1988-070 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-70
WARREN COUNTY, NEW YORK
00
E-9\
RMISSION is hereby granted to Queensbury Arms
00
OWNER of property located at Ay'a or1 n Rd. (Bldg. 13) 13 000/ , Road or Ave. n�
in 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.
1. OWNER'S Address is
Same co
m
co
2. CONTRACTOR or BUILDER'S Name �C
Morning Star Excavating
3. CONTRACTOR or BUILDER'S Address
Route 32
Gansevoort, N.Y. 12831
4. ARCHITECT'S Name y
rt
H.
0
5. ARCHITECT'S Address
7y
a.
6. TYPE of Construction—(Please indicate by X)
oa
( 1 Wood Frame ( ) Masonry ( ) Steel ( 1
7. PLANS and Specifications
No. Existing septic tank - Each trench 56 feet/total length 500 ft.
as per plot plan and application.
8. Proposed Use cn
Sewage alteration
ao
m
a
rt.
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 14, 1990
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.)
0
Dated at the Town of Queensbury this 14th Day of March 19 88
SIGNED BY - z% for the Town of Queensbury
Building and Zoning Inspector
owN
.2 IIII'1L o Ql�t4. E • .
oy i u [L 1' '
q� APPLICATION FOR SEPTIC DISPOSAL PERMIT MAR 151988
l U BUILDING & CODE DEPT.
1a
DATE :•7/ / /
LOCATION OF PROPERTY FOR INSTALLATIONr
Owner's Name: ,, ,� �, Telephone:
Address: AE G + / 3
Installer's Name: ,• Telephone: (7's t-9 C
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: Rolling Steep Slope % of slope
Soil Nature: circle one: ()and Loam Clay Other / Depth: feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank _gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length >B feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # — L / Depth or Thickness _ / feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(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
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.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
//,
Signature of responsible person:- , —j- _
U0
,� -�
Date: %i�:%-� ,,
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 Queenitury '
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
• Queensbury, New York 12801
. SEPTIC DISPOSAL� SYSTEM INSPECTION
c i
NAME 2,0 rz// ?_MS 17L0
LOCATION C HLA-ui/}'I-rd,tj r),
DATE4//6/ /PERMIT NO. et-70
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rat- - Min/Inch
TYPE of SYSTEM (
Absorption fie d, total len• h `-"'V
Length of each trench' � 7 (
Depth of trench-s '
Size of gravel
SEEPAGE PITS{N •er of '
Size- ft. X f .
Gravel size
PIPING: Size Type
Bldg. to tank
Tank to dist. box '�
Dist. box to fie.d/pi.
Openings sealed YES O Partial
LOCATION/SEFA:•TIONS:
Foundation t• tank t.
Foundation • absorption 'j' fft.
Absorption o lot line gy g .t.p'
Separation of pits ft.
LOCATION YSTEM ON PROPERTY(circle one)
Front - •_.r - Left side - Right side -
COMMENTS•
LX.5 ( J, 'FA Al
SYSTEM USE APPROVED YES /NO /
•
S ,en
Building Inspector
01/86 and vl
•
7.rk
cL:_)
43. ,
, •
_e_