1986-121 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-121
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Leno and Karen Sarti
OWNER of property located at 8 Dorset Place Street,Road or Ave.
in the Town of Queensbury,To Construct or places 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 B Dorset Place
Glens Falls, New York
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2. CONTRACTOR or BUILDERS Name
Frank Shaw
a CONTRACTOR or BUILDERS Address rt
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4. ARCHITECTS Name
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5. ARCHITECTS Address 01
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6. TYPE of Construction—Please indicate by XI f°
1 )Wood Frame 1 )Masonry 1 1 Steel ( 1
T. PLANS and Specifications
2 61xB1 drywells per plot and application submitted.
No. E
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B. Proposed Use y
Sewage system for dwelling
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 15 1988
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 1,5tthh Day April 19 86
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SIGNED BY //I 4} 'sue) for the Town of Queensbury
Building and Zoning Inspector c4 a
flown of Queenitury LS L d ;
BUILDING and ZONING DEPARTMENT L
Bay and Haviland Road, R.D. 1 Box 98 APR ta}D
Oueensbury, New York 12801 ILM. VD" , srn...f
1319
SEPTIC DISPOSAL PERMIT APPLICATION
Owner ' s Name C ry6 /CIlAi2EN S.4 -cr/ Tel. l'en-6"L8`J
Address OLS Er a4cr_ G/ Eus Facts N. y /? o
Person/Firm installing system I—ICANK s,4F}N/
Number of bedrooms (residential only) `t
Total daily flow: (compute @ 150 aal.per bedroom per day) 6 cm
Topography: (11:00- rolling - steep - (circle one) Degree of slope _%
Nature of soils: sand loam-clay- other-III"" Depth ft.
Ground water-- at what depth? /Yfr ft.
Bedrock or impervious material--at what depth? .,/,e ft.
Percolation Test - Not required / Required -Rate At/A min/inch.
Domestic Water Supply Municipal Well - 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 A00 gal. USE EF797-A9'0-
Tile field- Length of each trench ft. Total field ft.
Size of stone # ?—
Seepage Pit (s) Number 3 / Size , ftX ft. Size of stone#_ _ 7
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OVL ext-j-strosd
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.
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Signature of Applicant Date
01/86 and/vl
Septic System Inspections:
A. All applications for septic system installation,
alteration or repair, as required by the Town of
Oueensbury 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. Na 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 he
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 Oueensbury Building
Department before further construction.
how„ o/ Qaanitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury. New York 12801
SEPTIC��D•ISSPPOSAL SYSTEM INSPECTION
NAME c+"io • y�
LOCATIUJ 4 1 PL-em
DATE y/If/ Of PERMIT NO.
SOIL •1yPE - Sa - Loam - Clay -
Percolation st Required? YES oa
Percolation rate - Min/Inch -
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Number of) 7/,l¢i)
Size- (f ft. X ft.
Gravel size 3
PIPING: Size Type
Bldg. to tank 2o'
Tank to dist. box
Dist. box to field $$ /p 4
Openings sealed? wJ.L•'d NO Partial
LOCATION/SEPARATIONS:
Foundation to tank aoft.
Foundation to absorption "sus ft.
Absorption to lot line
Separation of pits /
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
SYSTEM USE APPROVED 40 NO
Building Inspector
01/86 and vl
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