1986-075 BUILDING PERMIT
8:
TOWN OF QUEENSBURY No 86-75
WARREN COUNTY, NEW YORK
c,14 Laoy
PERMISSION is hereby granted to Gary
OWNER of property located at Glen Lake Fitzgerald Roaget
d Street, Road or Ave.
in the Town of Queensbury,To Construct or place a SewageAlteration
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. w
1. OWNER'S Address is RD #1
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Bill Threw
3. CONTRACTOR or BUILDER'S Address
RD #3 c�
'lens Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address H
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6. TYPE of Construction—(Please indicate by X)
( ) Wood Frame ( ) Masonry ( )Steel ( ) Pc,
7. PLANS and Specifications
1000 gallon septic tank, 1 6'x8' seepage pit with #3
No.
stone and also pump chamber and pump per plot and
application submitted.
8. Proposed Use En
Sewage system for dwelling
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 25 19 88 co
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rp'y
town of Queensbury before the expiration date.) 1-4
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Dated at the Town of Queensbury this 25th Day of
March 19 86
SIGNED BY &a/CZ "O' for the Town of Queensbury
Building and Zoning Inspector n�
' - .awn of Queen3lury TOWN OF QL. NSBt-U€ "
BUILDING and ZONING DEPARTMENT GE. It i V E I
Bay and Haviland Road, R.D. 1 Box 98' �p
Queensbury, New York 12801 MAR G i 1986
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SEPTIC DISPOSAL PERMIT APPLICATION
Owner' s Name �7 G(`1
4 ) , J\ �� �"
JV(f Tel. 13 �c3
Address k D. / bO41J c�,' LE7 I igLL I2- `X-0 i(FitnerdU (ea1- u�
- - Person/Firm installing system l � 1. -t"2_. .
Number of bedrooms (residential only) a •
• Total daily flow: (compute @ 150 gal.per bedroom per day) _ .Z)0�.
Topography: flat - rolling -Ee^ e- (circle one) Decree of slope .dt%
Nature of soils: sand-loam-clay- other- Depth /L014 ft.
Ground water-- at what depth? ( ft. CIS),) 1-AfLc^
Bedrock or impervious material--at what depth? ,/Pr ft. -
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Percolation Test - of recquiQd f Required -Rate min/inch.
Domestic Water Supply - Municipal -(tie-1-1)- Other
IMPORTANT! .
On a separate piece of paper, submit a diagram of the proposed septic
system with all dimensions; including distance from ' any structure,
distance from property lines and distances from any domestic water
supply or shore-line of lake, stream, pond or, wetlands. Include all
dimensions of the system itself. '
Description of proposed system: .
Septic tank size/O0 gal.
Tile field- Length of each trench_ ft. Total field ft.
Size of stone # ri 7j'�
Seepage Pit (s) Number / / Size cftX t ft. Size of stone#_ ki
Aiso 3 .0 .Innp Cin4M C1-- 14,4 ? 4 p
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 Town of Queensbury Sanitary
Sewage Ordinance. "
i t, �, 3 /- [ /
S ' nature of Applic t Date
l
01/86 and/vl
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41c,.01442 THE NEW YORK BOARD OF FIRE UNDERWRITERS
I— J f BUREAU OF ELECTRICITY
July 7 ,, 3 967 • 41 STATE STREET.ALBANY,NEW YORK 12207
Application,No.on file s"• {.i c
Date 0 0 f 1 8 8 7 A l.' 0 0 7 32i THIS CERTIFIES THAT o
E; only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of o
p-i Gary Lavoy5 Fitzgerald ad. , Glens Falls , NY
r.l in the followinglocation; 0:Basement_ ,y 0: 1st Fl. ❑ 2nd Fl. Section Block Lot
.7 was examined on 6 d 1 2/8 d and found to be in compliance with the requirements of this Board.
:i
FIXTURE ECEPTACLES SWITCHES FIXTURES MERCURY RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT:FLUORESCENT VAPOR AMT. K.W. MIT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. no
27 46 21 1 1 .0 3 fr
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Y
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS -SYSTEMS
MAT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS •,-
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SERVICE DISCONNECT NO.OF S E R V I C E 1
METER NO.OF CC.COND. A W.G. A.W.G. A.W.G. `i
!_i _ AMT. AMP. TYPE EQUIP 1,B'2W 1�'3W 3 p 3W 3,B'4W PER B OF CC.COND. NO.OF HI-LEG OF HI.W.G. NO.OF NEUTRALS OF NEUTRAL
i
1 200 eb 1 7. 1 410 11 2/0
OTHER APPARATUS:
2—gfci
2—smoke detector
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electric heater 3 2.0 kw
4 . 1 .5 kw
.
''., :, ?"77'10‘2.--....d.Z2--1
Edward LaGoy ��
�' Trout Lake Rd.
v BRANCH MANAGER
Bolton Landing , NY 12814 , ;-,-,, ZEI
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c, Per �'
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.; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. .
i--i.0 4i ie-cisi-i.Y'isr iY iei i�c•i�r.4i-4r•r.i-4i-ie,T�f?e,(41-i.,e- Y-ibi"i, 0 ® Mel ® 0 0 .'v`„'.-,-
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. •
awn o/ Queenáur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
IDC."--)CZ-,
SEPTIC ,DIISSPOSAL SYSTEM INSPECTION
NAME — U "r
LOCATION /— / T -�T�lza¢-e.:n.b
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DAT PERMIT NO. �� - ��E�F�
SOIL TYPE Sa - Loam -. Clay - �/'
Percolation Test Required? YES -
Percolation rate - Min/Inch 3-9"
TYPE of SYSTEM:
Absorption field al length
Lengt e trench
Depth o re es
Siz of gravel '
SEEPAGE PITSfNumber of)
Size- 42 ft.D X _ , ft.L.0 *2 ' S7OA/--
Gravel size ' ee.-
PIPING: Size Type
Bldg. to tank -7' PVC/
Tank to dist. box /"i P/��---
Dist. box to field/pi ,YCi
Openings sealed? E NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /)ft. `t
Foundation to absorption jp7ft.
Absorption to lot line 7 /tjft.
Separation of pits ft. �-
LOCATION OF STEM 01 •esPERTY(circle one)
Front - ear eft side.- Right side -
COMMENTS: if-e
>-- 7-42---/ —
SYSTEM USE APPROVED ONO
Budding Inspector
01/86 and vl
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