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1987-172 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-172 WARREN COUNTYr NEW YORK _PE Robert M. Meyers PERMISSION is hereby granted to 8 Heinrick St . Street, Road or Ave. OWNER of property located at in the Town of Queensbury, To Construct or place a Sewage Alteration r* 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 Oueensbury Building and Zoning Ordinance. M ra 1 . OwNER'S Address is 8 Heinrick St . m Queensbury , New York r2. CC]NTRACTOR or BUI LDER'S Name Pro-Craft , Inc . oD CONTRACTf]R or BUYLOER'S Address11 Pheasant Walk Queensbury , New York 12801 w n ac" cn 4. ARCHITECT'S Name r' 5_ ARCHITECT'S Address a. TYPE of Construction — (Please indicate by X) rn (D ( ) Wood Frame ! ) Masonry I } Steal 1 ) 0 ao 7. PLANS and Specifications 1-r No. 8 ' x8 ' seepage pit per plot and application rD w w 8. Proposed Use Sewage system for dwelling 10 . 00 April 20 1g 89 PERMIT FEE PAID — THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be made to the 8uilding and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Oueensbury this 20th pay of April 19 87 SIGNED By acx for the Town of Queensbury Suildirg end Zoning I nspector • �I"al(+'iL f7Ea��� IGW!'tl OF G)i..lEciVScsu : — TL IL APPUCATION FOR SEPTIC DISPOS MILT APR 15 1987 BUILDING & CODE. DEPT. 2.- LOGATION OF PROPERTY FOR INSTALLATION u g 1445 Goys P4LS %yA2 Owner's Name : � ta/Z2r7- Telephone: St + s © 3 Address: _ 1 �1 /N {2t C K ST/Z�� T !- '�"irS ,h /� f L C } 9V y / A �' Installer's Name: M7-_e a^. EX 'r iv c Telephone: 5�4�r ,--3 z Number of 'bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) ErC]o Topography; circle one: Fla Rolling Steep Slope 4'0 of slope Soil Nature: circle one: e5an Loam Clay Other / Depth: feet Ground Water: At what depth? � feet Bedrock or Impervious Material: At what depth? -5A rV h_ feet Percolation best: circle one< not required required / rate min. inch. Domestic water supply: circle one: Municipa. Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet b12V 4,. CcL PROPOSED SYSTEM: SaptiQz"T-mk ( o ca c� gal. (minimum size: 1 ,000 gal.) TIES FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness feet * * k * * * * * * * * * * * * k * * * * * * * * * * * * * # * * * * * * * * tat * I M P O R T A N T ...Please...11ST NEW EQX7 PMENT TO BE MSTALL> I7 (over) Section II Septic System Inspections; A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least Z4 hours before start of construction and shall include a plot plan showing: 1 .) the proposed location of the system Z.) 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 drywelis 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 Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requireva eats of the Town of Queensbumy Sanitary Serfage Udspcw l Ordinance. Signatures of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-583 2 SETTLED 1763 . . * HOME OF NATURAL BEAUTY . . A GODO. PLACE TO LIVE _ fr, wn o� �,qupQMs �iure�► BUILDING and Zpl.11NG DEPARTMENT Bay and Haviland New orD. I Box 98 Queensbury, 01 SEPTIC f)I SP()S+AL. SYSTEM INSPECTION A/ � � FAME LOCPTI PERMIT NO .__ SOIL TYPE - Sand - Loam - Clay - _-� --YES NO -- percolation Test Required? - Percolation rate - Min/Inch _ TYp'E of SYSTEM-, Absorption field , total length Length of each trench Depth of trenchf=s _ Size of gxavel e �- -- J1 SEEPAGE ITS4Numb Size- ft. X �f t. Gravel Sze size KYpe PIPING : Bldg , to tan. Tan Tan. to d i St. box L vv LL-- Distv box to field/p NO Partial openings sealed? LCCATION/SEFARAT-10NS : ft. Foundation to tan. t . 3 0 Foundation to absorption ' _05 ft . Absorption to lot line ft. Separation of pits PROPERTY (c � rcie one) T-''CK3 OF SYSTEM Left side _ Right side Front Rear - t3T�/s1: SYSTEM USE APPRCYVEDJ YES NO guilt in IInspector 01/'aG and vl v FWs .} dryy v � i l 1. x (c9i w, 7, w,r7 rt k arr 0ov rra � 4L Li 4 C�5 s T-f?,E C 7" L i l s 7�