1986-190 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-190
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PERMISSION is hereby granted to Mrs. Henry Eichin
OWNER of property located at 25 Carlton Court Street.Road or Ave. co
in the Town of Queensbury,To Construct or places Sewage Alteration m
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at the above location in accordance to application together with plot plans and other information hereto filed and 1/44
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. m
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11. OWNER'S Address is x
25 Carlton Court
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Sanitary Sewer Service
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3. CONTRACTOR or BUILDER'S Address n
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P. 0. box 224 0
C1 env Fallc. NY O
4. ARCHITECT'S Name n
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by XI
1 )Wood Frame ( )Masonry 1 )Steel I I -
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7. PLANS and Specifications B
No. 1000 gallon tank per plot plan and application submitted. m
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8. Proposed Use m
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Sewage system for dwelling rmr
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 5 19 88
(If a longer period is required an application for en 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 5th� QQDay of MaY 19 86
SIGNED BY )11 A.G( a, Ll for the Town of Queensbury
Building and Zoning Inspector
awn of Queens bury TOWN OF QUEENSBU""'
�' BUILDING and ZONING DEPARTMENT H1E 0 � � 1[� -
Bay and Haviland Road. R.D. 1 Box 98
Oueensbury, New York 12801 Ai R ,, 1ygc
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n SEPTIC1j DISPOSALL PERMIT APPLICATION t�] c
Owner's Name H. 1 -03 Al £IChIti Tel. -/qJ - 6fa
Address
Person/Firm installing system ccApl l Ave.._ f ettoic6.
Number of bedrooms (residential only) 2--
Total daily flow: (compute @ 150 gal.per bedroom per day)_ . g u J
Tcpographye- rolling - steep - (circle one) Degree of slope B
Nature of soils: ) loam-clay- other- Depth / J ft.
Ground water-- at what depth? ft.
Bedrock or impervious material--at what depth? ft. •
Percolation Test - 4ot ref Required -Rate min/inch.
Domestic Water Supply --Munici - 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 /Oobgal.
Tile field- Length of each trench____ft. Total field_ ft.
Size of stone #
Seepage Pit(s) Number / Size ftX ft. 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. moo g"��-/( . P9M11 041(7
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ignatuN�e�bE licant Date
O1/86 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. 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 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 Queensbury Building
Department before further construction.
TOWN OF QUEENSBURY
Building- Department
lomeeten Report ate t;/q/srg
Naxos Ei ch in
Loathes >T 4 de H A r
Penult No. fr(o - 1 10 Weather
Remarks
Exca4ation
Footing Forms
Footing 6 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 '-'O.r
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
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SANITARY SEWER SERVICE
LUZERNE RD. GLENS FALLS N.Y. PHONE 92-7257
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