88-920 iv
BUILDING PERMIT
a)
TOWN OF QUEENSBURY
No. 88-920
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Rick Franceoa
OWNER of property located at Tee Hill 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
SAME
2. CONTRACTOR or BUILDER'S Name n
Queensbury Sewer z
n
7s'
3. CONTRACTOR or BUILDER'S Address
RD#1 Upper Bay Road
Lake George, New York 12845
4. ARCHITECT'S Name
H
fD
CD
x
5. ARCHITECT'S Address
7d
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6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications
No. 1000 gal tank,2— 6' x 8' seepage pits as per plot plan and application
8. Proposed Use
SEwage Alteration
oa
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 25 19 90 m
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the phi
town of Queensbury before the expiration date.) rt
0
Dated at the Town of Queensbury this 25th Day of
November 1988
SIGNED BY & ,,r)3/4-% . , for the Town of Queensbury
Building and Zoning Inspector RJl'�v
7.- (0-15 f "., .4r /rie
awn of Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC SPOS SYSTEM INSPECTION
NAME
LOCATION /�
DATE_ J PERMIT NOS!a ec~, — 92.0
I
SOIL,TYPE - Sand - Loam Clay -
Percolation Test Require ? YES - NO
Percolal�ion rate - Min/I ch
TYPE of S TEM: l
Absorption ield, total length
Length of ea h trench
Depth of tren hes
Size of gravel
SEEPAGE PITS{Ner of _
Size- ft. X _ f•.
Gravel size
PIPING: 111, Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/p t
Openings sealed? Y S 0 Partial
LOCATION/SEPARATION' :
Foundation to tank t.
Foundation to absor•tion f .
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM 'N PROPERTY(cir.le one)
Front - Rear - Left side - Right si. - -
COMMENTS:
/ =-urn /2`5 Li/et-27
.
SYSTEM USE APPROVED YES NO -'
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