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87-060 BUILDING PERMIT TOWN OF QUEENSBURY No 87-60 a WARREN COUNTY, NEW YORK n 0 PERMISSION is hereby granted to Adirondack Animal Hospital (James Glendening) Ridg e OWNER of property located at east side Road Street, Road or Ave. 5 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 x approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. rn w rt 1. OWNER'S Address is Ridge Road 1-1 Queensbury, NY 12801 r, co co 2. CONTRACTOR or BUILDER'S Name m 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name rt r• cv 5. ARCHITECT'S Address m 7y a, aQ 6. TYPE of Construction—(Please indicate by X) o ( 1 Wood Frame ( 1 Masonry ( )Steel ( 1 a' 7. PLANS and Specifications No. 2000 gallon low profile conc. tank, conc. dist. box and 2925 sq. ft. leach bed per plot and application submitted. rt 8. Proposed Use Sewage system for animal hospital. rt 0 $10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 11 19 89 (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.) (IQ cn Dated at the Town of Queensbury this 11th Day of March 19 87 SIGNED BY —mkt G . , for the Town of Queensbury r Building and Zoning Inspector �iurtL of aetfAtry APPLICATION FOR SEPTIC DISPOSAL PERMIT TOWN Of UET N I MAR 101987 " DATE 3// ' / B IL tNG C E DEp' 111 4( '7 � l e P/0,60 tr LOCATION OF PROPERTY FOR INSTALLATION EGG,(0,,,Gtd,ci, a k Ana-A. to p 5 .-, Owner's Name: S( ykq„S Telephone: Address: _ 1 >(.Q.`tPiw'll,�'� f s Name: Cst eo Cc�,r aC�c _ Telephone: 7 f Z.- S�- O p 7 b1 l_ Number of bedrooms (residential only) _ k A- _ Total daily flow (compute @ 150 gal per bed oom) 700 .i?D, Topography: circle o olling Steep Slope % of slope _ -- Soil Nature: circle one: Sa • LLoam Cla ther / Depth: _ feet Ground Water: At what depth? , feet Bedrock or Impervious Material: At what depth? .41 t; feet Percolation test: circle one: not required required / rate M// min. inch. Domestic water supply: circle one• unicipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption — feet PROPOSED SYSTEM: Septic Tank �©stgQ gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench 420 feet / Total system length Silo feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # _ Z__ / Depth or Thickness _ / feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * a(666 yyel/oi1 /ow ?Pa fi /c Coh/ . Tothis APPROVED Cowl , dice, hy �`{ i 6 ??- asas 57. ft ie htc MINI•IWO CODES DEPT. (over) TOWN OF QUEENSBURY Section II 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 5.) size and dimensions of all tanks, distribution boxes, tile 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. 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 installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal ce. Signature of responsible person: Date: "7 • Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 A (518) 792-5832 PDX MOS SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD.PLACE TO LIVE c'� fie( .own of Queenibur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME Pit t.`7 0 y1 H// LOCATION Cv ( / ( DATE t / ir7 PERMIT NO. :7_(...eIS SOIL TYPE - Sand o ay - `' Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length 4 so Length of each trench 56 Depth of trenches 4c5 i_L-irnk) Size of gravel SEEPAGE PITS*N of) Size- f ft. Gravel ' e PIPING: Size Type Bldg. to tank C4 Pc Tank to dist. box t� Dist. box to field/. Openings sealed? 4100 NO Partial LOCATION/SEPARATIONS: Foundation to tank _ L(Oft.. — Foundation to absorption Absorption to lot line ft Of( Separation of pits f . LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: /- a-o oa CA LTpl I — 0( o Li co T r (-11. L.o LA-Ilo 0 ,i- iZ QCC-r Vtit- Arrbur SYSTEM USE APPROVED E.U7 NO Building Inspe or 01/86 and vl Down o/ Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTI DISPOSAL SYSTEM INSPECTION A LOCATION / DATE '/Z/d 1 PERMIT NO. U}y -7 -62U SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel_ SEEPAGE PITS4Number of) Size- ft. X ft. Gravel 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 ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: .747 /i mot- SYSTEM USE APPROVED YES NO Building Inspector 01/86 and vl 15}' GENE- NOTES t SFEC1FJCa-1oNs: ; Al r7&1Lt/ FLou/ b)SYSTI PFSIas A 1400 6FO , . !3�t�ppl-tC.dTlo}1 ATE- = ►•7 GP��s.F. , c�LEEGfI 6Ep,d(ZF�.= 29zs S.F • -9)FILL t'`a �- FeFcL"op RaTr_ aT FEE c>F ep&ip -t, 61r 7-1a ptlN.�t11. �) EXISTI�•tG SEP7lL't',I�}J}CS � j�T�IN W�la•IEW Zaoo GsL. . - .. ., LdW f`jZOFILE SEP IC-TA+� by FT Mlu..P-r-oR Emu1V. 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