1990-094 BUILDING PERMIT
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TOWN OF . QUEENSBURY
No._ 90-94
WARREN COUNTY, NEW.YOR K . 'o
PERMISSION is hereby granted to ROBERT & CAROL LINENDOLL
OWNER of property located at Pinello Road Street, Road or Ave.
-J
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 r'
same
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2. CONTRACTOR or BUILDER'S Name t
Duplex Construction r
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3. CONTRACTOR or,BUILDER'S Address - R°
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4. ARCHITECT'S Name
5: ARCHITECT'S Address b
C
0
6. TYPE of Construction—(Please indicate by X) a
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Sewage.alteration-replace existing tank only as per specifications and
application.
8. Proposed Use
- Sewage alteration
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aq
- m-
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 9 19 90 o
(If a longer period is required an application for an extensionmust be made to the Building andZoning inspector of the -
town of Queensbury before the expiration date.) �•
0
Dated at the Town of Queensbury this 9th Day of. April 19 90
SIGNED BY �� for the Town of Queensbury
Building and Zoning I Spector - - - - • - _ '
TOWN OF•QUEENSI3URY
APPLICATION FORS
:, . � RECEWED
�-v � SEPTIC DISPOSAL PERMIT
NI AR 301990
BLDG. .&'CODE sD' p .
DATE 3/INq u
)217- /- 7-5-
LOCATION OF PROPERTY FOR INSTALLATION: ny 4YI( 1J(f\(F'1J()\4\
Owner's Name?('ART. d 0,Rf20i Li/YE/y&Du_ Telephone: rjq�j 'ieg4--
Address: l( n( ((`(F.L.c0 K-f,.
Installer's Name; (JP 0.15-risT1W 60 c)--A. Telephone: _
Number of bedrooms (residential only)
Total dail flow (compute 0..150 gal per bedroom)
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circ\one: 'Sand Loam clay Other /Depth: Feet
Ground Water:. At wha depth? Feet
Bedrock or Impervious Material: At what depth? - Feet .
A ,1\it-
Percolation test: 'Circle one: not required required rate min. inch. 10P Y.V
Domestic water supply: circle one:\Municipal Well Other ��(( \1
If domestic water supply is a well: �1 (
Separation: Water supply from sep\ic absorption feet 5 J ,
PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) , (0 \ .
TILE FIELD: ,Each Trench feet/Total system length _ • feet
SEEPAGE PIT(S): Number of / Size each, feet by feet
Size of stone to be used # , /Depth or Thickness feet
' \ .
I have read the regulation on the reverse side of this sheetand agree to abide by these
and all requirements of the Town of Queensbury Sanitary Sewage isposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: P4-44A -,LAA,..0,A"..aCi--V
v
DATE: _ ...,i-yR'G '
OVER
•
•
•
Septic System Inspections:
A. All applications for septic system installation, alteration or repair,
as. required by the Town of.QueensburySanitary.S'ewage 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 fide
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
,Down of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 .
Queensbury, New York 12801
• 1
SEPTIC DYISPOSAL SYSTEM INSPECTION
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N /.,1n /Jc11`
AME . 1
LOCATION % ,17 Rd
DATE s / / q. � '
�a PERMIT NO. � �
SOIL TYPE - San id - Loam -/ Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
If
TYPE of SYSTEM: 1
Absorption field, total' length
Length of each trench
Depth of trenches a
Size of gravel 1
SEEPAGE PITS{Number of)
Size- r f X—----ft `.;p, , . 7 _9
Gravel size _
PIPING: Size Type
Bldg. to tank k .
Tank to dist. box yC ii <9%-c
Dist. box to fiel` /pit i h �c
Openings sealed? ' YES NO Partial
LOCATION/SEPARATIO Si
Foundation to tank �fc< ft.
Foundation to absorption qo ft.
AI
Absorption to lot lipe ®5" ft.
Separation of pits \ 02.5- ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear Left ;side - Right side -
COMMENTS: f .
a o //Sece �^�[i \�2 1
k
2
L ' 4
q
3 i
'I-- 8C.S.4i)Lt"/ 1-J)1-' 61- Cil
1 i
p y1 f
SYSTEM USE APPROVESSF¢ YES O1
I 71 ili
;33'. Bt1 1'di g Inisi3etor
QS
a. d
01/86 and vl
_lown o/ QueenJeturc� . 1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM NSPECTION
NAME CAR4-1 ' LiLe/ld,t1'L_.
LOCAT I ON:6X 311 ii,f,W? - kd .
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DATE45OI7O PERMIT NO. go-.
SOIL TYPE -W- Loam - Clay -
Percolation Test Required? YES - 0
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches '
Size of gravel
SEEPAGE FITS-Number of) /
Size- __ft. X _ sf�t.
Gravel size . ,'
PIPING: -Size / Type
Bldg. to tank
Tank to (list. box /
Dist. bo): to field/pit.
Openings sealed? YES :, /NO Partial
:', I
LOCATION/SEPARATIONS: \ r
Foundation to tank i ft.
Foundation to abscrption eft.
Absorption to lot line ; AMA- .
Separation of pits / /Mt .
LOCATION OF SYSTEM op PROPER circle one)
Front - Rear - Left/side \- Right side -
COMME., °
itr
J11 / 0
( Y i,
i
I
/ \
SYSTEM USE APPROVED AIL NO
4001111
pltoilk A
.vAl vA
Buil.'ng inspector
01/86 and vl •
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