1986-223 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-223
WARREN COUNTY, NEW YORK
30/ ( —D ^ /� James Hanley
PERMISSION is hereby granted to
9 Cherokee Lane Street,Road or Ave.
OWNER of property located at ti
6
Sewage Alteration to
in the Town of Queensbury,in To Construct or place a o
at the above location in accordance to application together with plot plans and other information hereto filed and a;
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. p
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1. OWNER'S Address is
9 Cherokee Lane 1/44
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Glens Falls, New York
2. CONTRACTOR or BUILDERS Name Condon's Septic and Drain Servi oe
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7
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3. CONTRACTOR or BUILDERS Address 2
17 Grant Ave. m
Glens Falls, New York m
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4. ARCHITECT'S Name 7
5. ARCHITECTS Address
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8. TYPE of Comtructon—IPlmss indicate by Xl Ism
1 )Mood Frame 1 I Masonry ( I Steel ( I P.
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7. PLANS and Specifications m
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existing seepage pit restoned and reused and add 1 new nN,
No. 7
6rx8r seepage pit per plot and application submitted.
8. Proposed Use
Sewage system for dwelling
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 15 ,19 88
(If a longer period is required an application for an extension must be made to the Building end Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 15 t�h7�,, Day of May 19 86
SIGNED BY //ff. Ct 0 `atLiZa for the Town of Queensbury
Building and Zoning Inspector
1 Jown of Queenibury TOWN OF QU ?"
BUILDING and ZONING DEPARTMENT RECEIVED
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801 MAY ,7 1986
Am..lD•�U /142
P.M.
l)a)spap�l 1J a)3)a)5J6
SEPTIC ,DISPOSAL PERMIT APPLICATION ° • •
Owner's Name O MES HAWtEV Tel.'7Q2' ` 37a /
Address q CHEROKErc L (IN E fluF.Fn,sRury N71J-150/
Y 1 n v17ON 'c S
Person/Firm installing sFPp t'cd DRAT iu SCR
stem
Number of bedrooms (residential only) 3
Total daily flow: (compute @ 150 gal.per bedroom per day)_ `/.S�
Topography: flat - rolling - steep - (circle one) Degree of slope _y
Nature of soils: and loam-clay- other- Depth ft.
Ground water-- at what depth? ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - Not required f Required -Rate 0
min/inch.
Domestic Water Supply -CMunicipa_I)- 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 afl 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 Doo gal.
Tile field- Lengt of each trench_ ft. Total field__ft.
Size of stone M 3 A'fW
Seepage Pit(s) Number , k// Size 6 ftx $ ft. Size of stone# 3
RE use 7 't x. y.5 'w x 4.5 0
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.
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 shoving:
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 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.
// " 3r) A/17
TOWN OF QUEENSBURY
Building Department
Inspects. Repot Date S//3/R6.
Name ReilAtLGAY
Location 9 CH,'& nKtiF
Permit No. a- - 1 23 Weather
0114 CO Alb ORS Remarks
Excavation
Footing Forms
Footing s Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs s Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.� �.�'
Septic Approval Li4D3 -
Floors
Foundation
Insulation Walls
Ceiling
4
Building Inspector
REMARKS
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