Loading...
1987-505 BUILDING PERMIT � TOWN OF QUEENSBURY � No. 87-505 WARREN COUNTY, NEW YORK C� PERMISSION is hereby granted to Fritz Paul 1 N ' , J^ OWNER of property located at Dream Lake � 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 RD # 1 Box 319 Glens Falls , N . Y . 12801 w rS N 2. CONTRACTOR or SUI LDE R'S Name C Wait Stevenson 3. CONTRACTOR or BUILDERS Address L7 rt d. ARCHITECT'S Name @ N 7s' m 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by SC) ( } Wood Frame ( } Masonry I I Steel ( } en 7. PLANS and Specifications No, 1000 gal . septic tank , 1 seepage pit 8 ' x 8 ' per plot plan and m application , replacing old septic system . a. Proposed Use r+ m Sewage alteration v $ 10400 PERMIT FEE PAID -- THIS PERMIT EXPIRES August 6 19 89 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Qusensbury before the expiration date.I Dated at the Town of Queensbury this ,r6th Day of August 19 87 SIGNED BY 2 //{Z<# Z �- c for the Town of Queensbury Building and Zoning Insppector 00< TOWN APPEIGATION FOR SEPTIC DISPOSAL PERMIT M E 11987 J f DATE `� L / s BUILDING E CODE 510, LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: �/ -' / / / Tele p hone: ,Fe-- / c�) !/f Address: / ' / a©X r3l Z /� J r � gs /� 11,, S ti Installer's Name: 1. J (�I L ! rf � l/eo --SCE � Telephone: Number of bedrooms (residential only) t� Total daily flow (compute @ 150 gal per bedroom) / . 0 ~ •q� CJ Topography: circle one: Flat Rolling <Steep Slope °{, of slope Soil Nature: circle one: Sand Loam Clay Others '� cC/ Depth: _ feet Ground Water: At what depth? 4` feet f ,ems Bedrock or Impervious Material: At what depth? � ,�' feet W Percolation test: circle one: not required required / rate �f� � min. inch. Domestic water supply: circle one: Municipal ell Other _ IF domestic water supply is a Well: Separation: Watersupply from Septic absorption � f C! C} feet PROPOSED SYSTEM : Septic Tank 1,0A gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench Af R feet / Total system length �Iou q feet SEEPAGE PIT(S) : Number of �" / Size each _ feet by �A—A- feet Size of stone to be used # / Depth or Thickness feet I M P O R T A N T ...Please...LdST 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 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 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 roust 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 Dispersal Ordinance. Signature of responsible person: v /_)Ci1t s� F3 Date: f - Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 1 Z801 (518) 792-583Z SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE � _Jouxn v� �iseen36urt�1 suit-oI G and ZONING DEPARTMENT Bay and Havitand Road, R .D. 1 Box 98 ()ueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME . .f- LOCAT I ON Nb+C DATE +� �-"PERMIT SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YBS - NO Percolation rate - Min/inch TI of SYSTEM. +' I Absorption fields total 3en9th Length of each trench Depth of trenches Size of gravel_ oft ..I. SEEPAGE ITS{Nzunb ft. if ! size_ ft. x �=Ie ( dam S��' Gravel size Siz T e PIPING : �I/e, Bldg . to tank Tank to aist . box Dist. box. to field� No Partial Openings sealed? YES LOCATxON/SEPARATICN S = It. Foundation to tank ft . Foundation to absorption � . Absorption to lot line __,£t. Separation of pits OF SYSTEM C" PROPERTY (circle once) FEYE Rear - Left side - Right side - x SYSTEM USE APPROVE YES NO { Bull ing In 01/86 and vl r fi � f