1989-389 BUILDING PERMIT "
TOWN OF QUEENSBURY No sg_3s4
WARREN COUNTY, NEW YOR K
PERMISSION is hereby granted to JOSEPH WWI DEY
OWNER of property located at 9 LESTER DRIVE Street, Road or Ave.
in the Town of Queensbury, To Construct or place a SEWAGE AITERATTnN
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
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2. CONTRACTOR or BUILDER 'S Name
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SANITARY SEWER rrn
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3. CONTRACTOR or BUILDER 'S Address.
GLENS FALLS , N . Y . 12801
4. ARCHITECT'S Name
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5. ARCHITECT'S Address v
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S. TYPE of Construction — (Please indicate by X)
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I I Wood Frame ( I Masonry ( 1 Steel I I
7. PLANS and Specifications
No. Existing 1000 gal tank , 2 6 ' x 8 ' seepage pits as per plot plan
and application .
S. Proposed Use
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SEWAGE ALTERATION c
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$ 25mOO PERMIT FEE PAID THIS PERMIT EXPIRES June 2 19 91_ r
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(1f 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.)
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Dated at the Town of Queensbury thi 2nd Day of June 19,AL9-- v
SIGNED BY for the Town of Queensbury
Building and Zontno Inspector
!'C7WN OF QUE ENS B UR,Y
.; APPLICATION FOR 4C� `p� OWR taF QUEiENSBUR /
RECEIVED
SEPTIC DISPOSAL PERMIT
JUN X _ 1989
BLDG, & CODE DEPT.
DATE
LOCATION OF PROPERTY FOR INSTALLATION �f ,�c'' �' I�� �J/� l uc
0wnerIS Name: /I Telephone:
Address: ' y --
Installer's Name: r/ Telephone: ` , - �7d2%5" -7
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Number of bedrooms (residential only) .�
Total daily flow (compute (d 150 gal per bedroom)
Topography: Circle one; late Rolling Steep Slope ao of Slope
Soil Nature: Circle one• Sari Loam Clay Other /Depth : Feet
Ground Water: At what depth ? Feet
Bedrock or Impervious 'Material: At what depth ? — Feet
Percolation test: Circle on� n*4 _ not required squired rate min. inch.
Domestic water supply: circle one• 'Iunicipal ) Well Other
If domestic water supply is a wel
Separation. Water supply from septic absorption feet
PROPOSED SYSTEM : Septic Tank ! gal. ( minimum size: 1 . 00n gal.)
TILE FIELD: Each Trench — feet/Total system length feet
SEEPAGE PIT(S): Number of Size each feet by feet
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Size of stone to be used # . /Depth or Thickness feet
I have read the regulation on the reverse side of is sheet and agree to abide by these
and all requirements of the Town of Queens Sa itary� sposal Ordinance.
SIGNATURE OF /RESPONSIBLE PERSON: /f
DATE: C / rr /p
OVER
Septic Systettt Ens [Iections ;
A . All applications for septic system installation , alteration or repair ,
as required by the Town of Queensbury Sanitary Sewage Orcfinakice , shall
be submit-end to the Building Department at Least 24 hours before start
of construction and sholi include a plot plan showing :
1 . ) the proposed location of the system
90 ) location and distance Co lot lines
3 . ) location and distance to structures
4 . ) location aitd distance to any water supply
5 . ) size and dimensions of all tanks , distribution boxes ,
the fields and / or drywrells
Li . No System shall be covered before inspection and approval by the
liuiLLlitlg IttSpcctor . Failure to comply with this requirement may
r ` sult in Che uncovering; of the system by the installer and a fine
Uf 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
rusulC in an immediate work stoppage .
U . Should unforeseen problems during construction prevent proper installa—
tion , alteration or repair of an approved system , a new proposal must
Lc submitted to the Qucunsbury Building Department befora: further
c: otti :� t rue C lean .
Town of Queensbury
BUILDING and CODES DEPARTMENT
bay and Haviland Roads
Queensbury , New York 12804
�owrt o� �tt¢ensbeerl�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801 !
SEPTIC DISPOSAL SYSTEM INSPECTION
LOCATION.
DATE PERMIT NO . Jc� !
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation Vate - Min/Inch
TYPE of SYSTI :
Absorption f i4tld , total length
Length of each€: trench
Depth of trenc4es
Size of gravel ' ' f
SEEPAGE PITS4N er of)
Size- ft_ X ft_
Gravel size
PIPING : SIZ7 TyP
Bldg . to tank ; -- — —
'rank to dist . box
}Dist. box to field NO Partial
Openings sealed? E
L0CATION/SEFARATIqf4S
Foundation to t `k t to
Foundation to sorpt on t -
Absorption t lot lin to
SeparationPits Jet'
LgCATI S S OPERTY (circle one)
Front - ear Left Sid Right side
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COMMENT
)APB
SYSTEM USE APPROVED S fNO
Building Inspector
01/86 and vl
09 ��
'1 p `
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