1987-586 BUILDING PERMIT �
TOWN OF QUEENSBURY �
No. 87-586
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John F . Flower Jr . r!,
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OWNER of property located at L7 Sunnyside North Street, Road or Ave.
in the Town of Gueensbury, 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 o
RD # 1 Box 334 �
Queensbury , N . Y . 12801 �
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2. CONTRACTOR or 13U1 LDE R S Name
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5_ ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X1 c
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( } Woad Frame ( } Masonry i } Steel f l
7. PLANS and Specifications
No_ 2 septic tanks - 1 1500 gal and 1 500 gal , s seepage pits each
12 ' x 12 ' {seepage to equal 625 sq . ft . }
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Sewage alteration m
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S PERMIT FEE PAID - THIS PERMIT EXPIRES August 31 , 1g $9 rt
(If a longer period is required an application for an extension must he made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this y�.31 s t Day of August 19 87
SIGNED BY 504Zo6 G:;Z A!5�27�...=' for the Town of Queensbury
Building and Zoning I nspector �+ /004
` AWN OF OUEEtiS;3ur'�`7Yrryy`
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APPLICATION FQR SEPTIC A PERMIT , t
DATE e aC7.
LOCATION OF PROPERTY FOR IINNSTALLAT.IION . 6,;r .ae .LC/etlit�,�✓�
Owner's Name: -rrr.�."`i�-� , � /"%yiffF -fr7 Telephone.
Address: / X 7" ` '-L+t )� /.1La /L�o .. i'f7/rCJ
Installer's Name: Telephone:
Number of .bedrooms (residential only)
Total daily flow (compute @ 150 ,gal per bedroom) _ ~Q
Topography: circle one: Flat Rollin Steep Slope % of slope _
Soil Nature: circle one San Loam Clay Other / Depth: feet
Ground Water: At what depth? Z/O feet
Bedrock or Impervious Material: At what depth? CtK-7� /'d feet
Percolation test: circle one: not required required / rate Cl -J� min. inch.
Domestic water supply: circle one: Municip Wei Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tanks gal. (minimum size: 1 ,000 gal.) -svo
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S) : Number of / Size each /�. - feet by /.2 feet
Size of stone to be used # y Ora / Depth or Thickness /� feet °
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
(over)
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
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.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal i ce.
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Signature of responsible person:
Date.
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
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