1988-926 H
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BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 88-926
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WARREN COUNTY, NEW YORK 1°
PERMISSION is hereby granted to Ulla & Jaakko Tuomela
OWNER of property located at 25 Heinrick Circle• 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.
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1. OWNER'S Address is O
SAME
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2. CONTRACTOR or BUILDER'S Name
9
Sanitary Sewer
3. CONTRACTOR or BUILDER'S Address
P.O.Box 224
Glens Falls,New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address H
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No. Existing tank,2-6' x 8' seepage pits as per plot plan,application
submitted.
8. Proposed Use
sewage alteration
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$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 30 19 90
(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.)
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Dated at the Town of Queensbury this 30th Day of November 1988
SIGNED BY �, Q.I�CI jSb/C for the Town of Queensbury
Building and Zoning Inspector %/, .
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. %..airililt• Of Oi1ZLIJdr
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/7�.��2 .� .APPLICATION FOR SEPTIC DISPOSAL PERMIT loituti' L U COuU DLit
101ltt Of 0UELAWURY
TOWN OF QUEENSBURY
Di.VM IVOl 1 3 0 / / PP' RECEIVED
NOV 2 8 1988 ' .
LOCATION OF PROPERTY FOR INSTALLATION •-am./e.kd BLDG. & CODE DEPT.
. Owner'S Name: ULL,A- -70- }-iif PL/1- Telephone: 7 9 P-33a.f-
. Ad&lre,s: AS He /�R/LFc • a4eL.e._ •
Installer's Name: S'1 iV i;µ- S''evtit._ Telephone:
Number of bedrooms (residential only) _3
• Total daily flow .(compute a 150 gal per bedroom) ' ii so
• Topography: circle one: 41,
'Rolling Steep Slope 9 of slope _
• Soil Nature: circle one: ilr 'Loam Clay Other / Depth: feet
Ground Water: At what depth? feet
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Bedrock or.Impervious Material: At what depth? _ 7-- feet
Percolation test: circle one: of requir-• . required / rate min. inch.
. Domestic water supply: circle one. Well Other' .
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption . feet
PROPOSED SYSTEM: Septic Tank�XIJTl�
I . real. •(minimum.sixe: 1,000a1.)
TILE FIELD: Each Trench feet /.Total system length feet
SEEPAGE PIT(S): Number of / Size each feet by P. feet . .
Size of ::tone to be used 11 3 / Depth or Thickness feet
• 1 • * •-• 4 • • ♦ • 4 . . 4 • * 4 i-• * • • • • • • . 444 i • ♦ # • 4 * i • i
IMPORTANT
...Please...LIST NEW EQUIPMENT TO ltE INSTALLED
* * * 4 • 4 • • , 4 4 . • • • ♦ • ♦ • • • • • .• ♦ • ; ► ♦ i ce ♦ • ♦ • • 4 * • *
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.c G 'xS"` Del 16—
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Section II Septic System Inspections: •
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A. •,1:::A4applicatioo.s ficir.Septic system installation, alteration or repair, as
required:by:111"e Town of Queensbury Sanitary Sewit2e Ordinance, shall
submitted LP the Building liep.u.tment at least 2.1 hours before start
of construction.and shall iticlade a plot plan showing:
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I.) the proposed location of the system
.1;1K:I.O.Catiibir•andtastance to lot lines
3.) location and distance to structures
location and distance to any water supply •
5.) si•ze and diin'ensions of all tanks, distribution
bc.)xes, tile fields ancl/or.drywells
- - - -----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. PailUre 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 gr e to abide by thesdand all requirements
of the Town ofQueeie..bury Sanit Sewa 0. Disposal Ord" - e.-
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. .Sigriatur re.sponsible person: •
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Town of Queensbury
Building and Code_Department
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• Bay at flaviland Road
• Queensbury. New York 12601
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(518) 792-5832 ••1
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Jown of Queenurcy .
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
//7QueensburLLy--, NN/ew York 12801
TIC DISPOSAL SYSTEM INSPECTION
NAME LQJ /CC{j�!vd�-! . �
LOCATION 5- XD L2c��� (�L�!t
DATE J 6/ PERMIT NO. W' 7 Gqh'
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: F
Absorption field, total length
Length of each trench ,g
Depth of trenches ' s
Size of gravel /
SEEPAGE ITS4Numb�r of)
Size- C/ ft. X <-�, ft. • / i-
Gravel size `, /" - 1
PIPING: '\ Size � Type
Bldg. to tank \l e,46 I
Tank to dist. )li'ox 4/
Dist. box toffi4diiiillti
Openings sea]ied? \` NO Partial
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LOCATION/SE'PARATIONS:
Foundation/to tank ft.
Foundation to absorption •%'L ft.
Absorption to lot line\ PApft.
Separation of pits I ' t.
__C73 O OF SYSTEM ON PROPER(circle one)
Front/Rear - Left, side -` Right side -
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SYSTEM USE APPROVED Y S , NO
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rdi B$i ng IInnspector
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