1988-173 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-1730
WARREN COUNTY, NEW YORK
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Michael & Elizabeth Fava
PERMISSION is hereby granted to co
Yorkshire Dr. Sherwood Ayres
OWNER of property located at Street, Road or Ave.
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Sewage Alteration
in the Town of Queensbury,To Construct or place a co
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.
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1. OWNER'S Address is 0'
RR 5 Box 157
Glens Falls, N.Y. 12801 ~'
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2. CONTRACTOR or BUILDER'S Name I...
Daniel Galusha o,
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3. CONTRACTOR or BUILDER'S Address
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4: ARCHITECT'S Name
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5. ARCHITECT'S Address c
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6. TYPE of Construction—(Please indicate by X) H •
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( )Wood Frame ( ) Masonry ( ) Steel (
7. PLANS and Specifications
No. 3 seepage pits each 6' x 8' as per plot plan and application.
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8. Proposed Use
Sewage alteration a
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1, 19 22
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the p
town of Queensbury before the expiration date.) - -
Dated at the Town of Queensbury this 22nd Day of A pxx April 19 88
SIGNED BY MGLGA c_ 4 2. for the Town of Queensbury
Building and Zoning Inspector /t2e
.Pf , JI•I/ft:of Que*tti TOWN OF Quil--;.'': _
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S APPLICATION FOR SEPTIC DISPOSAL PERMIT
Q ��� el-Hi-DING & Cout DE PT,
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DATE j r / 1J. .
LOCATION OF PROP TY FOR INSTALLATION l� a
Owner's Name: fit,- f �'Y. 2--/*-67 " hone: 7F�—T ✓�
Address: ��443L2_ ` 7 - 42,1,rt C AI'
Installer's Name: ;k- Telephone: cl7i- c2 /.731
Number of bedrooms (residential only) _ _
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle one: Fla Rolling Steep Slope % of slope
Soil Nature: circle one: Sand 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: Municipa Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank = gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet / Total system length _ feet
SEEPAGE PIT(S): Number of ::/--,-, / Size each e feet by / feet
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Size of stone to be used # ,2 / Depth or Thickness / / - feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
.. ...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * 4: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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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:
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Date: 7/2 // 7
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETT! r' 1763 . . . NO!= nF NATUP::-L BEAUTY . . TO LIVE
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
- ill272
9 SEPTIC DISPOSAL SYSTEM INSPECTION
NAME / ic. c h 4- a,.f C--
LOCATION Laa >`G,Q4/ L�tak ,
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DATE '� //S� PERMIT NO. 7 -/7,3 /
SOIL TYPE - Sand C Loam Cla -
Percolation Test Required? YES -10--)
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total lentth
Length of each trench
Depth of wrenches
Size of g -vel
SEEPAGE PI. S4Number of .3
Size- -t. X g f .
Gravel size ilitcR
PIPING: Size Type
Bldg. to tan, i l` 6'v`e.
Tank to dist. bo ZJ'' tI
Dist. box to ; -Ad/pit 11/'1 r7
Openings seale. • 4WEEP NO Partial
LOCATION/SEPAr ,T ONS:
Foundation t• tan 45 ft.
Foundation • abso• ption , c7) ft.
Absorption o lot 1'ne ,, soft.
Separation of pits d2 j•- ?j ft.
LOCATION 0_ YSTEM 0 PROPERTY(circle one)
Front -:a- i- Left si•e - Right side -
COMMENTS:
SYSTEM USE APPROVE YES
Buildi g Inspector
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