1990-141 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-141
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WARREN COUNTY, NEW YORK z
PERMISSION is hereby granted to SANITARY SRWEB 6l\ es
OWNER of property located at 32 Zenas Drive Street, Road or Ave.
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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.
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1. OWNER'S Address is
Myles Bethel '1
32 Zenas Drive
Queensbury NY 12804 '-<
2. CONTRACTOR or BUILDER'S Name
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Sanitary Sewer
3. CONTRACTOR or BUILDER'S Address td
POBox224
Glens Falls NY 12801 fD
4. ARCHITECT'S Name
5. ARCHITECT'S Address N
6. TYPE of Construction— (Please indicate by X)
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( )Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
No. Sewage alteration 2-seepage pits 6!x8? with #3 stone at 2 ft depth as
• per application and specifications
8. Proposed Use
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Sewage alteration
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$ PERMIT FEE PAID —THIS PERMIT EXPIRES c
25.00 April 11 1992
(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.) O
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Dated at the Town of Queensbury this 11th Day of April 19 90
SIGNED BY _ for the Town of Queensbury
Building and Zoning Ins ector
TOWN OF QUEENSPURY
,;�__ APPLICATION FOR-?...,A
OR
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=v_s> SEPTIC DISPOSAL PERMIT i D L- .
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LOCATION OF PROPERTY FOR,INS TALLA;TION :. . -ems 2f,L-' Uaf,,
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Owner's Name: Iiitte r .- Telephone:
Address: 2_ A.,. -J-- Mcc<
Installers Name: AW 1-7 0ie--4u Telephone: 7 7
Number of bedrooms (residential only) c3
Total daily flow (compute (d 150 gal per bedroom) ' ' /
Topography: Circle on-O Rolling Steep Slope % of Slope
Soil Nature: Circle on:40 Loam Clay Other /Depth: Feet
......--
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? r— Feet _
Percolation test: Circle one:_ not require. equired rate min. inch.
Domestic water supply: circle one: 'Iunicipal ell Other
If domestic water supply is a well: —
Separation: Water supply from septic absorption feet
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PROPOSED SYSTEM: Septic Tank f o o. gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench feet/Total system length • feet
SEEPAGE PIT(S): Number of 2_ / Size each 6 feet by P feet
Size of stone to be used #2 /Depth or Thickness 2.__ feet
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I have read the regulation on the reverse side his sheet and agree to abide by these
- and all requirements of the Town of Queer u y S nitary Sewa osal.Ordinance.
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SIGNATURE OF RESPONSIBLE PERSON: zit
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DATE: 'y/ O - 00
OVER -
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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.
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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 installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT •
Bay and Haviland Roads
Queensbury, New York 12804
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Remarks :
Jown of Queenitur,
BUILDING and ZONING DEPARTMENT A /.14
Bay and Haviland Road, R.D. 1 Box 98 /71 V
Queensbury, New York 12801
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SEPTIC DISPOSAL SYSTEM I1(atoiold JA'.8-0)
P�TION
NAME 1Lth .GJ ,(,(12i4.---
LOCATION J2 34i
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DATE lz/it/ 90 PERMIT NO. 0 -/ /
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 )? TS{Numbe _.of) ' q
Size- c�ft. X _ V ft. -t- ;r
Gravel size "l
PIPING: Size ' Type
Bldg. to tank t. L1✓ --
Tank to (list. box ' /-/ pve,
Dist. boa: to field/ its,, 1 A/4- -
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS: . ,\
Foundation to tank ' <i J�„f t.
Foundation to absorption t2 ft.
Absorption to lot line 1.5- ft.
Separation of pits / "eft.
LOCATION-OE S(STEM ON PROPERTY(circle one)
Front il:_a_ri Left side:- Right side -
COMMENTS
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SYSTEM USE APPROVED YES/ NO';'
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Building Inspector
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