1986-191 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-191
,�i'� I�WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert Bayle
OWNER of property located at 6 Ames Place
Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage Alteration
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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. OWNERS Address is to
6 Ames Place
Glens Falls, New York �
2. CONTRACTOR or 8UI LDE RS Name
Sanitary Sewer Service
a CONTRACTOR or BUILDERS Address rn
P. 0. box 224
Glens Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by XI
)Wood Frame I I Masonry 1 )Steel I I
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J. PLANS and Specifications
1 - 6 hole dist. box and 250 ft. leach field per plot o
No. and application submitted.
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8. Proposed Use m
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Sewage system for dwelling :.
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Nay 5 19 88
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
Dated at the Town of Queensbury this �.I 5th Day of May 19 86
SIGNED BY 214Cl 0. ,O for the Town of Queensbury
Building and Zoning Inspector
awn o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.O. 1 Box 98 TOWN OF � p OU[EENSE!=%�
Oueensbury. New York 12801 (� 1E 0
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SEPTIC DISPOSAL PERMIT APPLICATION 7. g1p�l1Rz! I . "I.
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Owner's Name F//��io QV O/P.. &lgivte Tel. 19,.j—r?OL
Address (o f sirs- PC-A-t_ -(np_. `XU Yfv/S n1 I1
Person/Firm installing system SAP ) fidituta_ (/Qt11(Ulr.
Number of bedrooms(residential only) / /
Total daily flow: (compute @ 150 gal.per bedroom per day) 66 0
Topography: 6E9 rolling - steep -(circle one) Decree of slope %
Nature of soils: an -loam-clay- other- Depth ft.y
Ground water-- at what depth? P ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - Not required Required -Rate min/inch.
Domestic Water Supply gairl - 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 kOb Ogal . 60'r/^'r"
Tile field- Length of each trench V ft. Total field FJ� ft.
Size of stone %Seepage Pit(s) umber / Size ftXft. Size of stone% .
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. / n�
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Signature pplicant
Date
01/86 and/vl
Septic System Inspections:
A. All applicationd for septic system installation,
alteration or repair, as reauired by the Town of
queensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina 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 be
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.
par rites
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TOWN OF QUEENSBURY
Building Department
leryectera ' .. . Date S r 12 ' Ow
Name
Location (n A . S We-cc
Permit No. f- 19 1 Weather
Remarks
Excaiation
Footing Forms
Footing a 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 & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval t, K.
Floors
Insulation Foundation
Walls
Ceiling
Bing Inspector
REMARKS
FY/ST/N!r TAM/ la" re
n1&�✓ J-4°)C //
'2s0' t i.Ada Lore
SANITARY SEWER SERVICE
LUZERNE RD. GLENIS FALLS N.Y. PHONE 792-7257
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