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1991-020 BUILDING PERMIT TOWN OF QUEENSBURY No. 91-020 WARREN COUNTY, NEW YORK x a PERMISSION is hereby granted to Homestead Park w OWNER of property located at Luzerne Rd (92 - 3B) Street, Road or Ave. tV F—+ 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 0 2. CONTRACTOR or BUILDER'S Name fD Moring Star Septic Service r Cu 3. CONTRACTOR or BUILDER'S Address ttim V 4. ARCHITECT'S Name IV CC 5. ARCHITECT'S Address N 6. TYPE of Construction—(Please indicate by X) fD Cu ( )Wood Frame ( ) Masonry ( ) Steel ( ) el) 7. PLANS and Specifications No. Sewage alteration as per plot plan specifications and application to include 125' Tile field with #2 Stone o' 0 8. Proposed Use Sewage alteration $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 18, 19 93 (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 �f�t1 _Day of January 19 91 SIGNED BY for the Town of Queensbury Building and Zoning Inseector /1111_ TOWN OF QUEENSBURY � j APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE: _ -AIM OF OLIEENEBUR`� 7s 9' ( € c!z i r..:ri LOCATION OF PROPERTY FOR INSTALLATION, 11\N 1 a1 Owner's Name: 4 /°r,LJ BLDG. & c;uui OEM". Address: n,() Installer' s Name: r �, �� Telephone: 7932zgO i2 (_ /...5) l Number of bedrooms (residential only) .3 52 5 9/ ( / 9� Total daily flow (compute @ 150 gal per bedroom) VSZ) / ' Topography: Circle one: 4 Rolling Steep Slope % of Slope Soil Nature: Circle. one: San Loam Clay Other /Depth: Ground Water: At what depth? ._._ Feet Bedrock or Impervious Material : At what depth? Feet Percolation test: Circle one: not required required Rate - — Min. Per Inch ,�, Domestic water supply: Circle one: unici Well Other supply If domestic water su 1 is a well : Separation: Water supply from any septic absorption feet. 'r N PROPOSED SYSTEM: Septic Tank gal . (minimum size: ��11j,,000 gal ) 66 t TILE FIELD: Each Trench 6-0 feet/Total system length — feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used #. a- /Depth or Thickness feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alan' 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 ;:! DATE: /f/� l y I • 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 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. 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 co 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 co the Queensbury Building Department before further 'construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 • Remarks: • Jown o f Queen.i# ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION� NAME 72�� Pl7Lt>L- 7/,C.c,/ LOCATION 9.2 DATE J/Y / 9/ PERMIT NO. , C7/ SOIL TYPE -(igS2)Loam - Clay - Percolation Test Required YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length .1t4 0 Length of each trenc• Depth of trenches w Size of gravel 2, l / SEEPAGE PITS*Number of) • '1 ,/ Size- ft. X ft. tf • Gravel size , /° PIPING: Si Type Bldg. to tank ! t / Tank to dist. box tt Dist. box to field/. t/ Openings sealed? P NO Partial LOCATION/SEPARATION : Foundation to tank Foundation to abso ption /0 11' Absorption to lot line 7/,t3' ft. Separation of pus t. ft. LOCATION OF SYST, ON. PROPER*(circle one) Front - Rearms e side Right side - COMMENTS: fi) 71-16•4(4--, //4— j,e;r.�L-e/ �1 f � ' �/ • • SYSTEM USE APPROVED (YE • Bui in I pector 01/86 and vl --f,60(1 irk (3111) .awn o/ Queen3tury U BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME wecu2o.t2o_cp V aj,_, LOCATION 0 j. f 9',2 OL.0 e''i1� Kc) DATE= / /e' PERMIT NO. 6:://-0d0 SOIL TYPE - Sand Loam - Clay - Percolation Required? YES -(NO)) Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench j Depth of trenches ' / Size of graveI-Z--- t SEEPAGE PI umber ) ���i Size- ft. ft. f aver' e PIPING: Si e yT pe Bldg. to tank Tank to dist. bo Dist. box to fie ,d/pit Openings sealed? YES ISO Partial LOCATION/SEPARATIO Foundation to tank ft. Foundation to absorp� .o, ft. Absorption to lot line, ft. Separation of pits ft. LOCATION OF SYSTEM ON P .OPERTY(circle one) Front - Rear - Left ide\T Right side - COMMENTS: 0 To a ) 6, -1--- - (— \I FLELOnJ© CoM69t.,6 ,o SYSTEM USE APPROVED YES NO 'i, ( Building Ins ector 01/86 and vl OF Otre'ENSBUR`i JAN 1 8 1991 (Yi BLDG. & cope in Air • 2-P7 • 11. 66/ CO 19° , . rke- i d ,• ,)• (or , , ,evv ro c Q t 1 s .,...:.......________. ' C.h • A , . 1 - ,.. . S • -1 k2 <7 ( - : . -... .. .. .5-6- . 4 4 / • li .007E; _ 166 a 3 Nilr 1 C catli- Ju4nesiv.- z '33298 --'1-3° -n NM r- \)\ /--'-'47 i