1987-437 BUILDING PERMIT
H
TOWN OF +QUEENSBURY �
No. 87-437
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Aileen Guimond
OWNER of property located at 342 Ridge St . Street, Road or Ave.
1
in the Town of Queensbury, To Construct or place a Sewage Alteration j
at the above location in accordance to application together with plot plans and other information hereto filed and Ln
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t . OWNER'S Address is
349 Ridge St .
Queensbury , N . Y . 12801
2_ CONTRACTOR or BU1 LVERI S Name F '
M
rls
Sanitary Sewer M
3. CONTRACTOR or BUILDERS Address
6
P . Q . Box 224
ly
Glens Falls , N . Y . 12801
4_ ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate 6y 7C1 �
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[ ) Wood Frame ( ) Masonry I 1 Steel ( 1
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7_ PLANS and Specifications
No. 50 ' Leach Field per plot plan and application .
8. Proposed Use
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Sewage Alteration
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$ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES y 1 � 19 �
{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.) f..
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Dated at the Town of Queensbury this yy�10th Day of July 19 87
SIGNED BY 5� f _/ for the Town of Queensbury
Building and Zoning Inspector � ��
rOVVN 0..-
Y APPLICATION FOR SEP`HC DISPOSAL. PERMIT
j " c Div JUL � '�'� 41
DATE ' + /
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: _Ai c_ ez ej�j �±_ [ (L1 c Telephone: _ �! 0#02 :/� c�S'
Address: 3 ,r}
y `[ (21L C - e c
Gee
Installer's Name: .�-7,r 11 h t-.-- Telephone:
Number of bedrooms (residential only) __2''__
Total daily flow (compute (,W 150 gal per bedroom)
Topography: circle one: Flat ) Rolling Steep Slope % of slope ,
Soil Nature: circle one an Loam Clay Other / Depth: , feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? � �--- feet
Percolation test: circle one• _ot require required / rate min. inch.
Domestic water supply: circle one: CEunicipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank 03l5rgal minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench S7} feet / Total system length _ feet
SEEPAGE PIT(S): Number of _-�' / Size each —v feet by feet
Size of stone to be used # 2, / Depth or Thickness _� feet
I M P O R T A N T
...Please...IJST NEW EQUIPMENT TO BE INSTALLER
(over)
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