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1989-954 BUILDING PERMIT 59 » TOWN OF QUEENSBURY � 89_ 954 WARREN COUNTY, NEW YORK � PERMISSION is hereby granted to Rick Chaisson Ch l OWNER of property located at 2 Pinewood Ave , Streetr Road or Ave. NO ~' i Sewaa Alterationn the Town of Queensbury. To Construct or place a 9 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 Queenshury Building and Zoning Ordinance. t. OWNER'S Address is Same an 2. CONTRACTOR or BUILDER'S Name O r Condon ' s Septic & Drain a, r� PIC n 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name S. ARCHITECT'S Address "V Z t'r9 C7 O 6. TYPE of Construction — (Please indicate by X) a ( I Wood Frame ( ? Masonry ( ? Steel z c m 7_ PLANS and Specifications No- Existing 1000 gal . concrete tank with two 6 ' x 8 ' seepage pits as per applicationa nd plot plan . S. Proposed Use con rM Sewage Alteration M m now $ 25 . 00 PERMIT FEE PAID --- TEAS PERMIT EXPIRES December 6 : 19 91 r�-9 m (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 O.ueensbury this 6th Day of December 19 89 x SIGNED BY �- rk -- for the Town of +Queensbury BuildirMg and oning Inspector 1`O WN OF 0 UEENS B U R Y o caw APPLICATION FOR SEPTIC DISPOSAL PERMIT TOWN OF QUEENSBURY RECEIVED DATE S�- DEC r 1989 BLDG. & CODE DEPT. LOCATION OF PROPERTY FOR INSTALLATION lQ owner's Name: C c G� Telephone: `i � Address. ...Telephone:� Number of bedrooms (residential only)� � Total daily flow (compute (d 150 gal per bedroom) 16 0 Topography: Circle one: Flat Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet Ground Water: At what depth? p Feet Bedrock or Impervious Material: At what depth ? Q Feet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one: tunic Well Other if domestic water supply is a well: Separation: Water supply from septic absorption feet /CGa CgAL �cwvGr �t'c PROPOSED SYSTEM : Septic Tank lS�i�� gal. ( minimum size : l .f] Ofl gal.) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S). Number of �. - / Size each feet by feet Size of stone to be used # /Depth or Thickness 2, f feet 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: r& U c„ DATE: OVER y 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 Buildtnb 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 , [ iie fields and /or drywalls Jul 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 roust bu submitted to the Qu� unsbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 Kt� m : rk5 ; rr-- eeeeft 31mrcy �70 Lr� ©� j3L3q,0jNG and ZON'o i]�PAFtTMENT 1 Box 9$ Bay and Haviland Rewd'York t2$t71 atjeensbury , I SpoSAL SYSTEt 4 I NsPECT 1ON SEPTIC NME LoCATIO\J L� DATE 12 I I- PERMIT NOR Loam - -... So2L TYPE Sand -a YES Clay _ Test R quired - r . ion _ in/Inch percolation percolat rate r� TYPE of SYSTEM tot 1 leng Absorption field , Length Of each trench Depth of trenches size Of •Travel, er of ) SEEPAGE f Size- w - ft . Gravel s �xe size Type Bldg - to tank Tank to (list . box .----�- Dist* boy_ to field/YS I.10 op en ing s Seabed? # % I,00p,TTGN /SEPARA'TIOl = ft. Foundation to tank ' ft . Foundation to abscrP tian 4 Lion to lot+. line ° pbsorp ) Separation ' Of p� s PROPERTY (ckrcle �ne 1 _ Right side 1 CATION OF SYs Front Rear - f t side SYSTEM USE APPROVED E Suit Bing InspeC r 01/86 and vI `- 7D ' ueenybur �t � _ own o BUILDING and ZQNING DEPARTMENT _ Ray and Haviland Road, R .D . 1 Box 9800 3 � C)Ueensburry. Nev,, York 12801 50 SEPTIC DISPOSAL SYSTEM INSPECTION LOCAT I CN �L 7 DATE r V(V) PERMIT NO . --�-�- SCIL TYP E - Sand - Loam - Clay S`NC3 Percolation � Test Required? percolation rate - Min/Inch TYPE of 9YS EMld total length Absorption tr eb Length oar each Depth of trenches - -�---� Size of 43ravel� £} .� SEEPAGE ;? ITS4Nil e r 9 Size- ft . Gravel size -- ize TyPe PIPING : Bldg * to tanit TanX to . ist, box Dist_ boy= to field/ . t partial �enings sealed . YES NO ypCP.TIf]L3/'SEPAP'ATIONS 1r f[t. Foundation to tan AV ft . Foundation to abs P ft . Absorption to to line ft. s Separation of 'P CAN PROPER Y (circle one) LOCATION OF SY _ Ri ht side Front - Rear Left side GCMMENTS e. Y SYSTEM USE AppgpVED 41ns }ldtor D1/$6 mc7 vl ( Q l 1 , I