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88-388 • BUILDING PERMIT • TOWN OF QUEENSBURY 88-38$ 5 No. WARREN COUNTY, NEW YORK e PERMISSION is hereby granted to 'Maur ic e Lebowitz OWNER of property located at 8 Main Str,uaa Street, Road or Ave. L's 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. P 1. OWNER'S Address is Corinth Road Queensbury, V.Y. iffa 12801 fD O 2. CONTRACTOR or BUI LDER'S Name rt tat Same 3. CONTRACTOR or BUILDER'S Address - Same P u 4. ARCHITECT'S Name L9 r. n SD a) rr 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) 'rr1� ( )Wood Frame ( ) Masonry ( )Steel ( ) Cal EG 7. PLANS and Specifications No. existing 1000 gal. tank and. 1-8' X 10' seepage pit �. 8. Proposed Use O r7 Sewage Alteration • $ 10_00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 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 Tovn of Queensbury this 16th Day of June 19 38 SIGNED BY -,' •.; 'J - ' for the Town of Queensbury Building and Zoning Inspector hmoir 1 ` - 1 2 APPLICATION FOR SEPTIC DISPOSAL PERMIT. ��D. ' • ...7;rurit of Ou'W14411 /- i _ .ZONING&BLDG of DES DEFT. q \ = (�� . • TOWN OF QUEENS©URY r \r . DATE &` : / ` . . "' 4/71( LOCATION OF PRO ERTY�FOR INSTALLATION . . W'ez../A. -, �i //,,�! I Owner's Name: /%�/1L;,.C,;/% .-- �.,,,/} Telephone: 7 9 67 2 Address: ,1.-,,t4 7 f /'� 6,,, . . ?...,.,�.D ,_•,- _:.f >._.,.,<.4' Installer's Name: /" ,rf p / / / r- t -;r-) A �-, r �� r L,�.�,t_�,_,-.)r//? Tele hone: `�=��; (/ Number of bedrooms (residential only) _ _ . Total daily flow (compute @ 150 gal per bedroom) Topography: circle orie:I Flat Rolling Steep Slope • % of slope _ . Soil Nature: circle one: San oam Clay Other / Depth: . feet Ground Water: At what depth? /V /T feet • Bedrock or Impervious Material: At what depth? _441- - feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: 1 Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank x(5I(/"gal (minimum size: 1,000 gal.) 'TIL . .ac 1 Trench feet o a sys em eng ---f-net---._. SEEPAGE PIT(S): Number of I / Size each feet by /d feet • . Size of stone to be used # 3 / Dept,lar Thickness a feet * * * * * * * * * * * * * * * * * * * * * *.* * * * * * * * * * * * * *•* * * * * • IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED 4.* * * * * * * * * * * * * * * * * * * * * * * * 4 * * * * * * * * * * * *'* * * • e 1p-51 c`r-4-NIL G-( 1,i4 . (over) ' I, `s , C - .ram 5 i I � - (Jrr PO i - (7f: i IS ArriGTAN'L I -1 I/ VP X tc) (. - ' n gar � y/ 'li`, I otun ol Queenilury e!/" BUILDING and ZONING DEPARTMENT Bay and Haviland`Road, R:P. 1 Box 98 . 'Queensbury, New York 12801 SEPTIC DIISPOSAL SYSTEM INS ECTION NAME /1`f G� /`'.1eiC,i -1. LOCATION C/ /12 /4 .X:. -6 '41" DATI? A / S� PERMIT NO. PS------LE(✓ SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each tre h Depth of trenches Size of gravel SEEPAGE PIlS{Number f / • Size- ft. X - ft 1- Gravel size -S PIPING: Size i Type Bldg. to tank Tank to dist. box 77 Dist. box to fie d/� •r• a VY11t% Openings sealed YES MO r 'artial LOCATION/SEPA'PTIONS: Foundation to tank _ ft. Foundation t4 absorption Wit. Absorption ro lot line .— ft. Separation .f pits --- j 7' t. LOCATION • STEM ON PROPERTY(circl- one) Front - •ecx Left side. - Right side - COMMENT . 1 .// ilf fzf f0 ._-.. C9P/ ci ' _S-4- ..ad-r • SYSTEM USE APPROVED ' YES. )No . _ /- Q .. Build g Inspector. • 01/86 and vl