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1989-919 BUILDING PERMIT TOWN OF +QUEENSBURY � No. 89- 919 CD WARREN COUNTY, NEW Y©RK a PERMISSION is hereby granted to Frank W . Kathleen +� OWNER of property located at Hillman Road V e rda ge 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. t . OWNER'S Address is SAME PO BOX 63 2. CONTRACTOR or BUI LDER"S Name v Chris Crandall rn 3. CONTRACTOR or BUILDER'S Address. �C ,7C +C as 4. ARCHITECT'S Name rw Ed r rn f*f s 5. ARCHITECT'S Address C 6. TYPE of Construction — (Please indicate by X) [ I wood Frame I ) Masonry I ) Steel { ) 7_ PLANS and Specifications V� r Ni°- Existing 1000 gal . tank with two 8 ' x 10 ' seepage pits as nimra licdtion and lot plan . gyp, a. Proposed Use A C7 Sewage Alteration $ 25 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES November 21 1991 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the too town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 21st pay of November 1989 m A SIGNED BY for the Town of Queensbury Building and Zoning IAWector �^I TOWN OF UE ENS EURY APPLICATION FOR dd rf~" SEPrnC DISPOSAL PERMIT � fa DATE LOCATION OF PROPERTY FOR INSTALLATION /�I [x RGY eft' v e )Z � c 4e F-Pe4 /JA � Owner's Name:�u -+ k /e & fk 1Z CA/j0. n Telephone: (n Address: ,�1 M ri fk 6j Installer's Name: (: 4a II Telephone: Number of bedrooms (residential only) `01 Total daily flow (compute (d 150 gal per bedroom) t t Topography: Circle one: /"Flat ) Roiling Steep Slope % of Slope Soil Nature: Circle one: Sand Loa Clay Other) _/Depth: Feet Ground Water: At what depth ? ,tlgr .+vet . 1 (? _ Feet Bedrock or Impervious Material: At what depth? [9t%,D,ti. 10 Feet Percolation test: Circle one: no=reqtjir:ed) required rate min. inch. Domestic water supply: circle one: Municipal Well Other Z /+ jk if domestic water supply is a well: Separation : Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank ; / / (} gal. ( rninimurrn size: 1 ,040 gal.) SEEPAGE PIT(S): Number of _/ Size each feet by fQ feet Size of stone to be used #3/Depth or Thickness feet I have read the regulation on the reverse side of this sheet and agree to abide. !eLe and all requirements of the Town of roue nsbu nitary e ' posal in SIGNATURE OF RESPONSIBLE PERSON: DATE: 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 Co any water supply 5 . ) size and dimensions of all tanks , distribution boxes , Cile 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 rusult in the uncoverinb of the system by the installer and a fine ut 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 rupair of an approved system , a new proposal must bu submitted to the Qut� ensbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 h:�nisri:s TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND_ROADS YORK 128(7 QtIBENSBURYr TELEPHONE (5 8 ) 792-5$32 BUILDING INS'P'ECTOR' S SORT REQUSST FOR INSPECTION RECE En NAME L ATXON ` PERM.XT ## ` DATE ��~»� d P1PPROVED YES NO FOOTINGIPXE S MONOLITHIC FORMS P—F ORMS G FOUNDATION/DAM BACKFILL APPROVAL ROUGH PLUM-BTNG FRAMING OUGH—IN ELECTRICAL INSULATION: FOUNDATxONk FLOORS WALLS CEILING FINAL INSPECT' N= CHIMNEY HEIG ROOFING SIDING EXTERNAL PORCH SK&T'EPS STAIRS—CLEARAN PLUMBXNG FXXTUR S/REYIEEF VALVE INTERIOR TRIMIP VAC DOORS FINISHED FLOORq GARAGE FIREPRG F G DOOR CLOSER (S) SMOKE DETECT S FINAL ELECTRICA$ XNS ETRLJCTION OF CO L FINAL APPROVAL OFt GI� QK TO ISSUE CI pl SIGNED CSRTI SHE BU y�C NG D ARTMANCY ENTT BE BEFORE OBTAINED FROM F4,� THESE PREMISE ARE OCCU VDt REMARKS: ) .3 a I SPECTOR ------------ - e, cl A t4 K LAJ c4- V FIV A AJ V Hillman Road Se 431 3 J9