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1987-584 BUILDING PERMIT � TOWN OF +QUEENSBURY No. 87-584 � WARREN COUNTY, NEW YORK Its Jerome Bonnabeax `i PERMISSION is hereby grantgd to � OWNER of property located at Sunnyside North 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_ 1 . OWNER'S Address is Jerome Bonnabeax m 179 Holmsdale Ave . 0 Albany , N . Y . ro 2. CONTRACTOR or BUI LDE R5 Name o D Condon ' s Septic o sv 3. CONTRACTOR or BUILDER'S Address 17 Grant Ave . Glens Falls , N . Y . 12801 4, ARCHITECT'S Name to C �C m 5. ARCHITECT'S Address CIA (o 0 r ri 6. TYPE of Construction — (Please indicate by X) [ ) Wood Frame ( ) Masonry { } Steel ( 1 7. PLANS and Specifications En No_ 1000 gal . septic tank, 1 seepage pit: W x 10 ' ) £ cu Per : VARIANCE # 1-86 c° ro B. Proposed Use yr Sewage A-Iteration �rt m h os rt N• 0 $ 10 . 00 PERMIT FEE PAID - TF115 PERMIT EXPIRES August 31 , , 1089 (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 daite.) Dated at the Town of Queensbury this 31s/t . Day of August 19 87 SIGNED BY �e,7. C.+� Z!:�2.r_�i 7` �Y�9at.� for the Town of Queensbury Building and Zoning Inspector XZ� l TOWN OF OUFENSeBURY APPLICATION FOR SEPTIC DISP L PE T #Ji 1 AUG 2 71981 '�?l�//LLDING tic CODE DEPT. BATE � � I t✓ -so &K & T +oQw' { n LOCATION OF PROPERTY FOR INSTALLATION ? �r yr sPi�Sf CjC_. �lJZ 50//7 Owner's Name: FAot,;) iE _ +L tV,_QAJ3EA < Telephone; Address: �' d'e5�/ ('.i��fJ r _ AA 4 4' p p. / Installer's Narne: Telephone: /�' I L3Strc7 Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: 6Flat Rolling Steep Slope '% of slope Soil Nature: circle one: an Loam Clay Other/ Depth: / L{ feet Ground Water: At what depth? © feet B .dr%o -k or Impervious Material: At what depth? i feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersuppiy from Septic absorption _ 737 feet PROPOSED SYSTEM: Septic Tank ►700 gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of l / Size each „ feet by ZO feet Size of stone to be used # _ _ / Depth or Thickness 2- 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 Be 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 $Z50,00, Co 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 requi eemeznts of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of respons'ble /person: � c2n e Date: / Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE Vj%,LL' o� prT `vd"aAro BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R .D . 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION�7c1. • l ■J ti —71 a �^ry' DATE �+� PERMIT NO. SOIL TYPE - and Loam - Clay _ Percolation Test Required? YES - NO Percolation rate - Min/Inch _ TYPE of SYSTEM: Absorption field , 'total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS4Number o£) _ Size- ft. X _ ft _ Gravel size PIPING : Size Type Bldg - to tank C" Dist_ box to fig' bit- openings sealed? ES NO Partial LOCATION/SEPARATIONS; Foundation to tank Foundation to absorption Absorption to lot line ft. VA UPjAxC6' Separation of pits AA.Jtv LOCATION OF SYSTEM ON PRO ERTY (circle one) rant - Rear - Left side - Right side - CCRMENTS 000 6 , SYSTEM USE APPROVED 41ding 41ns Buc r 01/BG and v1 d m 13e nv �►,� b €. • x Ga•vc, ,.,,r`s 5't'�v# rc -f- t'7ra i ov SFR . Srds IwI- a 10I logo ji'ItIIIII I l it p .7� ex raIN Prt- Y f fV e► t . �Y p 1, 1 SECTION 49 Q 1,09lC 0 4 { 78 ) 1 t 0 � r !� O ROP ED SEPT �y , ' WELL 1.30 AC lot 41 Sit lr 16 as 113 t: g0 16 [4 N 12 r1 ' 66 f19 La •° y f� 4�nF 'WATER 12 2 *n " 1 g� ti%N SUPPLY �[, 23 an 400S E 24 f - Tf A a LAV.. SUNNYSI BE