88-215 BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-215
WARREN COUNTY, NEW YORK °
PERMISSION is hereby granted to Peter Cartier t„
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OWNER of property located at Ridge Road Street, Road or Ave.
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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. OWNER'S Address is
R.D. 1 - Ridge Rd.
Glens Falls, New York 12801
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2. CONTRACTOR or BUILDER'S Name
Condon's Septic Tank & Drain Service
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3. CONTRACTOR or BUILDER'S Address
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17 Grant Ave.
Glens Falls, New York 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
No. Existing 1000 H Gal.Tank, 200' tile field,
as per application and plot plan
8. Proposed Use LC1
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Sewage Alteration 1-4
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$ 10.00 PERMIT FEE PAID-THIS PERMIT EXPIRES May 1 19 90 0
(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 11 th Day of May 19 88
SIGNED BY /17 __ G 61_ for the Town of Queensbury
Building and Zoning Inspector /1`,e-
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5 t 1.X 111988
5 APPLICATION FOR SEPTIC DISPOSAL PERMIT
/� BUILDING & CODE DEPT.
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DATE ®7 ,P.--.‘i.e
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LOCATION OF PROPERTY FOR INSTALLATION 1F\Co 4 ,020N 0
Owner's Name: 7 .r, ! j �, ,1 Telephone: / _ - -2 /�
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Address: t13) { ( ; %I71 i+ p-J�
Installer's Name: ,t',p:jf_�✓SS;.) . :�S/ ' // ( e , Telephone: 7r.f 0i
Number of bedrooms (residential only) .1
Total daily flow (compute @ 150 gal per bedroom) /co
Topography: circle one: �lat) Rolling Steep Slope % of slope _
Soil Nature: circle one:(Sand Loam Clay Other / Depth: feet
Ground Water: At what flepth? J fA feet
Bedrock or Impervious Material: At what depth? AV,,/ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: 6Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
/PROPOSED SYSTEM: Septic Tankt!"'i gal. m nib m size: 1,000 gal.)
TILE FIELD: Each Trench A/0 feet / Total system length .-1"1; ' feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # 2 / Depth or Thickness / feet
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* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUWMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
ill":1?1 _town o/ Queenil urcy
r BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ree /`-agei/C/2
LOCATION £'c
DATE 5/3/_PERMIT NO.
SOIL TYPE - Loj5- Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length 0269
Length of each ench 4/40
Depth of trench_\ 67-1
Size of gravel 35
SEEPAGE PITS{Numb:r of)
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank C!' at
Tank to dist. box y`" /7=
Dist. box to field/pit 4 " Pt't..
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank -S ft/ge. .
Foundation to absorpt'on loft.
Absorption to lot li'.e ft.
Separation of pits ft.
LOCATION OF SYSTEM IN PROPERT (circle one)
Front -� �] Lef side - Riglt side -
COMMENTS:
SYSTEM USE APPROVED S NO
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