88-446 BUILDING PERMIT
TOWN OF QUEENSBURY 88-E46
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Grand Union
OWNER of property located at Upper Glen Street Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage Al terat inn
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.
h
1. OWNER'S Address is
Same
c
"
I-
2. CONTRACTOR or BUILDER'S Name
Queensbury Sewer
3. CONTRACTOR or BUILDER'S Address
RD1 - Upper Bay Road
Glens Falls, N.Y. 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) ,
7. PLANS and Specifications
existing existing
No. existing 5000 gal. tank,71000 gal. grease tank,1sewer pumps
and 600' tile field as per plot plan and application
8. Proposed Use
Sewage alteration
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 90
(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 30th Day of June 19 88
SIGNED BY 4itr-- for the Town of Queensbury
Building and Zoning Inspector
TO .V A
7 OtT ' ' ': !
J 1 of Otteatd41 .444re/
DA :41
JUN2U9BB "fir'
APPLICATION FOR SEPTIC DISPOSAL PERMIT ZONING&BLDG CODES DELI.
\BUILDING & CODE DEPT. TOWN OF QUEENSc BURY
i rt;` .
DATE ,<..-k. - Z4'1 6-.11 ..
` ,
LOCATION OF PRO ERTY FOR INSTALLATION L., - cz....„ ;„".. _,
cL--,-; �.�Owner's Name: G� vk _ (.,,.{ 11 ( 6 f--p Telephone: —
Address: ` (. pf.,..,.-},--( - (c__„_. a-- - ,
Installer's Name: \,,,4: , t - , -7‘,..-.,,..--- L._,...-t Telephone: 7r- „zi4yel--
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) _ t ► .
Topography: circle one: lat Rolling Steep Slope % of slope
.
Soil Nature: circle one: and1Loam Clay Other / Depth: feet
Ground Water: At what depth? /o ' feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: ici Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption — feet
PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length Z„..e� feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used -It '� / Depth or 'Thickness _ , feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
•
•
•
Section II 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.
•
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanit Sewage Disposal Ordinance.
P '
Signature of responsible person:
Date: 2
Town of Queensbury
Building and Code Department •
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
i
'-c .• „ L.
,,---k. 1.- - V'-----' --4.--,-----.'
1\N1 /CT /
-..i ..... '
..\.... 1 .1,11.-
1 ,
. _.,c,
.'_›1 -..L.1 : ci ,
1 ' •-•,..,,. ..
, t
, J •,.___,- ,,
,,&..1. • 21
r >. -,...... - ,t.• _ .
... ._. .,:.., ., ,1 •-,, ,
v::.=-.) ir _v- -, • \ -
I ,47.) ..... 7.., •••
! •' 'N 'r' V
I J //
. ,
I ri
,4 i:, ''Ci
\11_,.....i
. _ /.
i i I --• T ?..._...1-7..„_„.......cy,
, 1 _
,
1
, .
: 1
!
,,
i
, ,
,, ,........_, 1
1 1 ,
1 f
',.
-........:_, ,
1 . 1
1 i
,
1 I . 1
,
1 _..... ,
i t t i
i
\ 1
i
i
t,
i
—CO"At-Th/ce 0009.2,367,, . i
diL 4,1e-1
k
"lk
I
------ ... ,
64 S
. `t"Je
CI_ ._.______.___
Down of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC pposAL SYS(Igki INSPE TION
�o GVP-6
NAME_ `�
LOCATION 6:', 40//4441
LATE 7/i KERMIT NO. 8 7 .
SOIL TYPE - Sand - Loam - Clay -
?ercolation Test Required? YES -
?ercolation ra - - Min/Inch
PYPE of SYSTEM: VZ)
absorption field, total len• h
Length of each trenc , k
Depth of trenches
Size of gravel
SEEPAGE PITS{Number or
Size- ft. X _ t.
;ravel size
?IPING: Siz= ^ Vype
31dg. to tank ' 4 /,5
rank to dist. ..x F r
)ist. box to eld/per $
)penings sea -d? NO Partial
0
Y)CA.TION/S 'ARATIONS:
roundatioA to tank t.
roundatiof to absorption t.
tbsorpti• to lot line t.
3eparati4n of pits f .
LOCATION OF SYSTEM ON PROPE' (• ' - - one)
?rout - 'ear - Left side - R'- side
:OMMENTS:
efAI
}4,-)7
)
SYSTEM USE APPROVED %YES NO
Build n nspector
J1/86 and vl