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1987-424 BUILDING PERMIT y TOWN OF QUEEN5BURY No 87-424 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michael Finkowski o 1 42 Helen Dr . r OWNER of property located at Street, Road or Ave. v. 00 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 42 Helen Dr . Queensbury* , N . Y . m 2. CONTRACTOR or BUILDER'S Name Condon ' s Septic System N• 0 0 3. CONTRACTOR or BUILDER'S Address Pv 17 Grant Ave . i Glens falls , N . Y . 12801 4. ARCHITECT'S Name Tv S. ARCHITECT'S Address CD - ro 0 d n B_ TYPE of Construction -- IPlease indicate by XI I I Wood Frame i t Masonry 1 1 Steel 11 7. PLANS and Specifications No. 2 Seepage pits 7 ' x $ ' per plot plan and application 9 a� ac B. Proposed Use Sewage alteration to one family dwelling m K Su rr r- $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 8j, 19 89 0 (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 data.) Dated at the Town of Queensbury this 8tti Day of July 19 87 SIGNED BY z for the Town of Queensbury Building arkr Zoning IInspector —� .Mommdor TOWN 12 APPLICATION FOR. SEPTIC DISPOSAL JUL r 197 C1 BUILDING DATE •�_ / — �- ! V LOCATION OF PROPERTY FOR INSTALLATION 41 Owner's Name: fY� j G . Fjr'VKQ L4--* S; J t i Telephone: �2!z 8 Address: --, ? �. j jC nJ t)ZQ cey IQ li CJ Installer's Name: 0,�Jslx� t� � tCr Telephone: Number of bedrooms (residential only) Total daily flow (compute @ ISO gal per bedroom) Topography: circle one: Flat Rolling Steep Slope $a of slope Sail Nature: circle one: Sand Loam Clay Other / Depth: feet Gvound. Water: At what depth? 0 feet Bed1vock or Impervious Material: At what depth? [a feet Percolation testa circle one: not required required / rate min. inch. Domestic water supply: circle one: Mixnicipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM * Septic Tank _ gal. (minimum size: 1 ,OOO gal.) TILE FIELD: Each Trench feet / 'Total system length feet SEEPAGE PIT(S) : Number of Size each feet by feet Size of stone to be used # f_ / Depth or Thickness 2, feet I M P O R T A N T ...Please*.*LIST NEW EQUIPMENT TO BE INSTALLED (over) �Jvtein © Queen . " Vy BUILDING and ZONiN{G DEPARTMENT Bay and Haviland 'Road. R .0. 1 Box 98 Oueensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME �-1 JiG © c ct 51L 1 I..00AT I ON DATE 5 '� o z PERMIT N© . T 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 Depth of t s Siz gravel C::!7-- �_.._�... SEEPAGE P ITS{Ninnber of) Size- _ ft- # 5t7= ft . Gravel size PIPING . a!size Type Bldg * to tank Tank to list . box Disto box to field/ openings sealed? YES NO Partial LOCATION/SEPARATIONS; Foundation to tank Foundation to absorption ft . Absorption to lot line f c) X . Separation of pits f LOCATION OF SYSTEM ON PROPERTY (circle one) Front - ear - Left side - Right side - CCMKENTS : SYSTEM USE APPROVED] ES NO -c Building I sp CtOr 01/86 and vl rs� �3 t ti CUR/ ��� � � � � ���' s,�' ���cs� � �� mry faI� I 3yN-)A, w