88-008 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-08
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Canterbury Woods
V
OWNER of property located at Bay 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.
1. OWNER'S Address is E. Grahl rt
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2. CONTRACTOR or BUILDER'S Name
Breton Excavating
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address W
p.
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
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No. 1600 ft. tile field as per plot plan, specifications and application.
SEE PLANS �w
8. Proposed Use to
Sewage Alteration cu
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 18, 19 90 p
(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 18th Day of January 19 88
SIGNED BY ` &. for the Town of Queensbury
Building and Zoning Inspector /CiP
�rurlt iaianderf
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE Ai / 7- /!? / 07
LOCATION OF PROPERTY FOR INSTALLATION W• 5/Pa. ,f A 'r e.4 D
Owner's Name: V/K/A14 &72P,Q,LS S Telephone: 20f " r71 - 4-3 93
Address: /S/ 61$T' -14G./S,4 2 AYE., &, e 00b /1. Z . O fa_'✓
Installer's Name: FRAAl< 7" _7AL Telephone: 792 - 8 l
Number of bedrooms (residential only) /4 _(/'c//LcADA, .,Gf, '+U 1 S)
Total daily flow (compute @ 150 gal per bedroom) 2/D40
Topography: circle one: Flat Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: rjy feet
Ground Water: At what depth? 5 — 6, feet
Bedrock or Impervious Material: At what depth? feet
Percolation test: circle one: not required required/ rate .S min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank Zeee, gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 4 5- feet / Total system length 760 feet Cod
SEEPAGE PIT(S): Number of _ / Size each feet by feet
Size of stone to be used # 2 / Depth or Thickness _ / feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
,hre : S6 ,76 J; L.y l;' /f 17
qt4",dbeemo ek-,7-xies /7/- Se/J.4(46-4
(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 -bide by these and all requirements
of the Town of Queensbury Sanitary Sewage •osal Ordinance.
Signature of r sponsible person: y/
Date: Q
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE
etfA 1 �./VVri Lir L.RUCi-lv.3.r.. -.
t` i 1
lAPPLICATION FOR SEPTIC DISPOSAL PERMIT JAN 5 1E38
t
BUILDING & CODE %C.:=r.
r
DATE i / ,
LOCATION OF PROPERTY FOR INSTALLATION _ C4t) E "So/e y t-Jdd�S
Owner's Name: 67 /2 3 H L- Telephone:
Address: ti}f,,0 6 LI:).0 i/i-i{Si As..L
Installer's Name: (3(1...£ j p)3 1is_C-A-t/i47—i)l 6 Telephone: 7 q3 — 3oe
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: Flat Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: feet
Ground Water: At what depth? LI Y feet
Bedrock or Impervious Material: At what depth? _ feet
l! 1.2, E-�
Percolation test: circle one: not required required / rate/ min. inch.
Domestic water supply: circle one: ,4 •• :1 Well Other
IF domestic water supply is a Well: p Eta
Separation: Watersupply from Septic absorption feet �,4�I�S.P,S
PROPOSED SYSTEM: Septic Tank _gal. (minimum size: 1,000 gal.) �`ueµ'rrE p
TILE FIELD: Each Trench feet / Total system length /G 0 0 feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # 3 / Depth or Thickness 1 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 Sanitary Sewage Disposal Ordinance.
Signature of responsible person: 1. .2 c
Date: i/s/)7,),
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD,PLACE TO LIVE
_lbcun of Queen Jur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ( 1 0 ;. 1` _ j 'g_' -# d .0 1) s
LOCATION 9p \c c.- ^ 1
DATE 5� ,.5/ PERMIT NO. 0 ''Ki
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of :ach trench
Depth of t enches
Size of gra -1
SEEPAGE PITS • umber of)
Size- ft. ft. 7
Gravel size
PIPING: S'ze Type
Bldg. to tank
Tank to dist. bo
Dist. box to fiel., ,.it
Openings sealed? YES NO Partial
LOCATION/SEPARA' ONS
Foundation to rank ft.
Foundation to absorption ft.
Absorption t• lot line ft.
Separation • pits ft.
LOCATION OF SYSTEM ON PRePERTY(circle one)
Front - Re,.r - Left side Right side -
COMMENTS:
Fiftt-' i...-i‘TVOrt.60 t'c'-.5 4--1 ( . '':., r 6-e-Ti-r)
/4/ u ..1 E.I--L Wey vz.g.
,vs P 0
SYSTEM USE APPROVED YES `
-r
Bu 1 ing Inspec r
01/86 and vi
awn of Queen.iur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEMf,� �� INSPECTION
NAME (...f:ka'Tt� t3 u 2� W co o S
LOCATION \ 1-41-`-( P 4) �
DATE /LD / PERMIT NO. g0p"OU/
SOIL TYPE — Sand - oam - -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: j
sorption fief, total Ie th S )(' O
Length 0f each trench
Depth of trenches '
Size of gravel 42-- _
SEEPAGE PITS{N ` ..er of)
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit
Openings sealed? YE, NO Partial
LOCATION/SEPARATION- :
Foundation to tank ft.
Foundation to abs,,rption ft.
Absorption to to line ft.
Separation of p'ts ft.
LOCATION OF SY EM ON PROPERT' (circle one)
Front - - Left side - Rig t side
-
CCMMENTS: (1546 �5 1i oVs
FA/r(iv
j - )��sr- =•
0 IL. ToCoJ 7L i-4- Si)LtO
SYSTEM USE APPROVED YES L CO,M74��
Building Ins ector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST R INSPECTION R E ED
NAME
LOCATION
DATE C PERMIT # kn-Z2(
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER( )
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
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APPROVED By
SCALE
DRAWN BY
REVISED
DATE
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DATE
DRAWING NUMBERe.
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STOCKDRAFTING FORM No.101-63