1988-076 BUILDING PERMIT H
TOWN OF QUEENSBURY No. 88_76
G ,/ 1� WARREN COUNTY, NEW YORK o
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PERMISSION is hereby granted to Robert Tomis
17 Whipporwill W
OWNER of property located at 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 0
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2. CONTRACTOR or BUILDER'S Name
Morning Star Excavating
3. CONTRACTOR or BUILDER'S Address
Route 32
Gansevoort, N.Y. 12831
4. ARCHITECT'S Name
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5. ARCHITECT'S Address H.
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6. TYPE of Construction—(Please indicate by X)
( I Wood Frame ( I Masonry ( ) Steel ( )
7. PLANS and Specifications to
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No. Existing 1000 gal tank, 2 seepage pits each 6'x10' as per application
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and plot plan, S
8. Proposed Use
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Sewage Alteration
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10.00 March 18,
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 90
(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 March 19 88
SIGNED BY j 2 -C_- Q . ae :J for the Town of Queensbury
Building and Zoning Inspector "C__fe' .
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APPLICATION FOR SEPTIC DISPOSAL PERMf J1-
L MAR 198B
BUILDING & CODE DEFT.
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DATE //Yliwc f?% / S
LOCATION OF PROPERTY FOR INSTALLATION / `7 60 At,, rw.-x-t,
Owner's Name: Are.. .✓# f Mqvc. 1 Telephone: _ 9 ? 31 y( 7
Address: _ /` (1)
Installer's Name: /-M,,,- ., �j%�� - Telephone:
Number of bedrooms (residential only) ,7
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: la Rolling Steep Slope % of slope
Soil Nature: circle one: 'an 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: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
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PROPOSED SYSTEM: Septic Tank t eve _ gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length feet
SEEPAGE PIT(S): Number of 0_, / Size each % feet by it, feet
Size of stone to be used # 3 / Depth or Thickness feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(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 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 perso w -.-_.„
Date: . 7/ -7, /)\
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
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Town .o : ueensbur
BUILDING and ZONING DEPARTMENT .
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME •
LOCATION WII-l;.Pc Kith L
DATE V4-3/PERMIT NO. r
SOIL TYPE <ED - Loam - Clay -
Percolation Test Required? YES - 70)
Percolation rate - Min/Inch •
TYPE of SYSTEM.
Absorption fiel:, total length
Length of each tench
Depth Of trenches *
• Size of gravel_
SEEPAGE PITS{Numbe of)
Size- 7 ft. X T t.
Gravel size
PIPING: Siz- Type
Bldg. to tank
Tankto dist: box -arc-
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Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS
Foundation to tank 0 ft.
. Foundation to abso••tion . ft.
Absorption to lot A ine ft.
Separation of pit-. ft.
LOCATION OF SYST ON PROPERT (circle one)
Front - Rear - L,•ft side - Rig t side
COMMENTS:
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SYSTEM USE APPROVED YES Ny
Building Inspector,
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