1988-305 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-305 ,tj
WARREN COUNTY, NEW YORK o
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PERMISSION is hereby granted to �k Peter Firth
OWNER of property located at ` Sheraton Lane South 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
its
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
Bryan Winslow
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3. CONTRACTOR or BUILDER'S Address
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1 Ashe Drive
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Warrensburg, N.Y. 12885 0
4. ARCHITECT'S Name Ali
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5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X) N
( )Wood Frame ( ) Masonry ( )Steel ( 1
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7. PLANS and Specifications rr
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No. existing 1000 gal. tank and 2 - 8' X 10' seepage pits as per
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plot plan and application o
8. Proposed Use
Sewage Alteration
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 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 31st D y of May 19 88
SIGNED BY J for the Town of Queensbury
Building and ping Inspector
,
fderilriL O oiteemodgal TOWN OF QUEEN.
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O o V \ APPLICATION FOR SEPTIC DISPOSAL PERMIT In, `� -' ! `i
S MAY 2 438
BUIL ING CODE DEPT.
_
DATE J 2C) / W /5:/0243/
LOCATION OF PROPERTY FOR INSTALLATION ,S2 5sri Per)uN 1-nk Cou i li
Owner's Name: qi-k Telephone: 77 a- 2_0 7 7
Address: 32 (-4pA 104 1 Ne $ )7AI
Installer's Name: ) i2 ji. _ (A)/A2s(aLJ Telephone: 7�� 6i576
gailAx,A7ala jit.,5-h -- Dr jas"--
Number of bedrooms (residential only) 3 _
Total daily flow (compute @ 150 gal per bedroom) _ 4430
Topography: circle one: Flat Rolling Steep Slope % of slope
Soil Nature: circle one: Sand oa /Mb 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 abso tion feet
PROPOSED SYSTEM: Septic Tank 12r gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench ,�//� feet / Total system length feet
SEEPAGE PIT(S): Number of l / Size each feet by /0 feet
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Size of stone to be used # y,rz 5 / Depth or Thickness p? feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
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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:
. SA29) 8�
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
`�,' i..Fr '63 . . cif nomD PLA. 00E
_loran of Queenatur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME l� Fite` -
LOCATION 4/ S-/-4��ez- `- --
DATE 5/02?/ ' PERMIT NO. Ore9u,J
SOIL TYPE - Sand - oam ) Clay -
Percolation Test Required? YES - N•
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, Lotal leng•
Length of each tren.h
Depth of trenches
Size of gravel
SEEPAGE PITS{Number o',
Size- '/ ft. X S7 f' .
Gravel size 47'4/ 5' ,
PIPING: Si•e Type
Bldg. to tank
Tank to dist. box /ZVC
Dist. box to fie d/pit iAt Pr/G
Openings sealed? diragt. NI Partial
LOCATION/SEPA•'TIONS:
Foundation to ank �4-74 ft.
Foundation to absorption 30 .t.
Absorption to lot line o?-O f .
Separation of . .ts 62-0 ft
LOCATION OF SYSTEM ON PROPERTY(ci cle one)
ront Rear - Left side - Right s'de -
i ENTS:
SYSTEM USE APPROVED Y S
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