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1986-196 BUILDING PERMIT TOWN OF QUEENSBURY No 86-196 ^q �^a ��' WARREN COUNTY, NEW YORK -13 PERMISSION is hereby granted Neles, Inc. OWNER of property located at 3 Whippoorwill Drive 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 145 Murray St. Glens Falls, New York 2. CONTRACTOR or BUILDERS Name Excavating, Inc. Morning Star BXeaaxattaxxXX Franklin C. Shaw 3. CONTRACTOR or BUILDERS Address 128 Kober Road co Gansevoort, New York 12831 4. ARCHITECT'S Name o C n £ 5. ARCHITECTS Address W N 6. TYPE of Construction—(Please indicate by XI )Wood Frame 1 )Masonry ( I Steel 1 2. PLANS and Specifications 2 - 61x8' drywells #3 stone per plot and application submitted. No. 8. Proposed Use Sewage system for dwelling rn $ 10.00 88 o PERMIT FEE PAID—THIS PERMIT EXPIRES May 5 19 (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.) rt Dated at the Town of Queensbury this 5th Day of May 19 n H. 0. b ° SIGNED BY ma ,,,((( for the Town of Queensbury G Building and Zoning Inspector TOWN OF QUEENSBURY 1 alp c J 1 d , BUILDING i ZONING DEPARTMENT tC, „ Cir °- , SEWAGE DISPOSAL PERMIT APPLICATION© it r 1 Owner's Name 7 -0( (" rj 14 t z� Address /',,,,,q tQaCts ten- A.M. kz Lc: l �I�"�. 718 11,(8L 2 !izlfMI6 Telephone go. 2. Property location 3 Lt/...ai)/ // /2/t , 3. Name of /�person or firm responsible for installing system frt _4 ///m 1"‘ „ J-.01 ,... Telephone No. ?97 2a9O Address /2R ein 4/5p„na„fr# / 4. Number of bedrooms (residential buildings only) 3 5. Daily flow gallons/day 6. Septic tank capacity /4,00 ppp gallons 7. Topography: fl , rolling, steep 8 of slope ��/��J/// 8. Nature of soil and depth _/�.q,,,r�/ pXC 9. If ground water, bedrock or impervious material�// is apparent at what r depth does it begin? � ,,,, ,,.., ft. m d- /° 10. Percolation test: A is required B is not required • If required what is the rate minutes/inch 11. Water supply: unit ' , well, Ter 12. Type of system proposed: rywell�� tile field, other 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 Queensbury Sanitary Sewage Ordinance. /' DD.' _ Date G ga / 9�6 .�-es -f2 �1 signature o applicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions, including distance from any structure, distance from property line and domestic water supply, etc. Include all dimensions of the system itself. Form 3-82 awn of Queendtury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New+ York 12801 61.AWKSI 44,0- .0.1/runcro Pt_ SEPTIC DISPOSAL SYSTEM INSPECTION NAME_ O ryy i LOCATION -prM!(k M Mortw(1L $b' ��(0 DATE `Y `Sd/ St/ PERMIT NO. ) r`I` or SOIL TYPE - an - Loam - Clay - Percolation st Required? YES ifp Percolation rate - Min/Inch - TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS{Nunber of) _ g E4[ Size- /, ft. X _� ft. Gravel size PIPING: Size Type Bldg. to tank SC VD Tank to dist. box YLO d Dist. box to field/ i�t / O "!,. � Openings sealed? NO Partial LOCATION/SEPARATIONS: Foundation to tank /0 ft. Foundation to absorption ft. Absorption to lot line -�&ft. Separation of pits / ft. 11. :TION OF SYSTEM ON PROPS TY(circle one) F ont - Rear - Left side - Right side - r•I ENT � ric 0O SYSTEM USE APPROVED 411,ry NO btf Building Inspector 01/86 and vl W lij �� ., LYJ1C ft 6 O I i � 0� L- � �r �" I -a Nil 2 1 10 ii (.7:', 4 fr. ..... 7 1 ice. M „ ..„, Y t-o