1988-955 BUILDING PERMIT _ p�
TOWN OF QUEENSBURY No. 88-9 55
WARREN COUNTY, NEW YORK
PERMISSION,is hereby granted to Tony Iannucci
OWNER of property located at 8 Dixon Road Street, Road or Ave.
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 P.O.Box 224
Glens Falls, New York 12801 )�?`
2. CONTRACTOR or BUILDER'S Name
Sanitary Sewer
3. CONTRACTOR or BUILDER'S Address
P.O.Box 224 _ �S
Glens Falls , New York 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) Q
( )Wood Frame ( I Masonry ( )Steel ( ) .- -
7. PLANS and Specifications
Existing 1000 gal tank, .2 6 ' x 8 ' seepage pits as per
No. plot plan and application.
8. Proposed Use
Sewage Alteration
25 , 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Dcccmbcr 28 ,19 90
(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 Day of 19
tom— 88 p
SIGNED BY for the Town of Queensbury •
Liu mg and Zoning Inspector
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Ail ROVED .
G O111L11dr DA^1'rF(/j vZ%
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0 • • APPLICATION FOR SEPTIC DISPOSAL PERMIT . 2ouil� xO t COULD
l l�o $t Of 4uLuc:14k
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DATE /t2- t , Pk
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LOCATION OP PROPERTY FOR INSTALLATION ( -i
Owner's Name: a
1-6.
�J ,e �eel Telephone: 79 "
Address: (-) /),, ,, Cr.
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Installer's Name: AN u sJ EGt'.i'V(� Telephone: 101 -7 D ' 2
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom) 4./5-0 •
Topography: circle one: Rolling; Steep Slope 9L of slope
Soil Nature: circle one: Loam Clay Other / Depth: • feet
Crou.Ld Water:- At what depth? — feet
bedrock or.liuperviou:: Material: At what depth? _ — feet
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• Percolation test: circle-one: of required required / rate min. inch.
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Domestic water supply: circle one: I= Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption . feet
PROPOSED SYSTEM: Septic Tank �` i1`0uU g/1la'J
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(: (minimum sixes 1,000 cal.)
TILE FIELD: Each Trench feet / Total system length feet
. SEEPAGE PIT(S): Number of / Size each 6 feet b' feet
Size of stone to he used 11 ,j / Depth or Thickness 2_ feet
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• • 4-. 4 4 4' 4 • ♦ 4 4 4 4 4 4 4 4 4 4 * 4 * 4 4 4 4 4 4 4 * • 4 4 4 4 * * 4 4
IMPORTANT
...Pleasx:..,LIST NEW LQUlPM1:NT TO BE INSTALLED
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, � lSr/�(tav7sv,�.• ,G��
(over)
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Section 11 " Septic System Inspections: •
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A. All-applications for septic system installation, alteration or repair,.as
- required by the 'Town of Queensbury Sanitary Sewage Ordinance, shall •
• 'be sub:t:itted to the Building Uepartnrent at least 24 hours before start
of construction and shall include a plot plan showing:
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1.) • the proposed location of the system
Z.) `location and distance to lot lines
3.)':'location and distance to str•uctur•es •
•l.) location and distance to any water supply
5.) si:e and dimensions of all tanks, distribution
boxes, tilt fields and/or.drywclls
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 $2511.U0. •
;.C. An.approved copy of the plot plan shall he 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
e. to the Queensbury Building Department before further construction.
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- I have read the regulations above and agree to abide by these•and all requirements
of the Town of Queensbury Sa &it ew a Dispo:sal Ord- • cc: •
•Sign:►tune of responsible person: •
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Town of Queensbury '
• Building and,Code..Department
flay at flaviland Road
Queensbury, New York 12801 •
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' (518) 792-5832
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Jown o/ ?Ueenihury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
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SEPTIC DISPOSAL SYSTEM INSPECTION
NAME tuez/1e,-2-2.-GGL-GC,
LOCATION j' / L - 7? -
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DATF,, ,130 PERMIT NO. U`! 9 7
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 ITS{Number of) -
Size- G2 ft. X`•.q- ft.
Gravel size .,Z_
PIPING: Size Type
Bldg. to tanker 77Ai a
Tank to dist. box for P vc—
Dist. box to field/ ' 1 f..
Openings sealed? YES);' NO Partial
LOCATION/SEPARATIONS:`
Foundation to tank f X 14'ct.
Foundation to absorption zp ft:r ' `
Absorption to lot cline /0 ft.f—
Separation of pits 237-ft
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
SYSTEM USE APPROVED YES N
Building spector
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