1989-258 BUILDING PERMIT '
z
TOWN OF QUEENSBURY
No. 89-258
/," rl11 1+/f+y`■ 1r WARREN COUNTY, NEW YOR K
PERMISSION is hereby granted to Charles Maine
OWNER of property located at Terrace Road ( Rolling Ridge ) 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. OVVNE R'S Address is
RD 1 Box 48 c
Queensbury. N . Y . 12804 0
2. CONTRACTOR or BUILDER'S Name L
Lee Horning
a CONTRACTOR or BUILDER 'S Address
4. ARCHITECT'S Name f
f
t
i
5_ ARCHITECT'S Address
f
C
6. TYPE of Construction — (Please indicate by X)
u
f 1 Wood Frame I ) Masonry I ? Steel ( )
it
7. PLANS and Specifications
No. Existing 1000 gal _ tank, 2501 the if field as per plot plan and
application .
B. Proposed Use
Sewage Alteration
25 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 19 89 4
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the tl
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury t ' 2nd Da f May 19 89 i
W;_e5
i
SIGNED BY t for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
APPLICATION FOR �'�" y I .5 � � � '�� '�' � �� � T°' "oe
SEPTIC DISPOSAL PERMIT TOWN OF QUEENSBURY
RECEIVED
MAY 2 _ 1989
DATE :/ �. f BLDM & CODE DEPT,
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: </r f ./F.Z C/ /,+,�,!,, 7 Telephone:
Address: r, % / ! � ! y 1 �' /G Gam'/' r`�X di��(' �j]�1LC ra-s' 2r 4ee �'�/' y
Installer's Name: .Z t"C 4V` ? r tac Telephone: r-
Number of bedrooms (residential only)
Total daily flow (compute (d 150 gal per bedroom) 4
Topography: Circle one: la Rolling Steep Slope of Slope
Soil Nature: Circle on Sand) oarn Clay Other /Depth: 7` ' Feet
CYO
Ground Water : At what epth? Feet
BedrocC or Impervious Material: At what depth ? GS Feet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one: - Municipal Wel Other
If domestic water supply is a well.
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank G> cs Z' gal. {minimum size: 1 ,000 gala- t; i>( �lC9
TILE FIELD : Each Trench CGS feet/Total system length a'? $ G3 f feet
SEEPAGE PIT(S) : Number of Size each , O;j5o�;s feet by feet
Size of stone to be used # /Depth or Thickness feet
I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbury S rRitary Sew a D 'sposal Ordinance,
SIGNATURE CIF RESPONSIBLE PER O ~-
DATE :
OVER
Septic System Inspections :
A . All . applic<ations for septic system installation , alteration or repair ,
as required by the Town of Queensbury Sanitary Sewage Ordinance , shall
be submitted to the [Wilding 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 ,
the 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 installa—
tion , alteration or repair of an approved system , a new proposal must
bk+& submitted to the Queunsbury Building Department before further
construction .
Town of Queensbury
BUIL.DTNC and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury , New "York 12804
li4tuarks ;
,
f�]eeeens � urt�
a ivn n `oC / 7
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. 'R•D. 1 Bax 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
LOCATION
DATE
f 'fq PEP-MIT NC3 . c [3
SOIL TXPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM.
Absorption f i.eld , total lenc3th'
Length of each trench
Depth of trenclr}es
Size of gravel'
SEEPAGE P ITS4N er of) ----
ft. }C ft. ---�
size- -
If
Gravel size Mize T pe PIPING
Bldg , to tank.
Tank to dist . box
Dist . box to field NO Partial
Openings sealed?
LOCATTON/SE'PARATI Sx ft.
Foundation to tan tion ft .
Foundation to ab r p ft.
Absorption to to line ft circle.
Separation of p ' s one)
ON PRC7PER
LOCATION OF SYS � Righ side -
Rea ft side
-
CC*IMENT
SYSTEM USE APPROVED
YES
,a In ecto
01/86 and vl
� � : r . . r7-7
wl
is —A �i � �l� � � /T{/
: s } r TRELTrti
464
• I. �, �i
�• � eR. F}. tii
r
Y
40
Taub `�WAII" z�
' � / xh .
j 21q,1z 4 ,
r d �p nt ;'
S• g a'TOP
t
1 If
VIVO
If
17
AM
rL
19
!
rrx' (y lA tr
9-1
.k. { i k . . ,� t , ° ' ptr Sri�• , �f. . !/{ ,'r Au _ ..r = � xr ! mow.
r ' l x Y R� ' [. ji •' " ._y F�yiYc
�i s•� x 1'.4� ICJ �y}+v15e''a .e'�
s *"9r'`
d�'3 rt hjr r
i
t` Y�' 1 Y{_• Y .1, .. k `• r AS. f Jnr i T 1