1987-463 BUILDING PERMIT �
TOWN OF QUEENSBURY No. 87-463 �
a
WARREN COUNTY, NEW YORK '
PERMISSION is hereby granted to Bernard McCann
1
OWNER of property located at
CourtHouse Dr . 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.
t. OWNER'S Address is 3101 CourtHouse Dr .
Queensbury , N . Y . 12801
w
rs
2. CONTRACTOR or BUI LDER'S Name cL
n
Condon ' s Septic & Drain
3. CONTRACTOR or BUILDER'S Address
17 Grant Ave
Glens Falls , N . Y . 12801
4. ARCHITECT'S Name
r
C']
_ O
C
6. ARCHITECT'S Address "t
n
x
0
c
YU
rPLAENSS
f ConstruEF
ate by X) Gi
H
1 ) W000nry { 1 Steel { }
and Speci
No_ 2s each 6 ft x 8ft , per plot plan and application .
ed Use
Sewage alteration00
tr'
w
(D
ro
$ 10 . Jul 22 19 89 y.
00
PERMIT FE'E PAID — THIS PERMIT EXPIRES y
rt
(if a longer period is required an application for an extension must be merle tor he Building and Zoning inspector of the
town of Queensbury before the expiration date.) m
rs
Dated at the Town of O.ueensbury this 22nd pay of July 19 $7
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
r
MD
APPLICATION FOR SEP'TiC DISPOSAL PE T • � � �
ice -
BUiI_ isv%� oEPT.
DATE
LOCATION OF PROPERTY FOR INSTALLATION 31 D (100 A+ �p� (j ( � S. E
Owner's Name: �j �Q �tf/g T} �0 JUh1 Telephone:
Address: ,/i3 bo A,4 /7�5q, :biL -.�1 _-t 1 c �'_,f'c.IS, 0 I%C oy �}
Installer's Name: 0njVj>LyRJ' f SR,0 LaC, -z fJV Telephone: ,�� 3� (�
Number of bedrooms (residential only)
Total daily flow (compute C 150 gal per bedroom) �h
Topography. circle one : 6lat Rolling Steep Slope % of slope _
Soil Nature. circle one: an Loam Clay Other I�A Depth: feet
Ground Watere. At what depth? Q feet
Be%dl y ck, or Impervious Material: At what depth? _ e) feet
Percolation testa, circle one: of required required / rate min, inch.
Domestic water supply: circle one•., l4lunzcipai Well Other
IF domestic water supply is a We11a
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM * Septic Tank � 1 � + l al. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S) : Number of - / Size each Ka feet by 6 feet
Size of stone to be used # _ / Depth or Thickness .�.� feet
IMPORTANT
...Pl.ease...LIST NEW EQUIPMENT TQ BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(aver)
� - � 0� �aj,n -01 L" eD" J ' " rY
gUILDING and ZONING EPA'RTMENT
gox 9$
gay and Naviland Road. R.D .
pueensbury, NeW York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NR+MiE
LOCAT I cxa 3
PERMIT NCI . d ` 77
DATE
SOIL TYPE and - Loam - Clay
Required? YEs N
percolate _ Min/Inct►
Percolation rats'
TYPE Of SYSTEM: t total length
Absorption field to
. ti
Length of each re Depth of trenches
size of gravel
SEEP .
AGE I`rS (Ner f )t.
—
size- £t '
Gravel 3s xe size Ty e
PIPING : • �' 4"
'Sidg . to tank , , �--
Tank to <list_ box t ,
Dist . box to feel t3O partial
openings sealed? YE
LOCAT I C'N/SEP ARAT I ON s : f t.
Foundation to tank lion t .
Foundation to absorp Dwft.#"
Absorption to lot lime its :Xift-
Separation o£ STEM ON PROPERTY (+circle one)
LOCATIO _ Right side
Front ar Left side
CpMME s
SYSTEM USE APPRQvE YE
0
Building insp
ector
01 /86 ma vl
GCR 'VhA:D Me CAwJ ConrTo/v s �f� � cC
3i0t Coup orHousf )At � � z ��Arvf
351
4+
j � Qj
1
I
i
f
i
r