1990-505 BUILDING PERMIT
TOWN OF QUEENSBURY No.
gn-505
WARREN COUNTY, NEW YORK b
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PERMISSION is hereby granted to BENJAMIN BARDIN
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OWNER of property located at Ridges ,, d Oneida Cornet 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 b7
5 GlenMar Drive
Queensbury NY 12804 ty
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2. CONTRACTOR or BUILDER'S Name GO _
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Walter Stevenson
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
013
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6. TYPE of Construction—(Please indicate by X)
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( I Wood Frame ( ) Masonry ( ) Steel ( ) Q
7. PLANS and Specifications O
No. 1000 Gallon Septic Tank with 320 feet of tile field as per plot plan, specifi-
cations and application.
8. Proposed Use
Sewage alteration
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$ 25-0n PERMIT FEE PAID—THIS PERMIT EXPIRES August 6 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.)
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Dated at the Town of Queensbury this 6-x Da of • August 19 90 p,
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SIGNED BY G'' for the Town of Queensbury
Building and Zoning In ctor
TOWN OF QUEENSBURY
` � 7� Z APPLICATIOt1 FOR SEPTIC DISPOSAL PERMIT
DATE: att .,f.,>ic O!� GF QUEE�lS3URY
LOCATION 0 PROPERTY FOR INSTALLATION -".�` �'241 d 'R CENED
Owner' s Name: ,_,; 0 j471 AUG 0 3 1990
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Address: -if "/7,, 1 / y BLDG. & CODE DEPT.
Instal r' ✓ <.' •
l e ame: ���� ,����� Telephone: 7 � 3 �
Number of bedrooms (residential only) 6�
Total daily flow (compute @ 150 gal per bedroom) 1176-t)
Topography: Circle one: .111) Rolling Steep Slope % of Slope
Soil Nature: Circle one: el LdM Clay Other /Depth:
Ground Water: At what depth? id 7' Feet
Bedrock or Impervious Material : At j depth? Feet
Percolation test: Circle one: of required required
Rate - Min. Per Inch
Domestic water supply: Circle one: Municipal ( Other
If domestic water supply is a. well :
Separation: Water supply from any septic absorption / O O feet.
PROPOSED SYSTEM: Septic Tank / 6 ® d gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench 6 O feet/Total system length 3 ;7 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #: /Depth or Thickness feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical work to be inspected by an approved
agency.
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: , rR4-et/A. DATE: Cal
I
Septic Systes Inspections:
A. All applications for' septic system installation, alteration or repair;
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall.
be submitted co 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 drywalls
B. Nu 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 -che construction
site. Failure co produce said plot plan at time of inspection may
result in an immediate work 'stoppage.
D. Should unforeseen problems during construction prevent proper installs—
. tion, alteration or repair of an approved system, a new proposal must
bu 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:
da
.1 can of Queeniu/&R---
BUILIING and ZONING DEPARTMENT
Bay a d Haviland R.':d, R.D. 1 Box 98
Q eensbury, Ne; York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAM fl ( _' 0 hr���c ,
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LOCATION t ,�c� y
DATE ..0,A
�f/(� /q PERMI;` NO. f o-5S�j
SOIL TYPE - Sa d - L4.am - (C 1-
Percolation Te ' Re.'ired? YES - NO
Percolation rat - ?in/Inch _
TYPE of SYSTEM: 1,
Absorption field t otal length _- ,.' $
Length of each tten; h p ;e�rc0
Depth of trenches e
Size of gravel 11
SEEPAGE PITS{Nuinb of)
Size- ft. X ft.
Gravel size
PIPING: Size . Type
Bldg. to tank .V_ nA
Tank to dist. boxilPc--
Dist. box to fiel.V j�t
f 1/( _
Openings sealed? ES ` NO Partial
LOCATION/SEPARATION
Foundation to tan v ft. fC�
Foundation to absJrp ion :NT ft.
Absorption to lot lin ,40 ft.
Separation of pit, ft.
LOCATION OF SYST ON • ROPERTY(circle one)
Front -(Ream'- Loy t si e - Right side -
CONIMENTS.
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SYSTEM 'USE APPRO 'ED'•• YES N c►-" `I
// 1/ „l4f.,il i
Building Ins.-ctor
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0:oWN .OF QUEEK9BL1RY
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;13 P C E.i Vf.-.)
AUG 0 3 1990
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- 1101
BLDG. & CODE DEPT.-
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