1988-884 BUILDING PERMIT w
TOWN OF QUEENSBURY ro
No. 88-884
WARREN COUNTY, NEW YORK 0
PERMISSION is hereby granted to Neal Gallagher
. OWNER of property located at + Mountain. View Lane 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
SAME
2. CONTRACTOR or BUILDER'S Name
Bradley
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( )
1J.
7. PLANS and Specifications
r
No. Existing tank, 2 6' x 8' seepage pits as per plot plan m
and application.
8. Proposed Use
Sewage Alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 7 19 90
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the SQ
town of Queensbury before the expiration date.)
Dated at the Town of Queensbur is 7th Day of November 19 88 n
SIGNED BY for the Town of Queensbury o.
Building and Zoning Inspector
TOWN OF QUEENSPIJRY
k
's'`f f-� APPLICATION FOR f
> SEPTIC DISPOSAL PERMIT } l n� r
P, EW ED By _e< ) 1
DATE �f 3/19
LOCATION OF PROPERTY FOR INSTALLATION O yam( v rJ
Owner's Name �a_e Telephone: 7 6 77
Address: y 0 t9-e.,— () / 1 )'?- �{
N/ Installer's Name: n ,f/ Telephone: 7'/7 3 2c_-.?
Number of bedrooms (residential only) 3
Total daily flow (compute 0. 150 gal per bedroom) �JrI
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth?. Feet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one: Muna Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank exis54 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench , feet/Total system length csfdr, feet
SEEPAGE PIT(S): Number of a / Size each feet by feet
Size of stone to be used # a /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 Sanitary Sewage Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: r-42Gt.t
DATE: //3 f f�
OVER
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 installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks: -
_town o� Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME C--(,(, /k&
LOCATIONl I() t,.V rCAOi—
DATE I / 10/ 4' I\ NO. Y�7 --cg -(
SOIL TY'E - Sand - Loa - Clay -
Percolat'on Test Requi ed? YES - NO
Percolati.n rate - Min Inch
TYPE of SY' EM:
Absorption . eld, tot.l length
Length of ea. trench
Depth of trenches
Size of gravel
SEEPAGE PITS*N .er .f)
Size- joft. X ,dit.
Gravel size - rf
PIPING: Size Type
Bldg. to tank f�Tank to dist. box _ t� A)6-
Dist. box to fie d/. ' L/ v V L
Openings sealed? 4111 NO Partial
LOCATION/SERA', IONS: Ol i- S X( S" lNy.
Foundation to rank ft.
Foundation to :bsorptio _"3Qft --
Absorption to lot line fit. Ok—
Separation o pits ft
LOCATION OF .YSTEM ON PROP RTY(circle one)
Front - Rea• - Left side - 'ight side -
COMMENTS:
Su® c PIT --
MST iti/(o r0A/C( �*r \�
SYSTEM USE APPROVED ® NO
Building Inspector
01/86 and vl
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