1990-079 BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 90-79
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_WWARREN COUNTY, NEW YORK
WALTERDOROTHY MOREHOUSE
PERMISSION is hereby granted to &
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OWNER of property located at RD 3, New Hampshire Av 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
O
2. CONTRACTOR or BUILDER'S Name O
3. CONTRACTOR or BUILDER'S Address
CD
n
4. ARCHITECT'S Name O
O
5. ARCHITECT'S Address N
6. TYPE of Construction—(Please indicate by X) tn
( )Wood Frame ( ) Masonry ( )Steel ( ) (D
7. PLANS and Specifications
No. Sewage alteration-new 1000 gallon tank and tile field per specifications
and application.
8. Proposed Use CD
Sewage alteration
ae
25.00 92
PERMIT FEE PAID —THIS PERMIT EXPIRES April 9 19
(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.)
Dated at the Town of Queensbury this 9th Day of April 19 90
SIGNED BY for the Town of Queensbury
Building and Zoning Inspe or
•
TOWN OF QUEENSTURY " "
fr
APPLICATION FOR
j'•r^< / ,.,� OF OUEErkISBUR{;
SEPTIC DISPOSAL PERMIT RECEIVE
NIAR 2 31994
BL®O CODE DEPT'
DATE 3 a 3 7 C)
-fa? s0/3 90 0 / ?— 3
LOCATION OF PROPERTY FOR INSTALLATION Al 14a_inr s4 ;Fe A'pie./9veen,rdvr�.
Owner's Name: a.lfei-`i oro ) Morehouse Telephone: 9 9 -3 3 OS'
Address:Ke ;,, f-1 p s ti,`r e Afr-e, k3 / 36A A9 3 , 9 u e
Installer's Name: \A,04 ifs/ ,( Al o lU-//d OS e Telephone: 7 F Z 3 3
Number of bedrooms (residential only) 3
Total daily flow (compute (d 150 gal per bedroom) V
Topography: Circle one:ia6 Rolling Steep Slope % of Slope
Soil Nature: Circle one:i Loam Clay Other /Depth: Feet
Ground Water: At what depth? 2o -aS _ Feet
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one: not required required rate min. inch.
-cpu aeisbv h y
Domestic water supply: circle one:Cnicipal Well Other-Tow n i/ot.±r-Su f',P'/
If domestic water supply is a well:
Separation: Water supply from,septic absorption feet
PROPOSED SYSTEM: Septic Tank /r o-o-`b gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 60 feet/Total system length Oc9 feet
SEEPAGE PITS • Size each x_ eet by,./ et
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 Sanitary Sewage Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: id:,, ��
J
DATE: j 1- 379.0
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
RLnlarks:
• P/4
_7mm ol Queen ilury
• :pUlr:DING and ZONING DEPARTMENT .
'ay and Haviland Road, R.D. 1 Box 98
QueensbOry, New York 12801
)
SEPTIC DISPOSAL SYSTEM INSPECTION
NAMB-Adh.... V
LOCATION
1 4 -
DATE 1941/40 / 9ô PERMIT NO. 91? - 7'9
SOIL TYPE - and :- Loam - Clay /L
Percolation Te-7-St Required? YES - NO
Percolation rate.':;- Min/Inch :
TYPE of SYSTEM:
Absorption field; total length
Length of each trench • :1-:TX;/
Depth of trenches • •
Size of gravel
SEEPAGE PITS4Nuinber of) • I
Size- ft. X. ft. /
Gravel size
PIPING: SIZe Type‘
Bldg. to tank
.•
Tank to dist. box '
Dist. box to field/;pitt. •
Openings sealed? 7EST . NO Partial
•
LOCATION/SEPARATIONS:
Foundation to tank V li--ft.
Foundation to absorption •-•-)C,,ft.
Absorption to lot line I;„..; ft.
Separation of pits I i.e.'ft.
LOCATION OF-SYSTEM OWTROPERTY(circle one)
,Front - tear)- Left! - Right side -
COMMENTS
SYSTEM USE APPROVED (YES _.‘1 NO
/, •• . ••
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Building Inepctor
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01/86 md vl • • •
J wn of Queen i u r j /f�
• BUILDING and ZONING DEPARTMENT
fay and Haviland Road, R.D. 1 Box 98 .
Queensbury, New York 12801 -
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Wattevci F)etak j (ne024.44-ems
LOCATION 6 0R11.3 .Ylt7,40 Wanctaihae:/
DATE GI/D/ 90 PERMIT NO. 90^7r
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: i� / J
Absorption field, to,';tal length L• I( &
Length of each trench• r}-0i •
Depth of trenches ' 1 -j
Size of. gravel 0 _
SEEPAGE PITS{Nuinber tof)
Size- ft. X._ gft. r`
Gravel size , i
PIPING: Size. Type ,
Bldg. to tank L �',1 V
Tank to dist. box . t.1 °/I % �,
Dist. box to field/ph (-t - Or-- .
Openings sealed? (ffS ) NO Partial
LOCATION/SEPARATIONS:
Foundation to tank _ (, qft
Foundation to absorption n.'7fyt.
Absorption to lot: line\ )` -ft.
Separation of pits \ .--„ft.
LOCATION ,-,YSTEM ON PROPER i'-tircl=e one)
Front ear '- Left side ght side) -
COMMENTS�/ _ �.
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.
r
7
S
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SYSTEM USE APPROVED/ NO
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Building Inspector
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