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1987-427 BUILDING PERMIT � TOWN OF QUEENSBURY No. 87-427 � WARREN COUNTY, NEW YOR K ' df o0 PERMISSION is hereby granted to Robert Kay w OWNER of property located at 27 Cedarwood Dr . Street, Road or Ave. in the Town of Queensbury, To Construct or place a Sewage A 7 t Prn t i nn 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 p 27 Cedarwood Dr . m Queensbury , N . Y . 12801 2. CONTRACTOR or BUI LpE R S Name Condon ' s Septic & Drain 3. CONTRACTOR or BUILDEWS Addresss 17 Grant St . Glens Falls , N . Y . 12801 e � - r a. ARCHITECT'S Name C7 (U gad ri O 5. ARCHITECT'S Address o CIA c+ rt 6. TYPE of Construction — (Please indicate by X) f ) Wood Frame Masonry I ) Steel [ } 7. PLANS and Specifications No. New Tile Field 200 ' . new Dist . Box per plot plan and application . ra E m S. Proposed Use ro o* Sewage alteration rt m rt tb rt $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Jul�r � ' 198g (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 9 tt�h /❑Day of July 18 87 SIGNED BY !// GC . .T/ � "'' for the Town of Queensbury Building and Zoning Inspector AOV y � r LJ I rij APPLICATION FOR. SEPTIC DISPOSAL PER JUL 61987 ! UILDING Sc CODE DEPT. /BATE 11 6 8-7 LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: 1Qn2FJk I ",I/�}-�{,,�y / Telephone: �! Address: .2 �, ,`4►=f'^ Clt"sra[ diZPK . Installer's Name: or -kit ic.04 2)9)9Id'I.! Telephone: Number of bedrooms (residential only) _ T Total daily flow (compute 150 gal per bedroom) + Topography: circle one: Fiat Roiling Steep Slope % of slope Soil Nat»: circle one; and Loam Clay Other �I/ Depth: feet Ground Water: At what depth? © feet Bedrock or Impervious Material: At what depth? ,p feet Percolation test: circle one: Ciot required i required / rate min. inch. Domestic water- supply: circle one: unicipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet r PROPOSED SYSTEM: Septic Tank _"0 gal. (minimum size: 1 ,000 gal.) 4eX [S-11 TILE FIELD: Each Trench feet / Total system length ,2{7Q feet SEEPAGE PIT(S) : Number of { Size each feet by feet Size of stone to be used # f{ Depth or Thickness / feet IMPORTANT ___Please...LIST NEW EQUIPMENT TO BE INSTAI.I.ED (over) mmmImW _Jvu�n c► erQc�n Sfiurt�t I3LIIt_ DfNG and ZONING DEPARTMENT Bay and Havifand Road. R. D. T Box 98 Queensbury. New York 12801 SEPTIC DISPOSAL SYSTF�j INSPECTION NAME��.._ JCS, C0,4 ,y LOCATION L * J'I woo L� DATE �j*PERMIT NO. do, � �f SOIL TYPE - Sand - Loam - Clay Percolation Test Recpuired ?Percolation rate - Min/Inch YES TYPE of SYSTEM : - Absorption field , total Length of each trench length -e C7a Depth of trenched` C� Size of gravel_ -- SEEPAGE PITS4Numbsx of) Size- ft. X Gravel s ' PIPING : "r- Bldg . to tank Size T`l'I'e Tank to dirt. box — -_ Dist _ box to field/ ---- Openings seals.? ES NO Partial LOCATION/SEPARATIONS : Foundation to tank .Foundation toon ft' EIC'�774!(y Absorption to lot lineft Separation of ] ins Oft . ©1C_ LCATION OR pits ft FrontO ear SYSTEM ON PROPERTY (circle one) eft COMMENTS : ~` Right side SYSTEM USE APPROVED yE NO Building In p for O1/86 and VI 8o FkT Khy � 4 ,� s yey fu S fall& `/o- �J 33 ofjo go CICtiC44 3�,( c goo (vyL