Loading...
1987-401 BUILDING PERMIT 5 TOWN OF QUEENSBURY No. 87-401 R5 WARREN COUNTY, NEW YORK � '.r7 . r �7 - �-- 3 PERMfSSfON is hereby granted to Lee Barton o r- OWNER of property located at -Mbk-�Sunnyside No Street. Road or Ave. c- 0 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 104 Sunnyside No . RD 1 Box 319 Queensbury , N . Y . 12801 r 2. CONTRACTOR or BUILDER'S Name mro bi Walt Stevensonrt w rt 4 3. CONTRACTOR or BUILDER 'S Address .� R . D . # 1 Queensbury , N . Y . 12801 4_ ARCHITECT'S dame r C S. ARCHITECT'S Address G to to F+u Inu rD 7. 6. TYPE of Construction — (Please indicate by X) � I I Wood Frame I I Masonry { I Steel { } r- 7. PLANS and Specifications No. 1 , 000 ,gal septic tank and 7 ' x 10 ' seepage pit: per plot plan and application S. Proposed Use CAN m 8 W Va Sewage alteration � y. for m $ 10 . 00 PERMIT PEE PAID — THIS PERMIT EXPIRES June 25 19R4 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F town of Queensbury before the expiration date.l O Dated at the Town of Queensbury thhiis�� 25th r-,D.7ay� of June 19 R7 SIGNED BY %' 4/ .06 �C a ,r�.�+ -- for the Town of Queensbury Building and Zoning inspector 4' own afaw0OW&V 0aAPPLICATION FOR SEPTIC DISPOSAL PERMIT aiV� + gUIL.DING 8s CODE' D EI DATE 2'7C' ' � e LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: i�-`z .S +�} l� Telephone: 794 — d 7 9 S n Address: f l _ .� tl.+tiI A..) S+" m�'i d� / "' a l2 d- � � � 1 Cj' �3 Installer's Name: / 51g /.=C�duzs© ^J Telephone: Number of bedrooms (residential only) �T Total daily flow (compute @ 150 gal per bedroom) C ...r Topography: circle one: 6DRolling Steep Slope 96 of slope *Yar.u^e: circle one: Sand Loam Clay Other / Depth: feet Ground Waters At what depth? C"a feet Bedrock or Impervious Material:. At what depth? ►e jq� feet Percolation testa circle one: not required required ,/ rated 4S min. inch. Domestic water supplys circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption f (9 C,) 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 _ �` / Size each 7 _ feet by / eD feet Size of stone to be used # � f Depth or Thickness feet s s s s s s ae s * * * # * * * * * * a * * * * * * # # # * * * * * * * * # * * * # I M P O R T A N T amaFteaseweaL.IST NEW EQi.IIPMENT TO BE INSTA A.ED sss * * * * * * * * * * * * * * * * * * * * * * * * s +ss * s * * * s * * * * s (saver) BUILDING and ZONING DEPARTMENT Bay and Havifand Roa(J, R. D_ 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME !- 1 1O LOCATION DATE ''J�r ,rr'/t"`J ' ���� PERMIT NO. SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Abso Lion field oral length Length trench Depth ches ' Si of gravel SEEPAGE PITS{Number of) _ Size- ft. X -ft_ Grave size PIPING : Size Type slag _ to tank "`' 2 .z'4n> Tan _y � box to field/� p `-�` �� ! ? Openings sealed? IYES7 NO Partial r LOCATION/SEPARATIONNS : Foundation to tank ft. .ot Foundation to absorption 3� ft. Absorption to lot line '30'ft . Separation of pits '00V fto LOCATION OF SYSTEM ON PRO RTY (circle one) Front. - Rear - Left side - Right side CCIMMENTS : SYSTEM USE APPROVED( YES NO Bui ding Inspictar' 01/86 and v1