1986-624 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-624
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Joseph Milazzo
OWNER of property located'at 25 Sweetbriar Lane 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. OWNER'S Address is 25 Sweetbriar Lane coo
Queensbury, New York
2. CONTRACTOR or BUILDER'S Name N
Queensbury Sewer
3. CONTRACTOR or BUILDER'S AddressRR #1
Lake George, New York 12845
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel (
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7. PLANS and Specifications
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No. 1000 gallon tank, dist. box and two 6'x8' seepage pits
per plot and application submitted. rr
8. Proposed Use
Sewage system for dwelling
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 24 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 24th Day of Sept. 19 86
SIGNED BY //)ra, a , N 2�r for the Town of Queensbury
Building and Zoning Inspector re"
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awn of QuecnAury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT 'TOWN OF QUEENSSUR
Bay and Haviland Road, R.D. 1 Box 96 ) ;_
Queensbury, New York 12801 DATEti.,2: / , , 1► D�
LOCATION OF PROPERTY FOR" °INSTALLATION
OWNER'S NAME `/ • 4. -fr a a •
ADDRESS S-- L2je _
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INSTALLER' S NAME
'r(%A, ei? � S Se Li- TEL
Number of bedrooms (residential only)
Total daily flow(compute @ 150 gal per bedroom)
Topography:- Rolling - Steep slope - (circle one) % of slope
Soil nature: Loam Clay Other . Depth ft.
Ground' water -At what depth? X1 - ft.
Bed-rock or impervious material - "At. what depth? ft.
Percolation test - Not required —Required - -Rate min-inch.
Domestic water supply cunicipal - Well - Other .
Separation - Watersupply(if well) from Septic absorption ft.
Proposed System: Septic tank ' gal. ( Minimun size, 1000 gal. )
Tile Field - Each trench ft. Total system legnth ft.
Seepage pit ( s) Number of 2_ . Size each ( ft X ft
Size of stone to be used * Depth or thickness h ft.
IMPORTANT ! '.
On a separate piece of paper, 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. Include all dimensions of
s .
the system, itself.
* * * * * * * * * * * * * * * * * * * * * * :*_. .* * * *- *• * * * * * * * * *
I .have read the regulations on the reverse side of this sheet."and agree
to abide by these and all requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance •
Signature of responsible person /
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05/86 and/vl
awn o� Queen.ilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME ScAs-e.CX p G �r u
LOCATION �j'
DATE c3((1/ PERMIT NO. 7-b,, -F
SOIL TYPE San - Loam - Clay -
Percolation est Required? YES -<!/
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE ITS{Numb9r of) _ ta. rue
Size- ft. X ft.
Gravel size -1
PIPING: Size Type
Bldg. to tank Vfl
Tank to dist. box _ T
Dist. box to field/.
Openings sealed? a NO Partial
LOCATION/SEPARATIONS:
Foundation to tank. /O ft.
Foundation to absorption a.Q ft.
Absorption to lot line ti, ft.
Separation of pits ft.
ON OF SYSTEM ON PROPERTY(circle one)
F n ,1- Rear - Left side - Right side -
ENTS:
SYSTEM USE APPROVED 40) NO
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Building Inspector
01/86 and vl
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