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88-259 BUILDING PERMIT TOWN OF QUEENSBURY No. 88_259 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Raymond E. Erb OWNER of property located at 19 Fitzgerald Road Street, Road or Ave. 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. Iv 1. OWNER'S Address is 0 Same tn 2. CONTRACTOR or BUILDER'S Name Ryan Bradley Enterprises tr 3. CONTRACTOR or BUILDER'S Address N 4. ARCHITECT'S Name ti rt tEl N h W ti 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( )Masonry ( )Steel ( ) - 7. PLANS and Specifications No. 1000 gal. tank, distribution box, 2 8' X 8' seepage pits. as per application and plot plan. 8. Proposed Use rt (D 1 Sewage Alteration rr ti. $ rx7f 70.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 90 (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 nsbury this 23rd Day of May 19 88 � 9 SIGNED BY for the Town of Queensbury Building and Zoning Inspector Men err �1v1 � APPLICATION FOR SEPTIC DISPOSA MIT MAY 1 1988 BUILDING & ODE DEPT. DATE -S/ //q / LOCATION OF PROPERTY FOR INSTALLATION I9 1-i 1 z L.-r teA La l? Owner's Name: NA YM©v•i "-- Telephone: _ 7 7.- - ' 4 (e^ 7 Address: / b / Installer's Name: R1" " '�� l L / c�`'0 TC r K ,.st I elephone: 7.4 7- 3 9 03 / 7`i 7 3 Z 3 1 Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) 46 0 Topography: circle one. lat ' Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay OtherG4A E=L/ Depth•>?' feet Ground Water: At what depth? - feet Bedrock or Impervious Material: At what depth? — feet Percolation test: circle one: not required required / rate O., min. inch. Domestic water supply: circle one: Municipal Well Other Et [7U �Ak IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank loci% f` gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S): Number of A / Size each 8 feet by g feet Size of stone to be used # �' ' / Depth or Thickness c feet s * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * M S t-l' i i c A iS K �i a k ��) �:L(/tCt /i i S ti 1� ('t n+ C•- -i cT l:a J C L i (over) 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 Ordinance. Signature of responsible person: Z t k � Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 -awn of Queen Jur, ItBUILDING and ZONING DEPARTMENT 5 -h Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION ZI,V4,,e-/r.46(...ee ,seee� DATE c /g"�" PERMIT NO. i C 5-9 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES -/NO Percolation rate - Min/Inch /_ TYPE of SY` EM: Absorption 'eld, total len. h Length of eac,• trench Depth of trenc 'es Size of gravel SEEPAGE ITS{N ._` of "Z� Size- 60 ft. X ' f . `"7...-' Gravel size Af* PIPING: Size pe Bldg. to tank q'~ 40 Tank to dist. bo 4• Dist. box to fi-4 d/•' 4 Openings sealed' NO Partial t LOCATION/SEFA' 'TIONS: Foundation t. tank 1?-ft. Foundation • absorption 1 , 6 ft. Absorption ,o lot line L 1F-ft. Separation •f pits 4 ft. LOCATION OF SYSTEM ON PROPER (circle one) Front - Rea Left side - Ri.ht side - COMMENTS: b oo SYSTEM USE APPROVED _AieNO $110. ifrl ,i,.... Bu '' .Y• Inspec or 01/86 and vl tiacc-4 u - ( a.------------- — — — — — ------- --\-----" & I I I V t, -,J 1" Q._ . . . .._ t. . , -_ - -------------- - - -- _-----"‘.: all ! ..... - A i I 4 --_-_, . , k r11 1 't/ J C i . NI t,9 1 I t - •., C -1 Y--2 n _ft 1 'Z' V 1' - , •-,4N k' L L., .... ._______ .______________ -----------------Y ( -------------ir , ; I 7 1 ••••• ' if'' , -.) I Q Lc: -..A c