1988-882 BUILDING PERMIT
TOWN OF QUEENSBURY w
No. 88-882
WARREN COUNTY, NEW YORK o
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PERMISSION is ereby granted to James Young
OWNER of property located at 14 Greenway Drive 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
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2. CONTRACTOR or BUILDER'S Name
Condons Septic
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) G-)
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1 1 Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications
No. Existing 1000 gal tank, 1 6' x 8' seepage pit as per plot N.
plan and application. •
8. Proposed Use
Sewage Alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 7 1990
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the cn
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 7th Day of November 7 19 88 m
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SIGNED BY —'"�(11��/ �aim for the Town of Queensbury
Building and Zoning Inspector
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�.JI tJl?�L OfOueüL4 11 DAT 1�►e '/JJ
APPLICATION FOR SEPTIC DISPOSAL PERMIT P'r�Fij j, 17,11
1 0 Oi%rMIIUI
,J I' '� 1988
DATE ./ /j S�
BUILDING 8: CODE DEFT,
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LOCATION OF PROPERTY FOR INSTALLATION I Oeiv ti DA- •
Owner's Name: 14n"e5 yOcJPIa Telephone: C - ,5c23
Address: 1_11 egg sea Ay r (.P /Vg i-Y f V
Installer's Name: CjO,Up®ytc :25 &E, I Telephone: 7f i= y
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Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) ` 3 d 0
Topography: circle one: Flat Rolling Steep Slope 96 of slope _
• Soil Nature-: circle one: er Loam Clay Other / Depth: feet
Ground Water: At what depth? hi,4 feet
Bedrock or Impervious Material: At what depth? �1A- feet
Percolation test: circle one: not required required / rate NA- min. inch.
• Domestic water supply: circle one: OM Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
gAth'-
PROPOSED SYSTEM: Septic Tank WO _ gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S): Number of of / Size each feet liy 0 feet
Size of stone to lie used It 2 / Depth or Thickness feet •
* * * * * * * * * * * * * * * * * * *.* * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQU1PMJ NT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * s * * * * * * * * s * * *
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(over)
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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
Z.) 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
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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.
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I have read the regulations above and agree to abide by these'and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
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Signature of responsible person: .0
>1.t.11 � �.
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Date: 1/ " 19—er
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Town of Queensbury •
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Building and Code_Department •
Bay'at Haviland Road
Queensbury, New York 12801
(518) 792-5832 •
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j,1 .awn o/ Queen3‘ury
11111 BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
„ii/.//177 Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME _Criy1�1L0 l ���
LOCATION _A ,/C -
DATE /& /J5 PERMIT NO. Y
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: `
Absorption field,'.tota
Length of eac nch
Depth o enches
of gravel
SEEPAGE PITS* umber of).
Size- 6 ft. X ft.
Gravel size
PIPING: Size;' Type
Bldg. to tank
Tank to x
d/p. - 4( P Ic e---
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /.
Foundation to absorption D4--) ft.
Absorption to lot line O ft.
Separation of pits' AT ft.
• ION OF SYSTEM ON PROPE TY(circle one)
i ront - -ear - Left side - Right side -
• NTS:
Cyyt tt-riP/1-6 e- OA/14
SYSTEM USE APPROVED Y N
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BUILDING & CODE DEPT.
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