1988-077 BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-77
WARREN COUNTY VV, NE YORK
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Ed Kroner
PERMISSION is hereby granted to
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OWNER of property located at 1 Sylivan r. 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.
1. OWNER'S Address is
Same
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2. CONTRACTOR or BUILDER'S Name
Morning Star Excavating
3. CONTRACTOR or BUILDER'S Address
Route 32.
Gansevoort, N.Y.12831 •
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
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No. 1000 gal existing tank, seepage pits — 2 each 6' x 10' as per
plot plan, and application.
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8. Proposed Use
Sewage Alteration
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PERMIT FEE PAID —THIS PERMIT EXPIRES March18, 19 9°
(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 Town of Queensbury this 18th Day of March 19 88
SIGNED BY /7262-e-A.- for the Town of Queensbury
Building and Zoning Inspector-
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/ APPLICATION FOR SEPTIC DISPOSAL PERMIT MAR 181988
BUILDING a CODE DEPT.
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DATE ( '40,.., /
LOCATION OF PROPERTY FOR INSTALLATION
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Owner's Name: OL to Telephone:
Address: Pr
Installer's Name: 4- n.rv,.47 9-fot" 41,
- Telephone: 9q 3 2O .
Number of bedrooms (residential only) 75
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: Rolling Steep Slope % of slope
Soil Nature: circle one: Loam Clay Other / Depth: feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: ,Municip I Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S): Number of (A / Size each feet by j(s' feet
Size of stone to be used # / Depth or Thickness 0') feet
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IMPORTANT
...Please—LIST NEW EQUIPMENT TO BE INSTALLED
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Section II 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
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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 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 installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction. •
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I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance. .
Signature of responsible person: _ ��,� C k:l,��✓�
Date: /7 G'
Town of Queensbury
Building and Code Department
Bay at Haviland Road •
Queensbury, New York 12801
(518) 792-5832
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__Awn of Q e n j urcy
/1 I fr{ • BUILDING and ZONING DEPARTMENT
/ Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME C 01Z P�
LOCATION f j L I,//) v 1712-COttAd-rz A-r Ic%.J
DATE Y2_2.-/j1S PERMIT NO. ,f' 471
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of YSTEM:
Absorptio ' field, total length
Length of .-ach trench
Depth of t -nches • •
Size of gra el
SEEPAGE PITS Nuinber"of)
Size- '. ft. X (/ ft.
Gravel size
PIPING: S T pe
Bldg. to tank
Tank to dist. bo
Dist. box to fiel.
Openings sealed? ESJ NO Partial
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LOCATION/SEPARATIONS
Foundation to tank
Foundation to abso'•tion
Absorption to lot ine ft.
Se aration of pit. ft.
,.LOGAT-20N OF SYST:.+ ON PROPER (circle one)
1, Front`ire Rear - -ft side - Rig t side -
;`COMMENTS: L \,
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SYSTEM USE APPROVED1YES} NO'
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Building Inspector
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