1989-933 BUILDING PERMIT
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TOWN OF QUEENSBURY No. 89-933 �
WARREN COUNTY, NEW YORK ac
PERMISSION is hereby granted to ROSS CALLOWAY c
OWNER of property located at 1 Buena Vista Street, Road or Ave. 1
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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 . OwNE WS Address is
Same
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2. CONTRACTOR or BUILDER'S Name
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Andy Scarpellino
3. CONTRACTOR or BUILDEfR"S Address
74
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d. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X) tX3
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I I Wood Frame I I Masonry i 1 Steel I i
7. PLANS and Specifications
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No. 2 8 ' x 6 ' seepage pits with existing 1000 gal tank as per applicat on ,
and plot plan .
B. Proposed Use
Sewage Alteration
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X25 . dO PERMIT FEE PAID — THIS PERMIT EXPIRES November 30 1991 i"
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(it a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.} ;4
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Dated at the Town of Queensbury this 30th Day of November 1989 "I
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SIGNED BY / -Gf `n---'. for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSPsURY
APPLICATION FOR
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7TOWN OF OUEENSBURY
i } SEPTIC DISPOSAL PERMIT RECEIVED
NOV 2' 1989
DATE _ BLDG, & CODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION �/ C_J /`✓ G-' 'r '�9
Owner's Name: ,f 15Aj- •�a /r_ r V Telephone:
Address: �/ / JC'rr✓RA �� �!
Installers Name: ,cgs l) *V C Telephone.
Number of bedrooms (residential only) C;2�
Total daily flaw (compute Cd 150 gal per bedroom) 3CJ U
Topography: Circle one: Flat Rolling Steep Slope % of Slope Fr' " /
Soil Nature: Circle on Sand clam Clay Other /Depth: Feetof Lug
Ground Water : At what depth? Feet
Bedrock or Impervious Material: At what depth ? e f /4 Feet
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Percolation test: Circle one- not require required rate min. inch. '
Domestic water supply: circle one: 1�funicipal Well Other
If domestic water supply is a we
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM : Septic Tank 06) gal, ( minimum size: 1 . 000 gal.)
TILE FIELD : Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of c / Size each feet by `feet �' 4
doe 20
Size of stone to be used # / /Depth or Thickness I` 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 SaniXary Sewage pisposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON:
DATE: i
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
So ) size and dimensions of all tanks , distribution boxes ,
the 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 .
Co 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 must
hu submitted to the Queensbury Building Department before further
uoi1struction .
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and. Haviland roads
Queensbury , New York 12804
h�niarks : ,
�Joty" 0/ Queensbury
Bu1LDING and ZONING DEPARTMENT
Bay and Haviland Road, R . D . 1 Box 98
Queenshury, New York 12801 /7
SEPTIC DISPOSAL SYSTEM INSPEC71ON
NAME
LOCAT IOhI /
=fATB fc PERMIT NO. _ C
SC:IL TYPE - an - Laam - Clay
Percolation Test Required? YES ,
Percolation rate - Min/inch � -
TYPE Of SYSTEM : total length
Absorption field ,
Length of each trench
Depth of trenches
Size of tjraveT
SEEPAGE 'TITS EI3u +ber Of)
Sims-
to ft. ��t r
Gravel size -- TYPe
PIPING :-e-
Bldga to tank.
Tank to tlist - box .
Dist_ ]ao]: to f ielc'IJ A t Partial
Openings sealed? J ES 140
r_rr 'TTON f'SEpARAON S : II U f t.
Foundation► to an]?, ft.
Foundation to;�absc rption t.
Absorption to4E) lot line I-T—ft.
Separation cif omits LSc�-
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I,C7CATION 5Y5 EM ON PRCWERTY (circle One)
Front ax Left side -., Right side -
CCMMENTS� -
SYSTEM USE APPROVEE( Y, NO �
Bui ng; n pector
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