1986-225 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-225
WARREN COUNTY, NEW YORK
John Benedict
PERMISSION is hereby granted to t,
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OWNER of property located at 5 Spruce Court Street,Road or Ave. y
Sewage Alteration co
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in the Town of Queensbury,To Construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and
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approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. H.
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1. OWNER'S Address is 5 Spruce Court
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name Condon's Septic and Drain Service
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3. CONTRACTOR or BUILDER'S Address 17 Grant Ave. V
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Glens Falls, New York n
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4. ARCHITECTS Name r
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5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by XI
1 1 Wood Frame 1 1 Masonry ( 1 Steel I I
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1. PLANS and Specifications
xxxx 3igxxxXpaxxxxxcc xacia isiin 3 naix 0,
No. 220 ft. tile field per application submitted. Y
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toB. Proposed Use to
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Sewage system for dwelling rt
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 15 1988
(If a n longer ui period
is required
before theexpirationiliionfor an date.)extension must be made to the Building and Zoning inspector of the
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Dated at the Town of Oueensbury this 15th Day of May 19 86 Lira
SIGNED BY �• LDtct# " for the Town of Queensbury
Building and Zoning Inspector
awn of Queenitury
BUILDING and ZONING DEPARTMENT:OWN OF OUEENSEU-,_,
Bay end Haviland Road, R.D. 1 Box f2 E fl \`(I h I(",
Oueensbury, New York 12801 (S 11 lT t� (( j
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SEPTIC DISPOSAL PERMIT APPLICM19 12)1121(3141518,
Owner' s Name Sohn !3£/1£ 171L * Tel. 793'fr73g
Address 5 Spruc£ Cou. f f uFEnJS p ury ivy / i—&o/
Person/Firm installing systemClaruoorv6 .ccf#rc, d'11,R/ , ry sew.
Number of bedrooms (residential only) 3
Total daily flow: (compute @ 150 gal.per bedroom per day)_ y. 1?,
Topography - rolling - steep -(circle one) Degree of slope R
Nature of soils: and loam-clay- other- Depth ft.
Ground water-- at what depth? --' ft.
Bedrock or impervious material--at what depth? --- ft.
Percolation Test - Not required f Required -Rate min/inch.
Domestic Water Supply - €lunicipal - Well - Other
IMPORTANT!
On a separate piece of paper , submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from an domestic water
supply or shore-line of lake, stream, pond or wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank sizegal.
Tile field- Lengt of each trench ft. Total field ft.
Size of stone #
Seepage Pit (s) Number oa / Size 6 ftX_ $ ft. Size of stone$ 3
Any contractor, corporation, individual , Etc. , engaged in the
construction of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the approved application, will be subject to a Penalty of $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
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Signature o Applicant 5 I(7r�� �0 /Date
01/8 6 and/vl a a a r r • FIR L; e /
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Septic System Inspections:
A. All applicationg for septic system installation,
alteration or repair, as required by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina 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 $250.00.
C. An approved copy of the plot plan shall he
available •on the construction site. Failure
to produce said plot plan at time of inspection
may result in an immediate work stoppage.
D. Should unforeseen problems during construction
prevent proper installation, alteration or
repair of an approved system, a new proposal
must be submitted to the Queensbury Buildina Department before further construction.
COd.vUyi-.CpO J 46i Of Queena4urey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME R&.u60ICT /�
LOCATION CP S, titcb £ vrtr
DATE .Sl(j/ QS PERMIT NO. 86 - aaC
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: MIV-
Absorption field, total length 2.2ofr-
. Length of each trench I$ is 1- yD S
Depth of trenches 2.4"
Size of gravel_ 1t2„, _
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S nn- 9ft v ft.
PIPING: Size Type
Bldg. to tank
Tank to dist. box Li Qy
Dist. box to field/pit Qy G
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation to tank r)O-Fr AYIG.
Foundation to absorption 2r ft.
Absorption to lot line is ft.-0-
Separation of pits ft
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - 0- Left side - Right side -
CCNNENTS:
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P64 4 ir eft-L 60 FOX- ntti was
SYSTEM USE APPROVED YES NO
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