1986-654 BUILDING PERMIT
TOWN OF QUEENSBURY 86-654
No.
` ot f. RREN COUNTY, NEW YORK
PERMISSION is hereby granted to Earl Maille
Lu a OhioAvenue
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage System
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.
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1. OWNER'S Address is Box 254
Conn Ave. w
Glens Falls, New York rt
2. CONTRACTOR or BUILDER'S Name
W. W. Maille
3. CONTRACTOR or BUILDER'S Address
121 AviationRoad
Glens Falls, New York
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
1000 gallon tank, 4 8'x8' seepage pits, dist. box per plot and
No. application submitted.
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8. Proposed Use See building permit 86-101
Sewage system for laundromat w
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Oct. 7 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 Queensbury before the expiration date.)
Dated at the Town of Queensbury this 7th Day of October 19 86 -
SIGNED BY c,at> for the Town of Queensbury
Building and Zoning Inspector )
awn o/ Qtu APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
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Queensbury, New York 12801 DATE 9 / 17/86 •
/ 0) , aunCirdhi
LOCATION OF PROPERTY FOR INSTALLATION Corner of OhioAve and Luzerne Road
OWNER' S NAME Earl Maille WPM OPCN NSBUR
ADDRESS Luzerne Road, Glens Falls , N.Y. Lilt gE 792 8088
S P24196 ,Q
INSTALLER' S NAME 4%�iC�' ,'
William W. 'Maille p.f . Pr t 792 0089
Number of bedrooms (residential only)
Total daily flow(compute @ 150 gal per bedroom)
Topography: lat - Rolling - Steep slope - (circle one) o ..of slope
Soil nature: and - Loam - Clay - Other, Depth 15 ft- plus
Groundwater -At what depth? ft.
• Bed-rock or impervious material - At what depth? .. ft. .
Percolation test - Not required -' Required - -Rage min-inch.
Domestic water supply Municipal - Well - Other •
Separation - Watersupply(if well) from Septic absorption ft.
Proposed System: Septic tank 1000 gal. ( Minimun size, 1000 gal. )
Tile Field - Each trench • ft. Total system legnth ft.
Seepage pit(s) Number of A . Size. each .8 ft X a8 ft
Size of stone to be used # ' 3 Depth or thickness- 2-3 ft.
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IMPORTANT ! '.
On a separate piece of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure,
distance from property Dines and from ANY DOMEST'I.0 WATER SUPPLY or
shore-line of lake, stream,pond or wet-lands. Include all dimensions of
the system, itself .
* * * * *. * * * * * * * * * * * * * * * * * * * * * * *_ * * * * * * * * *.
I have read the regulations on the reverse side of this sheet and agree
to abide by these and all requirements of The Town of Queensbury •
Sanitary Sewage Disposal Ordinance . r
Signature of responsible person 4/ 6.. 2141 \'
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Date 9/17/86
05/86 and/vl
Section II Septic System Inspections:
A. All application d for septic system installation ,
--t alteration or repair, as required 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:
l) 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.
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TOWN OF QUFFNSBURY
BUILDING & Z.ONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner ' s Name EARL MA-2.L.
Address af/,,3 nwAi z 7/L t-(1
/`S j /U Telephone No. I- 9-2-- Yd
2. Property location 0/7Z/U f 2 i /ZA/, /24,)
3 . Name of person or firm responsible for installing system
MA-kL/ Telephone No. 7-c,c2--4900
Address r,,Z/ V/ 1172iJ /z,i0
4 . Number of bedrooms (residential buildings only) ,A//A
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5. Dailyflow S/0O/vOoO /0_,/ LIJ gallons/day
6. Septic tank capacity /o 7Q gallons
7. Topography: olling, steep
% of slope
8. Nature of soil and depth c-o2 v.;/Z
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? /4 ft.
10. Percolation test: A /4- is required
B is not required
C If r quired what is the rate r.1/j¢ minutes/inch
11. Water supply: municipa , well, other
12. Type of system proposed: drywell', tile field, other
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 Sect 'on 6 .010 of the
Queensbury Sanitary Sewage Ordinance.
Date 9 ./3 . /2 --40
signature o app icant
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.
Form 3-82
Jown of Queeniar,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Viltej'&5`
LOCATION ( i7L4k 0/2/... :-
DATE iv / PERMIT NO. (, — 6 S -/
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
SEEPAGFITS{Numbe of) _1(..
Size- , ft. X ft.
Gravel size 0-3----
PIPING: Size Type
Bldg. to tank Y'( 1./0
Tank to dist. box
Dist. box to field/�:.
Openings sealed? 41, NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /0 ft.
Foundation to absorption /2_ft.
Absorption to lot line ft.i-
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
SYSTEM USE APPROVED Ai NO
Building Inspector
01/86 and vl