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98-597 `2$Cj . lj, -V5 BUILDING PERMIT VALUE $ 0 TOWN OF +QUEENSBURY No. 98597 TAX MAP NO . 48 . - 4 - 5 'WARREN COUNTY, NEW YORK PERMISSION is hereby gra nted to LEMERY , ANDREA OWNER of property located at 19 FIELDVIEW RD . Street, Road or Ave. in the Town of (]ueensburY, To Construct or place a SEPTIC 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. I. Owr FRS Address is 19 EIELDVIEW RD . QQUEENSBURYr NY 12804 2. CONTRACTOR or SUILOER'S Name SPRAGUE , DAN 3_ CONTRACTOR or BUILDER'S Addrass 4. ARCHITECTS Name fi. ARCHITECT'S Address 6. TYPE tsf Construction — (Piesse indicate by X) SEPTIC I I wood Frame I I Masonry ) Steel f 1 7. PLANS and Speciflcations SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS 13. Proposed Use SEPTIC ALTERATION 25 September 24 2000 PERMIT FEE PAID — THIS PERMIT EXPIRES , l9 $ flf a longer period is required an application for an eKterainn muse ba made to the $wilding and Zoning inspector of the town of O0ee01,1ury before the expiration date2 4 September 1998 Dated at the Town of Clueensbury this Day of for the Town of Clu+a+ensbury SIGNED BY uitdlrrp arW Zoning i - �"'�"� ter + Application for SEPTIC DISPOSAL PER�4�'IIT ` Town of t_ Community bury ^7 _ I Dep of Co Community Development � � `-`' �� / Permit No. 9 Building & Codes Office 742 Bay Road Fee Paid , Queensbury, NY 12804 Location of property for installation: Property Owner's Name: i'(/Alexv G,�r'� r Property Uwner'sM�ajiZ�utg Address: / f f e/ Ui eW S E P c ` 1998 Installer's Name: _ _ G�':w z3,�r 'G, Phone # Number of bedrooms (if residential): J Total daily flow: ys� (residential - compute a 150 gal.Jbdrm,) Topography: flat, rolling, steep slope of slope Soil Nature: sand, loam, clay, other J depth: Ground water: at what depth? -feet J Bedrock or Impervious Material: at what depth? ` feet Percolation test: not required, required [ rate thin. per inch. I Domestic water supply: municipal, X1 well, other If domestic water supply is a WELL, water supply from any septic absorption is Z("J:� feet. PROPOSED SYSTEM Septic tank: +� trallc (minimum size: 1 ,O00 ,gal..) le Tile field: each trench feet / Total system length: 2W— feet Seepage pit(s): number of f size each: ft` by ft. Size of stone to be used: # J dearth or tbickness feet HOLDING TANK SYSTEM: (if required) + , Number of tanks: Size of each gallons Alarm system and associated electrical work to be inspocted by a cartifie+d egeogy- For your protection, please now that purmmat to Section 136-29 of t1w Coda of the Town of Qaeensbury, any pvrmii or approval granted which is based upon or is granted in reliance upon any material n risrepnasents ion or failure to make+ a xnaterial fact or oircumatance known by or be of an applicant, shall be void. c I have read the regulations with respect to a ation to a by theme and an of tba Town of Quese'nsbuzry Sanitary Sewage Disposal Signature of responsible person: Date; � TOWN OF QUEENSBURY BUrLDING a CODE ENFORCVMff 742 B Queeburyy N Road 2804 (518) 9cY_sz,56 SEPTIC DISPOSAL SYSTEM INSPECTION Name f/ Location Date Permit # _.G� SOIL TYPE: Sand- Loam- Clay_ Results of Percolation Test- Q f applicable ) Rate-Minute/Inch TYPE OF SYSTEM: I _m_ ABSORPTION FIELD: T ! a7 Len Length of each trenc gth ��� ot Depth of trenches Size of stone ' ~" SEEPAGE PITS : amber Size - Stone size ft ' ft . PIPING: Bldg. to Tank Sfze""�- Tank to Dist . Box �-�- Dist . Box to Fieldje II�t'""" - s Sealed ? LOCATIOpenin©N/SEPARATI(iNS�es es No artia Foundation to Tank Foundation to Absk /rj feet Separation of Absorption `2, 0 feet Conforms as Pits � Per Plot Plan eet L OCATICR OF SYSTEM ON PROPER a N o one) Pdd7eWont ear - Left Side - Right Side (4 Middle Rear CO ENTS: SYSTEM USE APPROVED; E5 NO Arrived:. �3,,•,� Departed: --"c- _ $UI? ding Inspector i IW t ' r r IF IF- V r 4 ,i5s( .,f <tb�3.r v✓` E: 'S t� 'fs 1 " rim ^' '' (f;j :: r' rx. �P.. hk 4�.� 'r} >•#rf , '' :: J r x� •5 ' , J 3. a i �' vAxdIF Y 1 IF FIFF ggyy �i IF L'a� r A $ X' flI Fl Ile JIFIl"g FF. s. G] • #} ) CJ cis C_` ayP? u a•' a r. r IF : P^I wl, Airs. '4i d a 115' 6 1 1 l � 3 i g 'ARY� f A # .J ycg Y A.. IF IF '• Lim'#AX 13, •8 $�"J. ) 1 In,t TJ PU IF n. { CIA sss IF '� i' •�. ACS f� g N JWyf � PS f i } F' JI z IF t,.ttk ..gar, s r.3..1 y e i t.„ S Fila • .,, t c s!=«.rx i s rL R" . 'ir , dr .0 x F .. kz= I IF c 1 } 'Y F 4 t F S t r t 7+c. aS rI rIF I IF t t =' di a �rt'�k33 . "p pgK me I IF IF IF F`rt 4�{� Sri'. -s TOM OF QUEENISBURY BUILDING & CODE ENFORCEMENT pr36 742 Bay Road Queensbury NY 1280 (518) 761-8256 SEPTIC DISPOSAL SYS INSPECTION Name eZ' C'yr► . Location _ Date P it # SOIL TYPE: Sand- Loa - Clay- suits of Percolat on Test- if applicable ) Rat -Minute/ Inc TYPE OF SYSTEM: ABSORPTION FIELD: T tal Length Length of each tren h Depth of trenches Size of stone SEEPAGE PITS : um e - Size - ft . x ft . Stone size PIPING: - Size Type ` Bldg , to Tank Tank to Dist . Box j Dist . Box to Field/Pi Openings Sealed? Y S o Partial LOCATION/SEPARATIONS Foundation to Tank feet Foundation to Abso tion _ feet Separation o� Pit feet Conforms as per P of Plan Yes No LOCATION OF SYST ON PROP RTY: ( circle one ) Front - Rear - eft Side - ight Side Middle Front - Middle Rear COMMENTS: ,I 14Z SYSTEM USE APPROVED : YES Arrived: _J , o Departed : r Building Inspector