0
..... 01
Iv:I ,>t3 ;4- c
:._ ...-. t -,<(4.;i=`- • ?°
A v
0
it r f' c'-' c'Ic k---)
I ‘4 ti
RI
x
1
I
ri
. I
i