88-786 BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 88-786
WARREN COUNTY, NEW YORK co
PERMISSION is hereby granted to Bernice Stark
OWNER of property located at Assembly Point 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.
1. OWNER'S Address is
Bay Parkway
Queensbury, New York 12804
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2. CONTRACTOR or BUILDER'S Name ro
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Edward Carr r.
3. CONTRACTOR or BUILDER'S Address rt
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( I Steel ( ) m
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7. PLANS and Specifications
No. Replacement of aged steel tank with new 1000 gal tank(concrete) o
No alteration of existing absorption area.
8. Proposed Use rt
Sewage Alteration
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 11 19 90
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the - CD
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this th Day of October 11 19 88
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CDSIGNED BY for the Town of Queensbury w
Building and Zoning Inspecko
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APPLICATION FOR SEPTIC DISPOSAL PERMIT _. , i CODES UCJ'1.
:. Down or uuErrtsJluicr ,
DATE !
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LOCATION OF PROPERTY FOR INSTALLATION ���,(�{ jl710-,
Owner's Name: k -vlaGtl �' Telephone:
Address: n Installer's Name: -c�c��-c�C Cr-tir Telephone: �'0 G 1.
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Number of bedrooms (residential only) .. 1
Total daily flow (compute @ 150 gal per bedroom) ,! .�OO c-i 1 ,
Topography: circle one: Flat Rolling Steep Slope ix, of slope, " r�
Sail Nature: circle one: Sand Loam. Clay •ther /. Depth: , feet
Ground Water: At what deptli?,,O&JEM-7 feet .
Bedrock or Impervious Material: At what depth? _ /I/ feet
Percolation test: circle one: not required required / rate#4 min. inch.
Domestic water supply: circle one: Municipal Well. Other eov-t—
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption ///4 feet
PROPOSED SYSTEM:-.Septic Tank Ian-) gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet . .. - •
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SEEPAGE PIT(S): Number of / Size each feet liy feet
Size of stone to be used 11. / Depth or Thickness feet
4 * * * * i 4 y 4 * * * + 4 * * * * * * * * 454 * * * * * * * * * * * * * 454
IMPonTANT '
...Please...LIST NEW EQUIPMEN'1"1'O IIE INSTALLED .
• * * * * • • * 4 + 4 4 . 4 444 + 444 + 444 + 445444 445 + , .
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Jown of Queeniurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 /,`/�,
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SEPTIC DISPOSAL SYSTEM INSPECTION
NAME / �Z- /-c , ���z �1�
LOCATION C��d 4-L>1 -
DATE /6' PERMIT NO. fee-- .73 J
SOIL TYPE - Sand - Loam - Clad -
Percolation est Required? ,YES - NO
Percolation rate - Min/Inc /_
TYPE of SYSTEM..
Absorption fieli, total/length
Length of each t ench /
Depth of trenches /
Size of gravel_ / _
SEEPAGE PITS{Number of)
Size- ft. X _ ' t.
Gravel size
PIPING: •ize Type
Bldg. to tank
Tank to dist. .ox
Dist. box to ield/pit
Openings seed? YES 0 Partial
LOCATION/S PARATIONS:
Foundatiojto tank • t.
Foundatipon to absorption
Absorption to lot line ft
Separa ion of pits ft.
LOCAT ON OF SYSTEM ON PROPERTY(ci le one)
Front - Rear - Left side - Right side -
COMMENTS:
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SYSTEM USE APPROVED YES NO
B ' ing Inspector
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