1986-256 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-256
5 c;ARREN COUNTY, NEW YORK
Thomas Quaresima
to
PERMISSION is hereby granted to
23 Heinrick Circle Street, Road or Ave.
OWNER of property located at
0
Sewage Alteration
in the Town of Queensbury,To Construct or place a
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at the above location in accordance to application together with plot plans and other information hereto filed and m
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. q
1. OWNER'S Address is
23 Heinrick Circle
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name Condon's Septic & Drain Service
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3. CONTRACTOR or BUILDERS Andress
l7 Grant Ave. co
Glens Falls, New York
4. ARCHITECT'S Name
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FL-
6. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by XI
( 1 Wood Frame ( 1 Masonry 1 1 Steel 11
7. PLANS and Specifications
N
No. dist. box and 2 6'x8' drywells with #3 stone per plot and
application submitted. o
8. Proposed Use Sewage system for dwelling n
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H.
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$ 10.00
PERMIT FEE PAID —THIS PERMIT EXPIRES May 23 19 88
(If a fin of period iisreq beforedan the pllipeti for
r an
extension must be made to the Building end Zoning inspector of the
Dated at the Town of Queensbury this 23rd �^,e Day of Nay tg 86
SIGNED BY Mach , for the Town of Queensbury
Building and Zoning Inspector
fisitk
✓OWn O/ QUPPnd dry TOWN OF QUEE/N/ ED:2 "
BUILDING and ZONING DEPARTMENT Y U E C E J IY Ifff) L2 )
Bay and Haviland Road. R.D. 1 Box 98
Queensbury, New York 12801 iyiN'f 21 1986
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7lM 11V 6 8
// SEPTIC DISPOSAL PERMIT APPLICATION I
Owner's Name / AomMS Civa ktEJ/ x//9 Tel. /VS' 7/2u
Address L5 Fh_trni IC K <. IBC.h (41. :.[sv?'J 11y / `z—r/
Person/Firm installing systemCprytom.0 Ff/i vi/Ag/,J
Number of bedrooms (residential only)
Total daily flow: (compute @ 150 gal.per bedroom per day) 9 CO
Topography: flat - rolling - steep - (circle one) Degree of slope _B
Nature of soils: sand-loam-clay- other- Depth /Y ft.
Ground water-- at what depth? ft.
Bedrock or impervious material--at what depth? — ft.
Percolation Test - Not required / Required -Rate min/inch.
Domestic Water Supply - Municipal'- 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 /000 gal. Corvt9-2-tL eXiSt niy
Tile field- Length of each trench ft. Total field ft.
Size of stone *
Seepage Pit(s) Number L / Size 6 ftX_8. ft. Size of stone* 3
iJg cr,
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.
(J L• 'e ;r .!, r1 `' / 9074-1
Signature of Applicant Date
01/86 and/vl
Septic System Inspections:
A. All applications for septic system installation,
alteration or repair, as recuired by the Town of
Oueensbury 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 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 Oueensbury Building
Department before further construction .
flown of Queenebury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME pp__ QUA REVIP1A
LOCATION 2.3 It2Aikek C RGI
DATE 4/3/ PG PERMIT NO. Rep - ZSIp
SOIL TYPE -CSiendd - Loam - Clay -- ®
Percolation(EA)Required? YES
Percolation rate - Min/Inch - 2 7
TYPE of SYSTEM: '..
Absorption field, total length �r
Length of each trench
Depth of trenches - li
Size of gravel_ _
SEEPAGE PITS4Number of) _
Size- //�Jft. X �@,L�ft. I
Gravel sizes T I{ w/
PIPING: Size Type
Bldg. to tank
Tank to dist. box _
Dist. box to field/pit f
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank 'rift. I
Foundation to absorption 22))ft.f 3f)
Absorption to lot lineft.
Separation of pits ' ft.
_deo•��VYYY....N OF SYSTEM ON PROPERTY(circle one)
i Rear - Left side - Right side -
!O r TS:
SYSTEM USE APPROVED NO
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Building Inspector
01/86 and vl
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