1986-224 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-224
EN COUNTY, NEW YORK
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�� `er y Thomas McDonough g
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PERMISSION is hereby granted to m
28 Twicwood Lane Street,Road or Ave. in
OWNER of property located at ri
Sewage Alteration M
in the Town of bury,To Construct or place a o
at the above locationcation in accordance to application together with plot plans and other information hereto filed and w
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Z
I. OWNERS Address is 28 Twicwood Lane
Glens Falls, New York
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2. CONTRACTOR or BUI LDEflS Name
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Condon's Septic and Drain Service H
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3. CONTRACTOR or BUILDER'S Address 0
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17 Grant Ave. r^
Glens Falls, New York y
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) m
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CFO( )Wood Frame 1 1 Masonry ( )Steel ( ) m
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7. PLANS and Specifications
dist. box and 2 6'x8' drywells with #3 stone per plot and
No. sa
application submitted. rt
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8. Proposed Use
Sewage system for dwelling
15 19 88
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May
(If a longer period required
the expirationfor
an extensionmust be made to the Building and Zoning inspector of the
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Dated at the Town of Oueensbury this 15th Day/off May 19 86
SIGNED BY / 1a (J . ,Oter, for the Town of Queensbury
Building and Zoning Inspector
TOWN OF 31F`N
awn of Queandlury je ��
BUILDING and ZONING DEPARTMENT
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Bay and Havilantl Road. R.D. 1 Boz 98 �'
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Oueensbury, New York 12801 MA it,;; lye, f> M'
7181911,OPPO;M31415i6
, /� SEPTIC DISPOSSAL PERMIT APPLICATION
Owner' s Name /p °riPFS McDor000 /� Tel. na.• o 4/S
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Address a / wi &+.a ood l-aN E. Ooee& siwr7 Ny /y-&d/
Person/Firm installing system CONDOMS SF/O-tic_ `� J a i4� `� '
Number of bedrooms(residential only) 3
Total daily flow: (compute @ 150 aal.per bedroom per day)_ `‘go
Topography: gm rolling - steep - (circle one) Degree of slope _%
Nature of soils: sand-loam}clay- other- Depth /0 ft.
Ground water-- at what depth? ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - Not required / Required -Rate 0 - 5- min/inch.
Domestic Water Supply - ®- 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/0e0 gal. Can/Cr&f£
Tile field- Length of each trench__ft. Total field_____ft.
Size of stone 8
Seepage Pit(s) Number Z / Size 6 ftX 8' ft. Size of stone* 3
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. / Dig T, oy
02 6 ' X ,F cI 7 we//f era Sr`✓IA-
(1d Mat' .. 2-on� a, . 31Y/8'6
Signature Applicant Date
01/86 and/vl
Septic System Inspections:
A. All applicationd for septic system installation,
alteration or repair, as required by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina 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 Oueensbury Buildina
Department before further construction.
flown of Queen Sturm
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME // F-0i(fi90GW/
LOCATION 4�
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DATE.0-1716G PERMIT NO. (i((1—
SOIL TYPE - and Loam - Clay -
Percolation re Required? YES Tar—
Percolation rate - Min/Inch y
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Number of) 7..
Size- da_ft. X ft.
Gravel sizee - Czv5HED S7VNe
PIPING: Size Type
Bldg. to tank �y
Tank to dist. box -/ hlVGi
Dist. box to field/p' at,-
Openings sealed? 40 NO Partial
LOCATION/SEPARATIONS:
Foundation to tank JOft.
Foundation to absorption "Oft.
Absorption to lot line 2ft.
Separation of pits fG ft.
LOCATION •, SYSTEM ch =•yERTY(circle one)
Front lap-P - Right side -
CCMMEN .
SYSTEM USE APPROVED 40 NO
Building Inspector
01/86 and vl
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