7947 BUILDING PERMIT .
TOWN OF QUEENSBURY 7947
No.
•
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Myron Harrington
OWNER of property located at Rainbow Trail Street, Road or Ave.
0
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;
. N.
1. OWNER'S Address is
R. D. #1 LQ
Glens Falls, New York rot
0
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
•
4. ARCHITECT'S Name -
!y
- r3'
` 0
5. ARCHITECT'S Address
- K
iv
N.
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ► Masonry - ( )Steel ( )
7. PLANS and Specifications
2 seepage pits @ 6 ' dia. with 2 ' #3 stone
No. per plot plan and application submitted.
8. Proposed Use
Sewage system for dwelling
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 6 198 5
ft•
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (p
town of Queensbury before the expiration date.)
Iv
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Dated at the Town of Queensbury this 6th Day of July 1983 I '
O
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector -
TOWN OF QUEFNSBURY TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT E l� V E
SEWAGF DISPOSAL PERMIT APPLICATIn,'1�`: l� a `l
83
1. Owner' s Name ti y 1 yr lb) 7., JULC) t 6 d � Ff
Address 7I8I911�11`1211I213d4I5I6
6 � 1 !L/' , 111430 cJ 1- r L
614 13-N F1/51 ' /1l t Telephone No. -7F3
2. Property_ location 1? / i .►f e Gel l' Pe, 1' ' "L •
. .
3. Name of person or firm responsible for installing system .
Telephone No.
Address
4. Number of bedrooms (residential buildings only)
5. Daily flow ¢.5-6 . . gallons/day
6. Septic tank capacity /pCjp 15 LL'A gallons
7. Topography: flat, rolling, steep
of slope L J`•
8 . Nature of soil and depth S jjt! ,•
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? 17 ' - ft.
10. Percolation test: A is required
B is not required
C If required what is the rate minutes/inch
11. Water supply: municipal 4042110 other
12. Type of system proposed:4001=0110' tile field, other
Any contractor, corporation, individual, etc. engaged in the construction
of a sanitary sewage disposal system who covers the same before inspection,
does not have an approved permit, or varies from the approved application
will be subject to a penalty of $250 as provided for in Section 6 . 010 of the
Queensbury Sanitary Sewage Ordinance.
Date 7 " ® - g',3 )2-2.7--24/ru
signature of app cant
On separate sheet of paper submit a diagram 'ofthe proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself:
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