1986-159 BUILDING PERMIT
r TOWN OF QUEENSBURY Na. 86-159
/3 /�J \ I� 6.9 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Katherine Frasier
OWNER of property located at 22 Greenway North 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. OWNERS Address is 22 Greenway North
Glens Falls, New York
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2. CONTRACTOR or BUILDERS Name p
Sanitary Sewer Service m
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3. CONTRACTOR or BUILDERS Address m
P. 0. Box 224 �
Glens Falls, New York
4. ARCHITECT'S Name
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5. ARCHITECTS Address m
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6. TYPE of Construction—(Please indicate by XI et
1 1 Wood Frame 1 1 Masonry 1 1 Steel (
7. PLANS and Specifications
6'x8' drywell and 24" #3 stone per plot and application
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8. Proposed Use
Sewage system for dwelling m
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 23 1988 0
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 had Day of(� April sg 86
SIGNED BY )7 ad G. .D0 t for the Town of Queensbury
Building and Zoning Inspento
Jown o/ Queendhury TowN cF QuTENS^:: ..
k BUILDING and ZONING DEPARTMENT {`' '� V L rid
Bay and Haviland Road, R.D. 1 Box 98 RE5IILI ��(�
l \1 Queensbury, New York 12801 �7APR 2 '70,cR4;
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7 71g1911U� 1�12{1 218141516.
SEPTIC DISPOSAL PERMIT APPLICATION �W/
Owner's Name .I� rii) Sie'& I Tel. 79i} oar
Address 016 e1Ju 47 keit*
Person/Firm installing system sS...\AN inn crt°C(A A_ eCJ/LE
Number of bedrooms (residential only) ..)—inn
Total daily flow: (compute @ 150 cal.per bedroom per day) r2d 0
Topography:. rolling - steep - (circle one) Decree of slope 8
Nature of soils: loam-clay- other- Depth A ft.
Ground water-- at what depth? ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - of required / Required -Rate min/inch.
Domestic Water Supply 410011110 - Well - Other
IMPORTANT!
On a separate piece of paper, submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from any domestic water
supply or shore-line of lake, stream, pond or wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size /Qpl7 gal.
Tile field- Length of each trench ft. Total field ft.
Size of stone # /
Seepage Pit(s) Number / / Size p ftX S ft. Size of stone# .2 •
Any contractor, corporation, individual , Etc. , engaged in the
construction of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the approved application, will be subject to a Penalty of $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance. / :a ' Dfit aiG C!
a4-" o13 S-7°A' .c
jtctofAPplicant Date
01/86 and/vl
Septic System Inspections:
A. All applications for septic system installation,
alteration or repair, as reauired by the Town of
Queensbury Sanitary Sewage Ordinance, shall be
submitted to the Building Department at least
24 hours before start 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 he
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.
ott-tu s COurtmTOK 'o Cmc (pa ij
awn of Queenaturo
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ( o rn r l
LOCATION _ 2 �^____ u_
AkKTIf
DATE S /s/_g4 PERMIT NO, k l_ i
i SOIL TYPE s
Percolation - quiet - Clay -
Percolation rate Required? YES .
- Min/Inch .
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel ---�--
SEEPAGE PITS{Numbej of)
Size- ig_ft. X 46 r —
Gravel size ft. ---�
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PIPING:
Bldg. to tank Size Type
Tank to dist. box
Dist. box to field/pit_ --
Openings Sealed? YES NO Part____
Partial
LOCATION/SEPARATIONS:
Foundation to tank
Foundation to absorption ���O(lft.
ft.
Absorption to lo ne ::yt,,��//
Separation of �_ft.
LOCATION OF Sits ft.
SYSTEM ON PROPERight side one)
Front T Rear - Lefp side - Right side
COMMENTS:
SYSTEM USE APPROVED
-- nn NO
Building Inspector
01/86 and vl
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