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97-488
BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No 97488 TAX MAP NO. 92 . -1-1 . 162 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to DEL SOLE, LOUIS , JR. & OWNER of property located at 4 COLONIAL COURT Street, Road or Ave. in the Town of Queensbury,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. OWNER'S Address is HARRIET 4 COLONIAL COURT QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDERS Name CONDON'S SEPTIC & DRAIN 3. CONTRACTOR or BUILDERS Address 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) SEPTIC 1 )Wood Frame ( 1 Masonry ( I Steel 1 ) 7. PLANS and Specifications SEPTI . ALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION 25 August 26 19 99 $ PERMIT FEE PAID -THIS PERMIT EXPIRES (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.) 26 August 19 97 Dated at the Town of Queensbury this Day of SIGNED BY for the Town of Queensbury Buil i and Zoning Inspector Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Permit No. l "1 C9_( Dept. of Community Development Building &Codes Office 742 Bay Road Fee Paid $ c2r J d Queensbury, NY 12804 Location of property for installation: It CO kW A l 071i -.. PropertyOwner's Name: L©V. s 3) cf „S'oi . -e , v, „ Vic, 7 Property Owner's Mailing Address: / ( /6nJi I 04, (��`�� v , —' Installer's Name:(21iJdM)$ <J,� -� :C. Phone # 7e—'c� �+ 1 - � Number of bedrooms (if residential): 3 Total tinily flow: T.)0 (residential - compute Qa 150 gal./bdrm.) Topography: X flat, rolling, steep slope q of slope • Soil Nature: sand, loam, clay, oth=/depth: Ground water: at what depth? �- feet / Bedrock or Im /P pervicus Material: at what depth feet Percolation test: X not required, required [rate min. per inch] Domestic water supply: ' municipal, well, otter If domestic water supply is a WELL, water supply from any suit absorption is feet. . PROPOSED SYSTEMnAl N 1 S-f(Ij/1y Septic tank:100 tom (minimum. size: 1,000 gal.) Tile field: each trench yO feet / Total system'�gth: 200 feet Seepage pit(s): number of / size each: ft. by ft. Size of stone to be used: # / depth or thickr'cs _ / feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of sae Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any mated misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be yak_ I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury sanitary Sewage Disposal Ordinance. Signature of responsible person: IIL4I/ ( vLoc4- ... Date: 7—I S " P7 (518) 761-8256 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARR A 3d DEPART INT F/�� REQUEST FOR INSPECT ON ECEIVED: NAME l / ✓J�� LOCATION ///ive _ 4p DATE /` PERMIT A ?7- ��)� TYPE OF STRUCTURE: - RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE _ THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SIDE,_ FOUNDATION WALLPOUR REINFORCEMENT IN P ACE FOUNDATION DAMPP - BACKFILL APPROVAL PLUMBING VENT VENTS IN , LACE ROUGH PLUMBING PLUMBING UNDER SLAB _ FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS / JACK POSTS/MAIN BEAM 1/ AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- \vir TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Ill Location b ' (1* Orz Date s- • -- C/Fermi t # 9 7 -1 n? SOIL TYP a' oam-Clay- Results of Pe olation Test (if applicable' Rate-Minute Inch 7, � TYPE OF SYSTEM: ABSORPTION FIEL►: Total Le` a / . Length of each irenchL Depth of trenche. Size of stone • ?� SEEPAGE PITS: Nuwber- Size - ft. x ft. Stone size PIPING: S'ze Type Bldg. to Tank 1 Tank to Dist. Box Dist. Box to FieldgilAmilk k u Openings Sealed? 40, No Partial LOCATION/SEPARATIO` : Foundation to Tank Foundation to Abs.rptio --7feet Separation of Pit. eet Conforms as per P of Plan Y s No LOCATION OF SYST[ M ON PRO' R • (circle off• o Front -(t - eft Side - 'ight Side Middle • . iddle Rear COMMENTS: 11111 SYSTEM USE APPROVED: No Arrived: . S Departed: `15.05- .-J Building Inspector L.,©U r 0 e/ .o/t ✓Nc N. L v nvyo/v 4N rf,-t C J-i -rru - e r<.. y COMA)la/ ( our 1- 79.1., asi-( t-z%_, '/.Alt/ 7 ,4c —7 * zrei Qv Ft) W1' 1U yi l_ -o$ 6teAs Falls ory I)4,I ., . �o�' ,,'� _97 - L-187&� . , i�V41 yp . , AUG 2 6 1997 Ilbe `-%::--- , i( r _ lio >' P( . el is poal4 5I ek kfq CoN�r�`5� +�I ',�� "I have seen or observed, or believe I saw evidence of, tl all objects such as houses, wells,trees,fences, etc., shown on this document. I also represent that I have ti personally measured the distances set forth on the diagram" IS a:Pk SIGNATURE DATA TOWN ®F BUILDING , UEE s u�t, REViEWE® e� cl %� T. g `•� R/ CoIesvtaf Co () re