1990-101 BUILDING PERMIT
lv
TOWN OF QUEENSBURY v
No. 90-101 z
CY.? ' 1 i WARREN COUNTY, NEW YORK °o
PERMISSION is hereby granted to HOWARD CONDGON
OWNER of property located at 11 Northrup 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. n
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1. OWNER'S Address is
same O
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2. CONTRACTOR or BUILDER'S Name 0
Sanitary Sewer
3. CONTRACTOR or BUILDER'S Address
V.
PO Box 224
Glens FAlls NY 12801-0224
4. ARCHITECT'S Name -
�s
5. ARCHITECT'S Address tD
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame I. I Masonry ( )Steel ( )
7. PLANS and Specifications
No. Replacement of tank only - 1000`gallon septic tank as per application
and plot plan co
8. Proposed Use
Sewage alteration
$ 25.00 PERMIT FEE PAID THIS PERMIT EXPIRES April 3 19 92
(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 3rd Day of April 19 90 V
SIGNED BY -/lifer for the Town of Queensbury
Building and Zoning Inspector
OWN OF QUEENSI3URY c, �2
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V- APPLICATION FOR
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�� vvv v SEPTIC DISPOSAL PERMIT � Y ��
�� �� u ):OWN OF QUEENSBURY
TowN
BU/ RECEIVED
U ,'.. MAR 3 0 1990
DATE 0— `'1Y ' 5 r y� r :
�� 8� ,/_ /- �'��' BLDG. & CODE DEPT.
AL T� D/e_fa-.1LOCATION OF PR PERTY FOR INSTA CATION .o t v
Owner's Name: ffo ,jpj ). C(IJ a&it•Li Telephone: 1 67:3^0/I/
Address: J 1 jr() (11-`d".) r
Installer's Name: SI-/V / 771- -- - Vlzl<✓'?_ Telephone: -!.9).--- ��,5--7
Number of bedrooms (residential only) /" ,
Total daily flow (compute (d 150 gal per bedroom) fry
Topography: Circle one Rolling Steep Slope % of Slope
Soil Nature: Circle one: and oam Clay Other /Depth: Feet
Ground Water: At what depth? - Feet
Bedrock or Impervious Material: At what depth? `---- Feet . • _
Percolation test: Circle one: •of required required rate min. inch.
Domestic water supply: circ a one: lunicipal Well Other
If domestic water supply is a we :
Separation: Water supply from septic absorption _ feet
PROPOSED SYSTEM: Septic Tank /0 a 0 gal. (minimum size: 1,000 gal.)
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 sid 's sheet and agree abide by these
and all requirements of the Town of Quee ury Sa itary Sewage D'spo 1 Ordinance.
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SIGNATURE OF RESPONSIBLE PERSON:
1. /cif
..,
DATE: ''C'�b ---;G,"/d U ����""��"
OVER
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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
Remarks : :
Joeun of Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 0/01 (61
LOCATION ()L(V \ O
DATE 6"'� /C1fl PERMIT NO. 1 r
SOIL TYPE _ Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches '
Size of gravel ,
SEEPAGE PITS.Number of) '
Size- __ft. X ft.
Gravel size .
PIPING: Size Type
Bldg. to tank .
Tank to (list. box 1 i
Dist. bor to field/pit
Openings sealed? \YES ± NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to abscrptibn ft.
Absorption to lot line ft.
Separation of pits •, ft.
LOCATION OF SYSTEM ON, PROPERTY(circle one)
Front - Rear - Left:'side - Right side -
COMMENTS: A
--(6 1 A 4 1— e e I"-t"`' IX. '
rr 31 241j_/
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SYSTEM USE APPROVED ifo NO
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I D� �� Buildin+,fnspector
01/8"6 and v1
Dittuf_
i-OWN OF OUSSKS'
RECEIVED
MAR 3 0 1990
BLDG. & CODE D:PT
14'1.07,4_ • --- •
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1 \1\
TOWN OF QUEENSBURY
BUILD:EC:3 Ct cL.F..:.Pf DEPT.:
REVIEWLD BY
DATE