1986-176 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-176
2_V ` i-y //7 ---7/WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Paul Barton - Docksider
OWNER of property located at Glen Lake Road and on Glen Lake Street,Road or Ave.
in the Town of Queensbury.To Construct or place a Sewage Alteration y
at the above location in accordance to application together with plot plans and other information hereto tiled and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. w
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1. OWNER'S Address is RR #1
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Lake George, New York I
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2. CONTRACTOR or BUILDERS Name
W. W. Maille
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3. CONTRACTOR or BUILDERS Address
121 Aviation Road
Glens Falls, New York
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4. ARCHITECT'S Name
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5. ARCHITECTS Address
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6. TYPE of Construction—(Please indicate by XI W
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( 1 Wood Frame 1 )Masonry ( 1 Steel ( ) G
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7. PLANS and Specificatiom Tank, pump chamber and 3 drywells per plot and
application submitted. y
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B. Proposed Use
Sewage System for Restaurant
$ 10.00 PERMIT FEE PAID-THIS PERMIT EXPIRES April 29 1988 t,
Of 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.) rt
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Dated at the Town of Queensbury this 29th Day of April ig 86 0
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SIGNED BY 14C a -A a for the Town of Queensbury
Insp
ector e
TOWN OF QUEFNSBURY
BUILDING i ZONING DEPARTMENT TOWN OF QUEENSF?'
SEWAGE DISPOSAL PERMIT APPLICATION n IC (N f; it W I, i
1. Owner's Name Paul Barton - Docksider
LSAUPRLS3 I81 1/ fil''
Address Glen Lake betkrf NA M.
Telephone D? -. - '3 1_
2. Property location Gler Lake
3. Name of person or firm responsible for installing system
W. W. `faille - Telephone No. 792 0089
Address 121 Aviation Road, GlensFalls new York
4. Number of bedrooms (residential buildings only)
5. Daily flow gallons/day
6. Septic tank capacity 1,nno gallons
7. Topography: flat, rolling, steep
% of slope 10°
8. Nature of soil and depth gravel loft deer
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? ft.
10. Percolation test: A is required
B YX is not required
C If required what is the rate minutes/inch
11. Water supply: municipal, well , other Lake water
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12. Type of system proposed: drywell, tile field, other certic , 3 dry well
and pu*np
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 Section 6.010 of the
Queensbury Sanitary Sewage Ordinance.
Date 4Rril 25, 198E Al ,, a 1tc
• si atu a o1` a iicant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
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PUM PC z 61L.
Form 3-82 •
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flown o/ Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Oueensbury. New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 0OCIC— 51 0LTYL—
LOCAT`CION C I_AJ Ltric pp
DATE 7/30 /gto PERMIT NO. 0 ^ 11 cr
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
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) 3
Size- Sft. X Q'ft.
Gravel size
PIPING: Size Type
81dg. to tank
Tank to dist. box
Dist. box to Li.ald/•it +{44 /57L
Openings sealed? Oro NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption _ft.
Absorption to lot line _ft.
Separation of pits fSft:(-
LOCATION OF SYS a N. 'ROPERTY(circle one)
Front - Rear idler - Right side -
COMMENTS:
Qa2T1Af -
3 w&-c-s r�it-3 Zivx4b
St-4c Pia Um sun.
SYSTEM USE APPROVED ® NO
Bu lding In pecto
01/86 and vl
flown of Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC(� DISPOSAL SYSTEM INSPECTION
1,NAME C9C//� tt I 0 fin-- 9 -nebt
LOCATION (4. 1-&WLR44r
DATE / St PERMIT NO. a6 — /7 co
SOIL TYPE - Sand - _a - Clay -
Percolation Test Required? YES -
Percolation rate - Min/Inch -
TYPE of SYSTEM:
P:bstrtP-tror-nleirl, total length
Lengtr-Ordia--Eiench
rent es
gravel_
SEEPAGE PITS{Number of) _
Size- _ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank
���
Tank to dist. box 2
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS: ft.
Foundation to tank
Foundation to absorption --ft.
Absorption to lot line _
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
Z �.vrc-Olt To dal WUit-
P/StPcf.-SA/Aso-oic
SYSTEM USE APPROVED YES U
Hui ding Insp for
01/86 and vl
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