1990-208 BUILDING PERMIT lv
TOWN OF QUEENSBURY o .
Iv
No. 90-208
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to JAMES MILLS
OWNER of property located at 19 Bonner 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. r
0)
1. OWNER'S Address is
same s�
2. CONTRACTOR or BUILDER'S Name •
Sanitary Sewer
3. CONTRACTOR or BUILDER'S Address
td
0
4. ARCHITECT'S Name
•s
d
(b
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications CO]
No. Sewage alteration to include 2-8'x8' Seepage pits with #3 stone at 2' depth
Clq
as per plot plan, application. fD
8. Proposed Use 112—
Sewage alteration n
lv
0
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 27 92 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/� 7th Day of April 19 90
SIGNED BY C� for the Town of Queensbury
Building and Zoning'Ii' spector
TOW OF QUEENSBITRY
APPLICATION FOR
za.v � SEPTIC DISPOSAL PERMIT s OWN OF QUEENSBURY
'� . RECEIVED
/5—J i Z._ APR 2 3 1990
DATE - r 9° BLDG. & CODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION / 51 8,,,,,,z„,,_ WAL__
Owner's Name: Jf4A dr' k Telephone: 7 Q --9/3 r
Address: /q - 0 icp.0_ c-- 3)/24,,,-
Installer's Name: fJ✓ l 7�/ A-A-c.f.,- Telephone: 7 7 3 -7 -5:
Number of bedrooms (residential only)
Total daily flow (compute O. 150 gal per bedroom) '�� °
'" 0
Topography: Circle one: tirt Rolling Steep Slope % of Slope Ce LU
Soil Nature: Circle one: .and Loam clay Other /Depth: Feet t,
Ground Water: At what depth? Feet ,a
Bedrock or Impervious Material: At what depth? Feet I
•
Percolation test: Circle one: Clot requirrequired rate min. inch.
L
Domestic water supply: circle one: b'Iunicip Well Other
If domestic water supply is a well: 0 0 )- :�
CO 1
Separation: Water supply from septic absorption feet " Z
PROPOSED SYSTEM: Septic Tank /000 gal. (minimum size: 1.000 gal.) es
00 ® Nd Lu
TILE FIELD: Each Trench feet/Total system length feet w
is
SEEPAGE PIT(S): Number of / Size each ? feet by O feet
Size of stone to be used 413 /Depth or Thickness feet
*************************
I have read the regulation on the revers side o this sheet an a ee to abide by these and all requirements of the Town of Qu enstl5ury Sanitary Se g isposal Or inance.
SIGNATURE OF RESPONSIBLE PERSON: J()/f
DATE: 2(/1 //t) .
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
/ P
cc77
_/otun of Queeni6ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
.SEPTIC I POSAL SYSTIlL ,.
M Oa
NAME (/JaJ1
a
LOCATION ,
IG �, Q 1,fA
DATE 4 / 9U PERMIT NO. �,f��(1J
SOIL TYPE - Sandi- Loam - Clay -
Percolation Test]Required? ,;YES - NO
Percolation rate+ - Min/Inchf
TYPE of SYSTEM: ,
Absorption field, total length
Length of each trench „f
Depth of trenches ' ,'
Size of gravel R _
SEEPAGE :P TS{Numb r of)�
Y.
Size- (17ft. X f --/- Z,.
Gravel size ;
PIPING: r Si Typ
Bldg. to tank 1, < < r/,S7' tr6-
Tank to dist. box\ I y PVC,
Dist. box to field/p '/ PP�
Openings sealed? g S NO Partial
LOCATION/SEPARATIONS` /� •
Foundation to tank \ C � S 'eft.
Foundation to absorp} ion �G' ft.
Absorption to lot line, /S tft.
Separation of pits I eft.
LOCATIOC11
' TEM ,ON PROPERTY(circle one)
Front - Left side - Right side -
COMMENT
I
.f
J
/7 -/-1-
SYSTEM USE APPROVE YE NO
f
. Building Inspector
01/86 and vl
...... .._,.........a.C2y2Lit.: D tee, VC.......:....„,...Cti N
1 OWN OF QUEENSBURY
RECEIVED
Koor4--
•
APR 2 6 1990
BLDG. & CODE DEPT.
[ 6 000
e
D
11
,
4------d.20 4' \>
0 eye
, I
'C'
el ,.