1990-209 BUILDING PERMIT
1-3
TOWN OF QUEENSBURY
No. 90-209 . ' .
WARREN COUNTY NEW YORK ry
3Lf7cY
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PER MISSON is hereby"granted to .= ROBERT TOMPKINSco
OWNER of property located at 1 LC Corinth Road Street,Road or Ave. X
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
RD#2 Box 415
Queensbury"NY 12804
2. CONTRACTOR or BUILDER'S Name x
Sanitary Sewer
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3. CONTRACTOR or BUILDER'S Address CD
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—"(Please indicate by XI. Q
t I Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Sewage alteration to include 1000 gallon septic tank, tile filed: 5o ft trenches :
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with #2 stone at 1 ft. depth as per plot plan, specifications and
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8.'Proposed Use application.
Sewage alteration
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$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
25.00 Apri 1 27 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 2 h. Day of • 1990
SIGNED BY, for the Tow_n of Queensbury
Building and Zoning Inspe a{
/ 9O '
TOWN OF QUEENSEURY
`;5 ,. APPLICATION FOR a OWNOF QUEENSBURY
•' �` RECEIVED
'� � SEPTIC DISPOSAL PERMIT
APR 2 6 1990
/ 4 _ /---K2.___-
BLDG. & CODE DEPT.
DATE y----1 p- 90 ,
LOCATION OF P OPERTY FOR INSTALLATION rug. L iu Pv'L
Owner's Name: ti Kobi . ifti ,<(/U�Telephone: 7q3 p 92/,.?
Address:1D,? iU y ''/J / a V _
Installer's Name: s
) aiti-pi d2EAd-..C.,t Telephone: ,7).-7. 5 .
Number of bedrooms (residential only)
Total daily flow (compute ld 150 gal per bedroom) 4(67)
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Topography: Circle one: 1:k Rolling Steep Slope % of Slope M
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Soil Nature: Circle one:0 Loam Clay Other /Depth: Feet
tad E,:��
Ground Water: At what depth? Feet _ °4'5
LNiv .
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Bedrock or Impervious Material: At what depth? Feet h
1
Percolation test: Circle one: of requir required rate min. inch. ~
Domestic water supply: circle one: Municipal Well Other LL
If domestic water supply is a well: 0 0
Separation: Water supply from septic absorption feet .-
euJia
PROPOSED SYSTEM: Septic Tank 1, DO gal. (minimum size: 1,000 gal.)
k.,,
TILE FIELD: Each Trench b feet/Total system length ap2sYD feet 0
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used #2_ /Depth or Thickness / feet
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I have read the regulation on the reverse e o this sheet and ag o abide by these
and all requirements of the Town of Rue nsb ry anitary Sew a Dispo al Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: 7 IA/
DATE: I -7/\''.. 90
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.
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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 •
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, 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
•
h,!.niarks:
, Aivi
awn o/ Queenilurc�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DIS'OSAL SYST INSPECTION
NAME , 0 iii. :` JAi .LA.! _ i
LOCAT ION CLLIti_k)
DATE 4 21/ () P IT NO. 00—26 9
SOIL TYPE - Saner t o.m Clay - _
Percolation 'test Rev 9 red? YES NO
Percolation rate - /Inch
TYPE of SYSTEM:
Absorption field, to. 1 length,0_0
Length of each trencc 5-
Depth of trenches '
Size of gravel
SEEPAGE PITS1iuMber pf),
Size- t. X _ }ft.
GraVe-1 size
PIPING: j --5` e Type
Bldg. to tank I ; 5-'1,liCO
Tank to dist. box p v- _
Dist. box to field/.it f vc---
Openings sealed? 1111 , NO Partial
LOCATION/SEPARATIO S:
Foundation to tank f }-
Foundation to absorption c;ft•*-
Absorption to lot ine (�£t.
Separation of pits, ft.
LOCATION OF SYSTEM ON PROPRTY(circle one)
Front - Rear - Lef, side - -ight side -
COMMENTS:
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SYSTEM USE APPROVED YES N
ldir4j In-sector
01/86 and vl
Ar tI1V Cyr Q�iBLRISBUR�'
RECEIVED
APR 2 6 1990
BLDG. & CODE DEPT.
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