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1987-530 BUILDING PERMIT y TOWN OF QUEENISBURY � Na. 87-530 � WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Ralph Russo ypam�,, 1 ►,,.,,, r OWNER of property located at 1 V '�ca- '—� 1 Street, Road or Ave_ in the Town of Oueerrsbury, To Construct or place a Sewage Alteration Iwo 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. w t. OWNER'S Address is Ash Drive Queensbury , N . Y . 12801 w 2. CONTRACTOR or BUILOER "S Name F b Morning Star Excavating G m to 3. CONTRACTOR or BUILDER 'S Address o Route 32 Gansevoort , N . Y . 12831 4. ARCHITECT'S Name la v1 a 5. ARCHITECT'S Address ri r• d ro B. TYPE of Construction — (Please indicate by X) ( 1 Wood Frame ( } Masonry f Y Steel 7. PLANS and Specifications No. 1000 gal tank , 1 seepage pit 8 ' x 81 per plot plan and application . E w as m B. Proposed Use Sewage Alteration rt ro rl a+ f'7 W $ 10 * 00 PERMIT FEE PAID — THIS PERMIT EXPIRES August 13 , 19 89 � (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 date.l Dated at the Town of Queensbury this13th Day of 'August 19 87 � yy� SIGNED BY 7O / t • V'Z'e� for the Town of Queensbury Building and Zoning I nepectar �/40e TOWN C - r APPLICATION FOR SEPTIC DISPOSAL PERMIT � 1 BUILDIN & COOE aEP-r- . DATE O LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: Y2.x Telephone: Address: _� n. Installer's Name: /y - Telephone: 2 {�'j 2 2 ?�'C> Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Tapography: circle one: Flat 1Zin Steep Slope % of slope _ Soil Nature: circle one: San Loam Clay Other / Depth: feet Ground Water: At what depth? , :' .' _ feet Bedrock or Imperviouus Material: At what depth? _ f feet P'excolation test: circle one: not required required / rate min. inch. Domestic water supply: circle often Municipal el Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ /ao feet PROPOSED SYSTEM: Septic Tank ,!ndd y gal. (minimum size: 1,000 gal.) a TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S): Number of _ '' / Size each _�"" � feet by feet feet 6CJ ,01 !/,, Size of stone to be used # _�_.. _ j L7epth or Thickness _ Z feet IMPORTANT ...Please...L.IST NEW EQUIPMENT TO BE INSTALLED (over) Section Il 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. 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 requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: ] .�� , C 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 _ 70ty" o/ Queen3bury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. i Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE / / PERMIT NO . h1 S011, TYPE San - Loam - Clay - Percolation est Required? YES — Percolation rate - Min/Inch Q _ � TYPE of SYSTEM: Absorption field , total length Length of each trench Depth of trenches Size of gravel__ ^ � SEEPAGE 1TS4Number of) Size- ft. 'X &ft . Gravel size PIPING : size Type Bldg . to tank f` Z Tank to list . box �~ tr/lytirE Dist * box to fie _ Openings sealed ES NO Partial LOCATION/SEPARATION X33 k Foundation to tank ft. Foundation to absorption f©Sft . Absorption to lot line ft . Separation of pits ft .XI IC.ATION OF SYSTEM ON PROP RTY (circle one) Front - Rear - Left side - Right side - COMMENTS -. c '!0 14 ,0 cal Cie f aoee � SYSTEM USE APPROVE YES NO Building Inspector 01/86 and V1 � . � �. � .��- ��� --___�_ � y --� � ti ,Z�r' 1 1� r r� 1 a � � � r 1� 2,0 ��� � � �� +� _ . { Gt�r,YG1 � f �"`;