98-501 BUILDING PERMIT
TOWN OF QUEENSBURY No.
VALUE S 0
TAX MAP NO . 48 . - 8 - 2 'WARREN COUNTY, NEW YORK
PERMISSION is herebY granted to MI
Street. Road or Ave.
OWNER of property located at T
in the Town of OueensburY. To Construct or plane a From
at the above location in accordance to application together with plot plans anti other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t. OVMER'S Address Is
1810 STATE RT . 9r SUITE 3
LAKE GEORGEr NY 12845
2. CONTRACTOR or 8Ul LDER"S Name
MICHAELS GROUP , IN{C ,
3. CONTRACTOR or SUILDeR'S Address
JIM CHANDLERr PROJECT MGR 1810 ROUTE 9
LAKE GEORGEr NY 12845
4. ARCHITECrS Name
5. ARCHITECT". Address
rPLAod
struction — IPMese Indicate by XI SEPTIC
Wood Franne I I Masonry f ! Stae1 I !
peclficetions
ALTERATION AS PER PLOT PLAN SPECIFICATIONS
e
ALTERATON
25 August 18 t9 2000
$ PERMIT FEE PAID - THIS PERMIT EXPIRES
41f t sg� sa rrry beforeired soP p etion deer�
Uate�n mwo be made to tt+e 8uildlnq and Zoning in""CcO+ of the
18 Day of August tg 1998
Dated at the Town of Queerlsbury this
for the Town of Queensbury
SIGNED BY l I Zonlas lnepeolw
Location of pt-"vper-ty Cur ills 1,2111<itiPtavn 1I t�j �
iT fi V ',ti.i l3 IL
t? �vslcr' s Ni amew G-�r.cu. LrC
Address; /1 Q3 ' '2 4 ^,rup,' z Q 1 a VV 1 ? td � CJ
ins t-�illcr' s Nat'e . _ � w • � t l.l: s*,+ tt3
� 1101.1e rr : ul5 — av ? — �Q3
rttzrnl:cr or tscdraotvs (if" res-kL.0 :Liaf
60Q
"Testal daily licw (ra:ideastiat - c^ritpulc try L-10 gat, par tictIrc: m ):
Zot-eS•"at fly' CiaC SCccp SlatlC liz or Siopc
Sc:ii v;,ture: 5 valid �,-, l .cia:n L-.� C.a �•. Other '10clstlit
%.Fronrid Sister: al lsvhat do^th? 30 rect.
13c3rnck or fttirervitius mataria [ : at wftal tic istlt7 leer
AUG
I'crec.ialintt lest: [_{ hilt ILcquirmt! '�� ltetluircJ/Valc l min. PC.- isrch
Dulirc"stic Water Stjpr.i ;r Weil Q Other
tr domestic Nvatar suplIip t.'IS a `. i: 1 .ls wire- sulzliiy art rrum y 5cj'stsc alssuristtoil 15 feet
I'1L'� r'CiSi:F3 s�sl-1 ..1 : -
Septic tank: /000 gal. (III i Ili III usnt size- " 1.L'00 � lt )
'I"sic l rcld: each trench 9 rcat. 1 tolat sgstcrx length ---
Sectragc 1'il(^,}: number ar it f / size cne.l:
Size or stone to t-m used: # 2 S'i'onz / dclsih nr tiiickncss feet.
110l 13IMG TANK 5Y51"I1h1 : (ir rcquircd)
Nunsl-icr of tanks: A Size or cacti: gal.
Alarm system artd associated electrical work to be inspected by a certified agency.
Far your protection, prease more that gursuctrtt to Section I36-29' ofthe Code ofthe Town of
Queertshury, any perrrtrt or approval granted tvFtfclt is based upon or is granted in reliance at por: -
any material misrepresentatiolt or ftrrlure to rtrake a irlaterial fact or circumstance krrostcr h} nr ott
beltaffofait applicant, shall be void. -
r hers=e read tics regulations ivitlt respect to this applieutinrt and ttgree to aI:ide by these emit trll
regrtirenacrtts of flee 7'ostPrt o f [lrrecrtsbI: ry^ Surtirary Sewa9L Disposal Ordlitunee.
Sierrerr+rre o ! resrtortsel7le ncrscJn : - lJcrtr:
bzd k^rre
TOWN OF QUEENSBURY
BUIWING b CODE ENFORCEMENT
742 Bay Road
Queensbury NY JZB04
(518) 761-8296
SEPTIC DISPOSAL SYSTEM INSPECTION
Name l�� a
le 145
Location
Date permi t # (
SOIL TYPE : Sand- Loam- Clay-
Results of Percolation Test-
( if applicable ) Rate Minute nc
TYPE OF SYST
ABSORPTION FIE W ; Total L ngth 2
Length of each t nch
Depth of trenches
Size of stone
SEEPAGE PITS : Num er' ft .
Size - ft . x _ _
Stone size Size e ype
PIPING:
Bldg . to Tanis ---- -
Tank to Dist , box f
Dist . Sox to Field/Pi
Openings Sealed ? a No anti al
LOCATION/SEPARATION ; feet
Foundation to Tank feet
Foundation to AbsorT' ti on feet
Separation 04 Pits a No
Conforms as per Plot Plan
LOCATION OF SYSTEM ON PROPERTY ;
( circle one )
Front - 'Rear _ Left Side - Right Side
Middle Front Middle Rear
COMMENTS : r +
' ' o 04I
SYSTEM USE APPROVED : YES
Arrived: ,3•s
Departed:
Building Inspector
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31
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