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1987-735 BUILDING PERMIT � TOWN OF QUEENSBURY � No. 87-735 z /'f-'�JyTjy/Iy}f WARREN COUNTY, NEW YORK PERMISSION is herebgranted to Sheraton Inn -� N I OWNER of property located at r'r'n " Street, Road or Ave. To Construct or lace a 'Sewage ration. in the Town of Queensbury, p 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. t. OIMNE R'S Address is Prime Management rn Aviata..on Rd . CD Queensbury , N . Y . 12801 n Q 2. CONTRACTOR or BUILDER'S Name Sill Condon o rs m 3. CONTRACTOR or BUILDER'S Address 17 Grant Ave . Glens Falls , N . Y . 12801 4, ARCHITECT'S Name y- d Y• R3 rr Y• Q 5. ARCHITECT'S Address 0 pa L1. 6. TYPE of Construction — IPlease indicate by XI 1 ) Wood Frame ( I Masonry [ ) Steel I I 7. PLANS and Specifications as No_ 16 , 000 gal existing tank, leach bed 1920 L . F . As per applicationo ao m 8, Proposed Use pe Sewage Alteration rt �t N r-r r• 6 $ 10 . 40 PERMIT FEE PAID — THIS PERMIT EXPIRES October 29 18 89 (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 29th Day of October fg 87 SIGNED BY G,CF cc' for the Town of Queensbury Building aril Zoning Inspector APPI ICA77ON FOR SEPTIC DISPOSAL PERMIT IN ov 4 1987" DATE LOCATION OF PROPERTY FOR INSTALLATION r'' _ r✓V.�cwr� }�L7 , V � Owner's Name: [' :to Z Telephone: Address: f''�!� 1 9 9�—`—�� ++ i J ectczy .S � u /'\ %Z Installer's Name: k !bfV2>Q 9 'y/ S .�'] �".O -fief- Telephone: /7' ,,� {—,f-' Number of bedrooms (residential only) Total daily flow {compute (§ 150 gal per bedroom) Topography: circle one: Flat Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: feet Ground Waters At what depth? feet Bedrock or Impervious Material: At what depth? i feet Percolation test: circle ones not required required / rate min. inch. Domestic water supply: circle one: cipal7 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 feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / 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 Z4 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, 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. 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: Date: !)/ // 7r 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 YOVM oroeWy APPLI+CA"ON FOR SEPTIC DISPOSAL PERMIT V HATE ,� . . _ � . ,�}�_ � -r t LOCATION OF PROPERTY FOR INSTALLATIONG` TG' Owner's Name: r{� '/.�7 ir}�S//^r� �',r�"'� i' Telephone: '2 5'71 / 7 Address: Installer's Name: f /Ge, Telephone: -7L of LK ?-~ Number of bedrooms (residential only) / Total daily flow (compute Co) gal per 'bedroom) / G caoe5> Topography: circle one: rFl Rolling Steep Slope % of slope _ Soil Nature: circle one: {."'� Loam Clay Other / Depth: feet r Ground Water: At what depth? G ' % -' �© feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle ones Municipa 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.) r 'I' TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S): Number of '-- / Size each feet by feet Size of stone to be used # / Depth or Thickness _ feet IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) `�6G Section II Septic System Inspections: As 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 Be 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. Co 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. Sbould 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 ,".+t motions above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinances Signature of responsible person: Date: r l Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . DOME OF NATURAL BEAUTY A GOOO. PL. ACE TO LIVE awn v� �+uee +ns � ure�F BUILDING ar%d ZONJJ{4G DEPARTBax 98 Bay and Haviland 'Road, R.D. oueensbury. New York 12801 SEPTIC DI Sf'05AL SYSTEM1111 INSPECTION NWE LOCATION ' DATE t -f� PERMITi NO * SOIL TYPE - Sand - Loam - Clay - �--�- percolation Test Required? YES - NO Percolation rate - Min/Inch 'n / W`TYPE of SYSTEM: Absorption fieldo total length Length of each trench t -- renches Depth of Size of gravel SEEPAGE PITS-(Number Of) Size- ftv X Gravel size S . T Pe PIPING : Hidg . to tank LC Tank to disc _ box y !2�• Dist_ box to field/ O partial ppenings sealed? YEs LOCATION/SEPARATIONS � Foundation to tank tian Foundation to absorp f,t_ Absorption to lot line � -- ft . separation of pits one) - STEM N PRCIPER TI Left s3de - gLnt a ht. iszde COMMEN 4 . . # ar' SYSTEM USE APPROVED Y S N / Build ng Inspector 01/86 and vl _Jouvn of Queeff3bury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Sox 98 Queensbury. New York 12801 SEPTIC DISPOSAL 5YST M INSPECTION _s LOCATIONi'rt ] DATE PERMIT NO .__j�. - � SOIL TYPE - Sand - Loam - clay �r— Percolation 'Test Required? YES NO Percolation rate - Min/Inch _ TYPE of SYSTEM: Absorption field , total length A Length of each trench Depth of txenches size of gxavel er of7 SEEPAGE P ITS4NUMb f t . Size- ft. X - Gravel size 5i2e Type PxplNG : B:Ldgv to tank Tank to dirt . box ^ _ Dist . box to field/pit NOPartial Openings sealed? YES LOCATION/SEPARATICN S : f t. Foundation to tank tion ft Foundation to absorp ft. Absorption to lot line ft. Separation of pits LOCATION OF sYS EMtON PdROPERR ghtiside one) Front - Rear CCKMENTS Pali , > 0 SYSTEM USE APPROVED YE Q Building Insp t 01/86 xad vl 4.Jvwn 01 Q"een36urq BUILDING and .ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME /�T + A � rl1Ff� LOCAT ION OY`�,f"'f� �t Jll SlOI,7 �at�1 " �� ( - i,-"��+ jiz of DATE q PERMIT NO. 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) Size- ft. X ft. Gravel size - PIPING : Size Type Bldg * to tank Tank to dirt. box Dist. box to field/pit Openings sealed? YES NO Partial LOT ON/SE7RATIONS :� 6 Foundation to tank ft. Foundation to absorption ft . Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY (circle one) Front - Rear - Left side - Right side - Cf*IMENTS /tfO:Sr ).r. ,A.^ .S OC W - IV IC Td 60A SYSTEM USE APPROVED YES NO jO 2A i ilding Sp for 01/86 and vl