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97-558 BUILDING PERMIT TOWN OF QUEENSBURY VALUE $ 0 No. 97558 TAX MAP NO. 26 . -2-10 . 1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to HARRIS, FLORA OWNER of property located at 1727 RIDGE RD. Street, Road or Ave. in the Town of Oueensbury,To Construct or place a SEPTIC 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 1727 RIDGE RD. QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name HARRIS , KEITH 3. CONTRACTOR or BUILDERS Address 4. ARCHITECTS Name 5. ARCHITECTS Address 6. TYPE of Construction—(Please indicate by X) SEPTIC 1 Wood Frame ( I Masonry ( )Steel 1 7. PLANS and Specifications SEPTIe°'ALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION $ 25 PERMIT FEE PAID -THIS PERMIT EXPIRES September 29 19 99 (If 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.) Dated at the Town of Queensbury this 29 Day of September 19 97 SIGNED BY 3A J for the Town of Oueensbury Building and Zoning Inspector c .pput;zttlutt Wi ..)1:.r 1 I' . 1J1.7r'J )! L1 t-.Z.M.UV111 y 7 Town of Queensbury Permit No. -- Dept. of Comm=ununity Development Sor Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: /742 7 //tap /at/ Property Owner's Name: 1/Q4,y K' ////fi S Property Owner's Mailing Address: /7d°? 2t Sr' ieo.1 ✓L27' /d-,POk Installer's Name: --lei . A <( tCI5 Phone # `71-Jty' Number of bedrooms (if residential): 02 Total daily flow: 3°_ (residential -compute @ Topography: - flat, rolling, steep slope 90 of slope ti aD SEp29i9 Soil Nature: 'sand, `"loam, � clay, other /depth: w, O 9� fit:+ C r� �!�LI�IN• Ground water: at what depth? /Dafeet / Bedrock or Imperrcus Material: at Wh G C`COFi r Percolation test: Viot required, required [rate min. per inch ] . Domestic water supply: municipal, V well, c=e If domestic water supply is a W'FTL, water supply from any sec absorption is /b, feet. PROPOSED SYSTEM Septic tanIc /ea° gallon (minimum size: 1,CCO gel.) Tile field: each trench co ' feet / Total system in ath: ``t' feet Seepage pit(s): number of / size each: — ft. by it- Size of stone to be used: # / depth or thick` s ,,1 fee rfeet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: -- gallons Alarm system and associated electrical work to be inspected b7 a certified agency. J For your protection, please note that pursuant to Section 136-29 of the Code of±e Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be acid. I have read the regulations with respect to this application and agree to abide b7 these and all requirements of the Town of Queensbury ssmirary Sewage Disposal Ordinance. Date: q l9 A2 Signature of responsible person: fre TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSSPECTION114-4 Name Locationo a e4317l Date /011/1W/4 -7 Permit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate- ' to/Inch TYPE OF SYSTEM: ABSORPTION FIELD: To al L ngth Length of each trenc Depth of trenches Size of stone SEEPAGE PITS: Numb - Size - ft. x ft. Stone size PIPING: Size ype Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: SYSTEM USE APPROVED: YES NO Arrived: k 1 5 Depart B lding Ins c or TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 4AI?JS Location _ QtOCDC gc) Date fS Permit # SOIL TYPE: ' a Loam-Clay- Results of Pie col .tion Test- (if applicable R. te-Minute/Inch TYPE OF S 1,- ABSORPTION FIELD. Total Length Length of each tre.ch Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: ALL Cao2 .cC( /d4) S — 0 IC SYSTEM USE APPROVED: bYESNO Arrived: , .Q', Departed: jrb. Building Inspector TOWN OF QUEENSBURY 'ssz* BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ��, x(<- \ ) `C \O( Location \ink \&. C.,44.1, Date % C -c\ -rmit # 1 '9.S-1 SOIL TYPE: Sani-Loam lay- Results of Pe olation Test- (if applicable Rate-Minute/Inch TYPE OF 1YSTEM. ABSORPTII FIEL' : Total Length (fQ Length of ea. i kr- chi 5V Depth of trenche )^ Size of stone // SEEPAGE PITS: 'er- Size - ft. x ft. Stone size PIPING: S'fie JType Bldg. to Tank • `jib 7D Tank to Dist. Box so. 4 Dist. Box to Field/P h a C7 Openings Sealed? No Partia LOCATION/SEPARATII . Foundation to Tank ` feet Foundation to Absorption (0 feet Separation of Pits _ feet Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPER . (circle one) ----r, Front - Rear - eft Sid: Right Side Middle Front - - 'ear COMMENTS: l57�&._ &JO co Co p& L 4TG R4 - Cvl- L(AJ&-s efi.ex - dfL Vic. 6- ply SYSTEM USE APPROVED: YES ok Arrived: - Departed: AMMO Buil 9� Inspector P TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Af6 Location _ Po.b(c,C Date /Dig/91 Permit #97"55) SOIL TYPE: Sa -Loa Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: ".ta ength Length of each tr. Depth of trenche- Size of stone II SEEPAGE PITS: mber- Size - t. x ft. Stone size PIPING: Size vale Bldg. to Tank 144 54i0 D Tank to Dist. Box h Dist. Box to Field/Pit Openings Sealed? Yes Ncyartia) LOCATION/SEPARATIONS: Foundation to Tank 0'1 feet Foundation to Absorption feet Separation of Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear -d . • - Right Side Middle Front - .. • Rear COMMENTS: •P -fzT► q-L', (ttNv ItoL.6.1- OOrit=l n<< ')Pp°ol2T ou-rLc i 1./AJ& of SE-q,_ Fov,uo , P P c SYSTEM USE APPROVED: YES NO Arrived: / Departed: l r(O VPc> Building Inspector J _1AAlic� .o>rr,c S41 -7. e/�2. Zo� 90 a � z N � I 3.14 A ORES+ \ N o ( TO BE CONVEYED J Q k � I ck: Al es, OI 3. 0 0 A CRES+ r s2�. z -!- .�/ �a - s- . M W ( TO BE CONVEYED �Zg. 32 ' �I•� of s 78 !rs oil a PAR pit o � � -.F— Al 81/ 38 - 30 „ F�N� � N ``1C F \7 x 3. 00 E + so� a r"Mrirw t� I ( ro BE ` ra IN j� r � � waft ftm ye s, �,cV,, o r le& 7-5/ 1-14,MC e eR*A Npt 1 dso opres d that I htvi�,, persr rwad free was ut Iorth on the SIGNATURE � DATE I TOWa BUIZY ° PT. NOTE ALL BUILDINGS NOT SHOWN I MAP OF A SURVEY MADE FOR — SEP 91997 � x REVIEWED BY HENRY M. 8 FLORA K. HA RR/S a N of o x DATE S � � -TO TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK SCALE : I" = 50' DATE : JULY 29 , 1986 VanDusen 8 Steves PICKLE HILL ROAD LAND SURVEYORS , GLENS FALLS , NEW YORK w z N.Y. STATE LIC. NO. 35617 �°, Q TOTAL ACREAGE - 9.14± �.f Q . A41r-r1L FcAJL. f--70 sr