1990-164 BUILDING PERMIT
TOWN OF - QUEENSBURY
No. 90-164 z
WARREN COUNTY, NEW YORK °
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PER MI SIGN is hereby granted to DONALD OGLE
OWNER of property located at 41 Zenas 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.
1. OWNER'S Address is 0
same ri
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2. CONTRACTOR or BUILDER'S Name
Condon's Septic & Drain Service
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel (
7. PLANS and Specifications
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No. Sewage alteration as per plot plan, and application
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8. Proposed Use
Sewage altaa Lion rt
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$ 25.00 2
PERMIT FEE PAID —THIS PERMIT EXPIRES April 17 199
(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 17th Day of April 19 90
SIGNED BY c f!)3, for the Town of Queensbury
Building and Zoning Imp or
1 UWN OF QUEENSBLJRY
APPLICATION FOR a 4
v SEPTIC DISPOSAL PERMIT
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DATE/7 •—/ 7 °
}� y��' r `� n
LOCATION OF PROPERTY FOR INSTALLATION ' ! ) 2- E/ v U i), a
Owner's Name:Tor z1Ar D C)eL-a Telephone: 79 3- 6 ?V
Address: %4 Z L N V S �
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Installer's Name:a IVc-6$ 5 Z� /�`— Telephone: 7 6)- g3 S-17/ 2
Number of bedrooms (residential only) 3
Total daily flow (compute Cd 150 gal per bedroom) g,‘O
Topography: Circle one: O Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet
Ground Water: At what depth? 0 Feet
Bedrock or Impervious Material: At what depth? 0 Feet
Percolation test: Circle one: of required required rate min. inch.
Domestic water supply: circle one: lunicipal Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank 12,g/ nqq gal. (minimum si e: 1.00 al.)
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TILE FIELD: Each Trench feet/Total system length • feet
SEEPAGE PIT(S): Number of 2-- / Size each g feet by 6 feet
Size of stone to be used .# 3 /Depth or Thickness 2.r feet
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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:* tiyutet, c 14 0 � .
DATE: 41 'if 7 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
•
•
•
Remarks : - . •
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zJown o f Queen96ur,
,� BUILDING and ZONING DEPARTMENT s‘"
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Bay and Haviland Road, R.D. 1 Box 98 .
Queensbury, New York 12801
SEPTI DISPOSAL SYSTEM INSP' CTION
NAME 4J2' i/ tV
LOCATION / •ehi hxg.,
DATE 1014//1( %f PERMIT NO. 90- /6,4
SOIL TYPE - Sant'. - Loam - Cla, -
Percolation Test Required? Y S - NO .
Percolation rate - Min/Inch
TYPE of SYSTEM: .
Absorption field, total len;th
Length of each tren+ h '
Depth of trenches ' •
Size of gravel _
SEEPAGE P I $4Numb�er..f) ' ?'_,_
Size- ft. X `d -f . r
Gravel size , ✓�
PIPING: . ,e f L Type
Bldg. to tank f'PO LI
Tank to dist. box Y if/L --
Dist. box to field/p'ot• il/ f/C----
Openings sealed? ES NO rtial
LOCATION/SEPARATIONS: '`�
Foundation to tank t9,' ( Sit.
Foundation to absorp 'on 1,, ft.
Absorption to lot li e yr' ft.
Separation of pits ,,..eft.
LOCATIO -1 SYSTEM O PROPoRTY(circle one)
Front - Rear Left tide - •ight side -
COMMENTS.
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x ( /L/ � " ' --1°/(
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SYSTEM USE APP'•OVE YES NO
/ (°4 Builcj.ng Inspector
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