1987-252 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87-252
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Diane Tremb_ZRy
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OWNER of property located at 10 'Cherokee Lane Street, Road or Ave.
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if; the Town of Queensbury, To Construct or place a
Sewage Alteration
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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OWNER'S Address isyZ Box �^ ']�,
10 Cherokee Lane
Queensbury , New York 12801
CONTRACTOR or BUILDER'S Name Timothy Trembley
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3. CONTRACTOR or BUILDER'S Address ri
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4. ARCHITECT'S Nerne
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5. ARCHITECT'S Address
6_ TYPE of Construction — (Please indicate by X1
) Wood Frame I ) Masonry f ) Steel f 3
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7. PLANS and Specifications £
dirt . box and 2 6 ' x8 ' seepage pits per plot and application
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8. Proposed Use H
Sewage system for dwelling r rr
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$ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 13 79 87
(if a longer period is required an application for an extension must be made to the Building and Zoning; inspector of the
town of O.usensbury before the expiration date.)
Dated at the Town of Queensbury this 13th Day of May 19 87
SIGNED BY � for the Town of Queensbury
Building and : inspector
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TO „ 'j: A�
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CATION FOR. SEPTIC DISPOSAL PERMIT MAY 1 1 1987
APPLI sY
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BUILDING De:pT. 4L
DATE May 10 87
LOCATION OF PROPERTY FOR INSTALLATION 10 Cherokee Lane
Owner's Name: 17� Thy - -_-... Telephone: 793 S791„
Address: RD # 2 Box 271 10 Chero*kee Lane Queensbury , New York .
Installer's Name: Tirnothy Tremblay Telephone: 793-8791
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) 4 50 1
TapograpLy: circle one: Flat Rolling Steep Slope S6 of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: feet
Ground Water. At what depth? -- feet
Bedrock or Impervious Material: At what depth? feet
Percolation test: circle one: not equ:re required / rate rain, inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ 100 feet
PROPOSED SYSTEM: Septic Tank 1- _ 000 gal. (minimum size: 1,000 gal.)
SEEPAGE PITS' o. Number of 2 / Size each 6 feet by 8 feet
Size of stone to be used # 3 / Depth or Thickness 2 feet
IMPORTANT
...Please...LiST NEW E+CZU MENT TO BE INSTALY U
( 1 ) di strihut: ion box
( 2 ) seepage pits
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury 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
Z.) 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, the 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.
l have read the regulations above and agree to abide by these and all requirements
of the Tow of Qum4msbury Sanitary Sewage Disposal Qs+dinatuce_
Signature of responsible person; k
Date:
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD. PLACE TO LIVE
,own o� ueeris �urc�
BUILDING And ZONING DEPARTMENT
Say and Haviland Road. R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
LOCATION
DATE: /� PERMIT NO
SOIL 'x"YFE San Loam - Cl -
Percolation est gequired? YES N
Percolation rate - Min/Inch T ""
TYPE of SYSTEM:
Absorption fielde total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS#Nuanber of)
Size- x6w fit. X £t.
Gravel size '
PIPING : Size TypC
Bldgm to tank
Tank to diet. box
Dist. box to £field/per
Openings sealed? E5 730
Partial
LOCATION/SEPPARATIONS x
'Foundation to tank �ft&
roundation to absorption ft •
Absorption to lot line .Et.
Separation of pits ft.
T,A)C,.ATIER
ON PROPERTY (circle one)
Frontear - eft side - Right Side -
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SYSTEM USE APPROV YE NO
Building inspector
01/86 and vl
Plot Plabi
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ExistiN� ( to be distarr# iNclk' d ' )
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rxis -tiwa 1, 000 G,a1. Ta ,vit
3 � R I
deck
Houses
2i x 46
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Wei i Pro erfiy L ;Ne 444 ' f
Apr ; 1 30 . 1987
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