1988-009 BUILDING PERMIT H
TOWN OF QUEENSBURY No 88-09
• WARREN COUNTY, NEW YORK o
PER MISSI N is hereby granted to
�(At qr-")s,-- C�erald Leone
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10 Midnight Drive �1
OWNER of property located at Street, Road or Ave. I
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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
Same
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2. CONTRACTOR or BUILDER'S Name a'
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Morning Star Excavating o
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3. CONTRACTOR or BUILDER'S Address
Frank Shaw
Route 32
Gansevoort, N.Y. 12831
4. ARCHITECT'S Name
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X
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5. ARCHITECT'S Address H.
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6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Existing septic tank, 2 seepage pits 6' x 10' m
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8. Proposed Use m
Sewage alteration
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 18 19 90 0
(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 18th Day of January 19 88
SIGNED BY y% Qe4 67e Z2ezif„-xi for the Town of Queensbury
Building and Zoning Inspector /-ive
7. o eadvar0.) 9,`Ay s `for% lbws twouEENsais,,,,.
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APPLICATION FOR SEPTIC DISPOSAL PERMIT M1 E 1 LA Ig d
J101 12199B
OUILDING CODE, DgPT.
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DATE Il / 3 (ivi
LOCATION OF PROPERTY FOR INSTALLATION /p ///lfv.. ,,,; ,
Owner's Name: _- Telephone: _ 7 7 3 y97�f
Address: C ' ),,,e f'L
Installer's Name: Iyjz, S7'(, ,., , Telephone: 9 93:2, qU
Number of bedrooms (residential only) 3
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: 6. Rolling Steep Slope % of slope
Soil Nature: circle one:Q Loam Clay Other / Depth: feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required /rate min. inch.
Domestic water supply: circle one: __� _ 1111110 Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank Sic, , _gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S): Number of a / Size each 6 feet by /0 feet
Size of stone to be used # _ -5 / Depth or Thickness _ ' feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
•
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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 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 Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person
Date: c*,,�,,Arr -s as-
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD.PLACE TO LIVE
91/116-4.;
1 er awn ot Queenibury
J/1 / BUI DING and ZONING DEPARTMENT
/• gland Haviland Road, R.D. 1 Box 98
' •ueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 9.„„z.v,
LOCATION /0 yW,2„6"' JL CG� „/
DATE / `/,7/4- PERMIT NO.
SOIL TYPE - Sand - Loam - Clay - o
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
/
TYPE of TEM:
Absorption field, total length. /
Length o' each trench '
Depth of renches
Size of gavel
/1/77
SEEPAGE P S4Number of)
Size- t. X _ (oft. .�--- _
Gravel siz:
PIPING: Si - Type
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Bldg. to to'k
Tank to dis . box
Dist. box to field/pi
Openings seal-d? Y'S NO Partial
LOCATION/SEFA•^.TIO';S:
Foundation to t:n
Foundation to ab..orption
Absorption to lot line &Oft.
Separation of -.its
LOCATION OF S STEM cN PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
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SYSTEM USE APPROVED ?YES, NO,'
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Building Inspector
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