1999-418 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY Na 9941 R
TAX MAP NO. 81 . —1-7 WARREN COUNTY, NEW YORK
QA6 k,(1.)
PERMISSION is hereby granted to THOMP SON. DANIEL, JR.&
OWNER of property located at 25 LYNNFIELD DR. Street. Road or Ave.
in the Town of Queensbury,To Construct or place a SEPTIC ALTER ATTON
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
. ELEANOR 25 LYNNFIELD DR.
QUEENSBURY, NY 12804 -
2. CONTRACTOR or BUILDER'S Name
CONDON SEPTIC & DRAIN SERVICE
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6: TYPE of Construction—(Please indicate by X)
SEPTIC
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
SEPTIONoALTERATION AS. PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
25 PERMIT FEE PAID —THIS PERMIT EXPIRES July 7 �g2001
(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 7 Day of July , 19- 1999
SIGNED BY t` O for the Town of Queensbury
Building and Zoning Inspector
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury �°
Dept. of Community Development tI�` _ �� ' Permit No. e l�
Building &Codes Office
742 Bay Road JUL 0 7 1999 Fee Paid,
Que`nsbury, NY 12804
�L1lILLR S-1_1�:�'i '=,1_Qi1➢�"t�ER
99418. 81 -1=7,
Location of property for installation; .• THOMPSON, DANIEL.,:- JR...&. _..._•_•
..
25 LYNNFIELD.; DR:
Property Owner's Name SEPTIC ALTERATION
Property Owner's Mailing Address: 7 j ' h 5_ L y'Nxj e,
Installer's Name, lJ g c SP ¢rr 1I 11/ Phone # rvu
/56. NTtmher of bedrooms (if residential): Total daily flow:
(residential -compute @ 150 gal./bdrrn.)
Topography: >` fiat, rolling, steep slope % of slope
Soil Nature: X sand, loam, clay, other/depth:
• Ground water: at what dept10 feet / Bedrock or Impervious Material: at what dep . feet
Percolation test: x not required, required [rate min.per inch]
Domestic water supply: x municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank�t S" gallon (minimum size: I,( .) �i�L"^'Y "C
Tile field: each trench 56 feet / Total system length: D-igsd feet
Seepage pit(s): number of / size each: . ft.by ft.
Size of stone to be used: # / depth or thickness feet
z OLDTh G TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Cklarm system ard associated electrical work to be fi2spected by a certified a e y.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of
approval granted which is based upon or is reliance m any permit make a
granted inupoQ guy material misrepresentation or failure to a
material fact or circumstance known by or on behalf of an applir?nt, shall be void.
I have d the regulations with respect to this application and agree to abide by these and all requirements of the Town of
Queensbtay San;tAry Sewage Disposal Ordinance.
Signarire of responsible person d ��i� Date:` N 7`Y 9
.lyr9j'i/ �l-ru�rl���r� COi bhii py1q�_JJS�eP-teC -g: 0-vy r�1J -� eardr�rvc.
eignis' Fa/d /0-5"(;'l'9"f
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JUL 0 7 1999 iniffi_fR/9 '64-5
TOWN OF���`�����'�`��� "1 have seen or observed, or
BUILDING AND CODE.
)� believe I saw evidence of
all objects such as hou, swells,
�. �Q
shown on this(docume I also represent th fences etc.'
D Asnnali have
v C y m s -I 0-- distances set forth on the diagram."
g m."
SIG
-� NATU E
-It 5 - DATE
;b� /S0° Cry
CoNCYC-Fti t/Ru)T
TOWN r QUEENSi3U
�'�`'edo our limited cxairiir i td
compliance with our comments is',Thai!
n not be construed as indicatino I
3 ' . plans and spc...i„�"...if;,,r„. !t:.;�W i
comp;.vII�.0
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DATE <._ .. 72.,( __