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1986-483 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-483 WARREN COUNTY, NEW YORK --1--"1 t=i PERMISSION is hereby granted to Donald Waldron OWNER of property located at 29 Prospect Drive Street,Road or Ave. in the Town of Queensbury,To Construct or place a Sewage Alteration n' 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 29 Prospect Drive Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Condon's Septic Service n 3. CONTRACTOR or BUILDER'S Address 17 Grant Ave. CD Glens Falls, New York ty 4. ARCHITECT'S Name - W CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications 2 - 8'x8' seepage pits per plot and application submitted. No. C!] (D E 8. Proposed Use Pa QQ Sewage system for dwelling m rt w rt $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 12 19 88 (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 12th QDay of August 19 86 SIGNED BY /� ' 4 .9 for the Town of Queensbury ilding and Zoning Inspector Jown of Quendur APPLICATION FOR SEPTI A 't�'I� �iJ;T I=�;, BUILDING and ZONING DEPARTMENT ; Fs k' II., Bay and Haviland Road, R.D. 1 Box 98 0 , Oueensbury, New York 12801 8 DATE / r j-�E feu 16 LOCATION OF PROPERTY FOR INSTALLATION 7if),ogfEgir,DiAtit15o �rfrel� OWNER' S NAME -7)0pi) 41:p l.C) y 1--D 6 ADDRESS •)-9 _ 12 C _D 4,- r TEL ✓ cr�gbOg INSTALLER' S NAME �, .ulJ7nf7� Sc�" - /�_, sE, P TEL O7I 67 L Number of bedrooms (residential only) • Total daily flow(compute @ 150 gal per. bedroom) //'j 6 - • Topography: Flat - Rolling -QSteep slope -(circle one) % of slope - Soil nature: Sand 1 Loam - Clay - Othe'r Depth ft. Ground' water -At what depth? 6 ft. Bed-rock or impervious material - At what _depth? 4JE%'l/- ft. Percolation test. - (Not requi're)- Required - -Rate min-inch. Domestic water supply �tunitipai- - Weli Other - - - - - Separation - Watersupply(if well) from Septic absorption - ft. Proposed-System: Septic tank g#1. ( Minimun size, 1000 gal. ) • Tile Field - Each trench ft.: Total system l.egnth ft. Seepage pit(s) Number of Z._ . Size each ft X ft Size of stone to be used # _ • Depth or thickness'-- . ft. • IMPORTANT! ! .On a separate piece of Raper, submit a diagram of the proposed system • • with all dimensions shown; including distance from any structure , distance from property lInes . and from ANY DOMESTIC WATER SUPPLY or shore-line- of lake,.stream,pond or wet-lands. IInclude all dimensions of the system, itself . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *_ * * * * * I .have read the regulations on the reverse side of this sheet and agree to abide by these and aZZ requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance. .0 Signature of .esponsible person i� , {��I,�,.,, 4 ii----y\A-6--„,„-, . , , �J �- Date 6 ic/ • 05/86 and/vl Section II Septic System Inspections: A. All applications for septid system installation, alteration or repair, as recuired 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 reAiult _in animmediate ,work,--stoppage4- =- 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. • '-'61‘k • • Yi I qlti Jown o/ Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME W ese id t®`'t LOCATION 9,9 ►Pres p ec-T DATE $ l/8/ i G PERMIT NO. a (0 - 9 gj SOIL TYPE - San - Loam - Clay - Percolation t Required? YES ' NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravelSEEP �� �,, 6- Size AGE�Ift{NX ber(p ft) �� �[G .�1-- Gravel size •. 3 PIPING: Size Type Bldg. to tank Tank to dist. box _ Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear —Left side - Right side - COMMENTS: SYSTEM USE APPROVED YE NO _ (" Building Inspector 01/86 and vl 1113f�� ,° C'C _awn o/ Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME ID Y\ Ic' 1.,d'Ol( d lr(D)\ LOCATION ,19 I P D ,� �_c1:1- D)i. DATE / PERMIT NO. S(1.0 4�3 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: SYSTEM USE APPROVED YEI NO Build.ng InsBe for 01/86 and vl • NE/4 , , „...4 . 00.( T pAcip g ( ttik, pfp._ i_ tni , % . , 1 - / f&III1L, il i ., . , 3 6 / Li. "• '--1 ' -• , C* -• ) c'. ----) / cr --.6 BDR . i.---iou _s _ Irs'i / • I . . 0 G. - --e.' L: L-1--- ;k .. (N) cj. 1 -; cf"\ , ., --,'. tPO 111)4,LD WA-1-DR Oil) Co ND o N 3 _S.'e(4(c_ --c'Ev- - • 9 FA osop c_-,t pik 1 0 CR4iv 7. /41/ ev c F i/s 11/ L-( /) V Qo Eend go ry 0 yo—to / , , .. . . • . . .. _ .