88-104 BUILDING PERMIT y
TOWN OF QUEENSBURY No 88-104
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Louis Russell Sr. o
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OWNER of property located at French Mt. Drive Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a SEwage Alteration ON
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 RR3 Box 3312
Lake George, N.Y. 12845 tr
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2. CONTRACTOR or BUI LDER'S Name
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3. CONTRACTOR or BUILDER'S Address ~
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address n
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6. TYPE of Construction—(Please indicate by X) n
( )Wood Frame ( ) Masonry ( )Steel ( ) m
7. PLANS and Specifications
No. Existing tank, 2 seepage pits each 8'x8' as per application
8. Proposed Use
Sewage Alteration M
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 30, 19 90 H.
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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
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 30th Day of March 19 88
SIGNED BY 2. for the Town of Queensbury
Building and Zoning Inspector �67
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APPLICATION FOR SEPTIC DISPOSAL PERMIT r
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o MAR 29 1988
BUILDING & CODE DE#,3'.
DATE Qe
LOCATION OF PROPERTY FOR INSTALLATION , /BEN M7-. /,7p/mc-
Owner's Name: �p�sS . l�vsSEf� Sit'- Telephone:
Address: 1kl7-. PPiVe- ,?, 3 O x 31l2- 1-_6:, �y.�. %ZfyT
Installer's Name: Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: Flat . Rolling. Steep Slope % of slope
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Soil Nature: circle one: Sand Loam ,Clay Other / Depth: feet
Ground Water: At-what depth? feet
Bedrock or Impervious Material: At what depth? _ _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: Municipal Well Other X�
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
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PROPOSED SYSTEM: Septic Tank ' (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S): Number of - / Size each _ feet by eet
Size of stone to be used # 6� / Depth or Thickness _� feet
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
(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
ry 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.
rJZSignature of responsible person: M�6'
Dater
Town of Queensbury
Building and Code Department
.Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTL") 175' 101P.- ATI' ' ! ^!':TY . . . A GOO D.P1. !_ VE7
{�'� Jown o f Queenikiry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCAT I ON
DATE V�/ u PERMIT NO.
SOIL TYPE -LSand Loa - Clay -
Percolation Test Required? YES
Percolation rate - Min/Inch
TYPE of YSTEM:
Absorptio field, total ten h
Length of ach trench
Depth of t nches '
Size of gra el_
SEEPAGE PITS Number XfSize- ft. X `
Gravel size
PIPING: Size Type
Bldg. to tank 4 _ L/C-
Tank to dist. bo 9 It t r
Dist. box to fie d it -' `l
Openings sealed. E NO Partial
LOCATION/SEPA TIONS:
Foundation t tank io ft.
Foundation o absorptio —ft.
Absorption to lot line /B ft.
Separatio of pits ft.
LOCATION F SYSTEM ON PRO ERTY(circle one)
Front - ear - Left side -COMMENT
f-si3e—
COMMENT
TYSYSTEM USE APPROVEDNO
BMldfing Inspector
01/86 and vl