1999-347 •
BUILDING PERMIT .
VALUE $ la TOWN OF QUEENSBURY No 99347
TAX MAP NO. 93 .—2-11 . 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HOMESTEAD VILLAGE L.P.
OWNER of property located at LOT 66 HOMESTEAD VILLAGE Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SEPTIC 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
4294 ROUTE 5
CALEDONIA, NY 14423
2. CONTRACTOR or BUILDERS Name -
ADVANCE EXCAVATING:
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
•
5. ARCHITECTS Address
•
6. TYPE of Construction—(Please indicate by X)
SEPTIC
( 1 Wood Frame ( I'Masonry ( )Steel ( )
7. PLANS and Specifications . .
SEPTIC. ALTERATION AS PER. PLOT PLAN.. SPECIFICATIONS
8. Proposed Use
SEPTIC .ALTERATION
25 • - June. 14 . 2001
$ . PERMIT FEE PAID =THIS PERMIT EXPIRES .. 19
(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.) •
14- - - . . June. 1999
Dated at the Town of Queensbury this - Day of 19
SIGNED BY ' for the Town of Queensbury
Building and Zoning Inspector
Application for SEPTIC DISPOSAL, PERMIT •
Town of Queensbury Dept. of Community Development Permit No.W--3z7
Building &Codes Office
742 Bay Road Fee Paid ;:2 .
Queensbury, NY 12804 t (. (' ' ,
J
Location of property for installation: /l'M;.e j (,p g(at Ij.57x iQ - •
Property Owner's Name: /4 fi- o)-d,o,4 r; (4Ir. a / /, er e2-7-tO 11. lAl L
Property Owner's Mailing Address: Phone # r7•� <4/10 f j J J7r r
�rj)
Installer's Name: Av UfW(;l- ^ 4 L74' 1/'T/,�/( F�`i/
9J
• Number of bedrooms (if residential): 3 Total daily flow: yS _
aR(residential -compute Q 1 ' 6d yED
TopoaPhy: fiat, rolling, steep slope % of slope JUI' 1 J 199�
TOWN OF QUE`NVBDAV
• Soil Nature: sand, Ioam, clay, other I depth:— f3Ul pD C,On
gz
Ground water: at what depth?Li feet / Bedrock or Impervious Material: at what depth?_ feet
Percolation test: tot required, required [raze, min. per Ica j
Domestic water supply: V municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet. -
PROPOSED SYSTEM
Septic tank-/d 66 gallon (minimum size: 1,000 =l.)
Tile field: each trench feet / Total system Ieng : feet
Seepage pit(s): number of c,2 / size each: . I ft.by P ft.
•
Size of stone to be used: # ,S _ / depth or thickness ?r feet -
HOLDING TANK SYSTEM: (if required)
Number of tanks: : Size of eac gallons
p
Alarm system and associated electrical work to be inspected by a certified agm y.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Qceeasbury, any permit or
ap aova1 granted which is based upon or is granted in reliance upon any material misrepreae apu or failure to make a
material fact or circumstance known by or on behalf of an applica x , at-•11 be vo
I have read the regulations with respect to this application and agree to abide by these and all regrrzments of the Town of
Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person: r r1 V✓h '� Date: ` Plc, ,7
l
1Q7C
TOWN OF QUEENSBURY
BUILDING b CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name \WIA tj c&R o V‘(.-
Locati on G
Date 40 I lq (� Permit # ggvc17
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable Rate-Minute/Inch
TYPE OF SYSTEM
ABSORPTION FIELI : Total Length
Length of each rench
Depth of trench_s
Size of stone
SEEPAGE PITS: N mber-
Size - ft x ft.
Stone size •
PING: Se Type
Bldg. to Tank 4eb 41
Tank to Dist. Box
Dist. Box to Field/°it
Openings Sealed? Yes No P. tial
LOCATION/SEPARATIONS
Foundation to Tank eet
Foundation to Absorpt eet
Separation of Pits eet
Conforms as per Plot P an No
LOCATION OF SYSTEM ON "OPER
(circle one)
Front = Rear - Left Side Right Side
Middle Front - Middle 'Rea
COMMENTS:
Se&" ro# 1) cs fc?
SYSTEM USE APPROVED: NO
Arrived:
Departed: Q
Building Inspector
11)7)TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804 -
(518) 761-8256,SEPTIC DIS' ISAL SYSTEM INSPECTI c,
Name V1loRQ
,
Location
Date %— I Permit # 9Lf
-17
SOIL TYPE: anck oam-Clay-
Results of Percolation Test-
(if applicable) 'ate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each tre,ch
Depth of trenches
Size of stone A
SEEPAGE PI Numbe. •
-
Size - ft. x A ft.
Stone size
PIPING: , Size Type
A,I
Bldg. to Tank. , '4 ` /4`37A-ee<-b
Tank to Dist. Box rt
Dist. Box to Field/Pi IN K
Openings Sealed.? es ,` o Partial
LOCATION/SEPARATIONS:
Foundation to Tank ' eet
Foundation to Absorption 3 feet
Separation of Pits / feet
ConforMs as per Plot P1 an ; 4' No
LOCATION OF SYSTEM ON PROP RTY:
(circle one)
Front - Rear - Left Sid:' - Right ide
Middle Front Mils 'earl
COMMENTS:
10 Ti) IA- ►C
SYSTEM USE APPROVED: YES NO
Arrived: ,. /
Departed: 3 5
Building Inspector
TOWN OV QUEENS-BURY BUILDING DEPARTMENT
Limed ed on our limited examination,
compliance with our comments shall c:;;;p;:7 __ILQ y)
not be construed as indicating the
plans and specifications are in full •
compliance with the code.
" ECE1VED,
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REVIEWED By/
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