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1987-803�.'�^_ .. . ... , ...--.:-r:.—y.:r-.z�.'o"V. ..^,�_i. N4'r�' ;�i- bl7d'� �-,•nsr x x.:" .} .r;v__�,. . _ rY r CERTIFICATE OF OCC11JO PA 'C,Y' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK I ! Date 14 f. 2,b 2- 87-803 This is to certify that work requested to be done as shown_ by Permit No. has been completed. f l This structure may be occupied as a of a two family dwelling ? i I ! I.oratian 56 Queen Anne Court, Queen Victoria's Grant, Model K I Cywt►rr Guyer Builders, Inc. ! By Order Town Board f TOWN OF GkUEENSBU1iY i All I Buildin d► Zoning Inspector ! BUILDING PERMIT TOWN OF QUEENSBURY No. 87_803 � WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Queen Victoria ' s Grant: n.� ro 56 Queen Anne Court OWNER of property located at Street, Road or Ave. -p- in the Town of Queensbury, To Construct or place a of Two Family Dwelling at the above location in accordance tin application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. T. OWNER'S Address is A 119 Dunning Street Ballston Spa . , NeVe 12020 c w. 2. CONTRACTOR or BUI LDER S Name Guyer Builders �i W W m 3. CONTRACTOR or BUILDER'S Address en *i Same f't 4. ARCHITECT'S Nerne Ci+ .Q !r S. ARCHITECT"SAddress c' ro a CD ro 6. TYPE of Construction — {Please indicate by XI C ] O Q (K) wood Frame 11 Masonry ( 1 Steel 11 r+ 7. PLANS and Specifications No. 26 ' -6" x35 ' -7 "' as per plot plan , specifications and application including septic system and attached one car garage . MODEL K 8. Proposed Use of Two Family Dwelling - o $5 . 00 C /o 82 . 00 June 1 , 88 ' 1 $ PERMIT FEE PAID — THIS PERMIT EXPIRES 19 g ;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,) `C t7 Dated at the Town of Queensbury this 27 th pay of November 19 87 SIGNED BY _ 0 / Gz y Gpr for the Town of Queensbury Building and Zoning Inspector ,. . C'��]] Application No. .JO 'li Q es+ srtlzd6lsl'y permit Issued 19 ,Lyj BUILDING and ZONING DEPARTMENT Permit Expires 19 pp�r �-.• Bey and Haviland Road, R.O. 1 Box 98 zoning Designation �',' ` Z G ©ueensbury, New York 12801 Variance No . Site Plan Rev o . ; � . . .. Approved bG'?+"� '77av 5.. APPLICATION FOR ! 5~� � BUILDING AND ZONING PERMIT `S A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the Permit . The owner of this property is : Guyer Bui-lders Inc . P. O. Address 119 Dunning Street Ballston Spa , New York 12020 Tel . ( 518 } 899-9161 Property Location : 56 Queen Anne Court Tax Map No . 121 /_f 2 Street number or building lot number ,Subdivision name ( if applicable) Queen Victoria ' s Grant THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : ( 518) 899-9161 Richard H . +Gu er III Name P . O. Address Tel . No . Name of builder Guyer Builders , Inc -Address 119 Dunning Street Tel . ( 518) 899-9161 Name of plumber uyer ers , nc *Address n$ see Tel . Name: of mason uyer rs , c -Address ng Streer Tel . ( 5153 NATURE OF PROPOSED WORK : * ZONING INFORMATION : X Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED . Addition to a building * drawn reasonably to scale and attached hereto , Alteration to a building * showing clearly and distinctly all buildings , (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) set-back dimensions from property lines . Give * street and number or lot number and indicate * whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area * * COMPLETE INFORMATION REQUISREDpPEI%" * * 107 Size of property 100t p an ft X 120 ft . * Existing building ( a ) Size ft X�^ftModel k PROPOSED BUILDING AND USE : -�� * Existing building ( s ) Use N/A size of new strut e 26 ' -6'Tt X ft Foundation-pier slab crawl/partial/full * Proposed building , see plot ce from Property line circle one ) * Front yard 30+ ft Rear yard 30+ ft No . of stories (habitable space) 2 Side yards 1 �+ ft and 15+ ft Height (grade to ridge) 23 6 ft - If on corner , setback from side street ft if residential , no * of families Of 2 of roome ( excluding baths) * OCCUPANCY INFORMATION iio. of bedrooms _ * PRIMARY BUILDING - io, of bathrooms One family dwelling s e ; ,A r Primary heating system se r e ectric* -- Two family dwellings one sva k Say Q. Type of fuel Electricity * Multiple dwelling / Number of units y_ No . of fireplaces to be installed * Permanent occupancy f Will a wood stove be installed? NO NO Transient occupancy t Central Air conditioning? * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial * Other Ranch Contemporary Lo cabin if addition , what will use be? Raised ranch Mansion Duple Split level Old style Bungalow Gaps Cod Cottage other * ACCESSORY BUILDING- car Colonial Row Town House * Detached garage/one car/ two car/ One car Attached garage/one car/ two cart { CIRCLE ONE PLEASE ) * ._.x_ * * * * * * * * * e ++ * * * * * Private storage building ESTIMATED MARKET/ VALUE OF �,E.1y�G * Other. CONSTRUCTION INFORMATION ON . BUILDING SPECIkICATIONSe ON REVERSE SIDE OF THIS SHEETe TO BE COMPLETED ! Form BPA 4/86 and-vl . _- - �•••• �. na-a� x rrrt'lJ-LCAT ON CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . 'Woad frame Will any second-hand or ungraded lumber be used? If so, for what ? no Foundation wall material concrete Mock Thickness grr Depth of foundation below grade (to bottom of footing ) 8" minimum Will there be a cellar? no Heated or unheated? Floor sq . .footage Will there be a basement? no Will any portion be used as living space? _ I ft ( If so , what r ? g P+� sq . ft . - - Type of use? Type of roof - sloped flat/shed/other Material of roof Fi rg ass shingles Size , woad studs "X 6 spacing 24 "o . c . length 8 .foists ( floor beams ) 1st . floor N/A ` ft - exte�or walls "x " spacing "o . c . span A ft . Joists ( floor beams ) 2nd . floor " ��� }€ spacing-1`�"0 . o . s ar17" Overlays (Geilin9 beams ) "x " spacing 24 "'o . c . spanl2 ' -4 eft . Roof rafters 2 "X 1 " spacing 24 o . c , sp�a� `9 `'it . Hoof trusses (pre-engineered) spacing��+ "o .. c , span N/A ft . Exterior wall finish stained Of what material? 5 /$" x 4 ' x 8 ' teitllre 111 Interior wall finish pain s eetrock If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 1 /2 " type "X" sheetrock Is there to be an opening between garage -+and dwelling? yes If sa will a Fire-rated door , enclosure , and aelf-closing device be provided? yes Will a Flue-lined chimney be installed? No Height above roof. NI A Depth of chimney foundation below grade N A ft , ft " Depth of fireplace hearth N/A ft . in . Water supply - Municipal or private well municipal SEPTIC SYSTEM i Distance from ANy private well ( including adjoining properties £ t . (A separate application i.s toe ssary . for an re air or new installation of septic system) See S . P . E , D . S . permit # 02�252� Town of Queensbury County of Warren A F F I D A V I T STATE OF NEW 'YORK I swear that to the best of my knowledge and belief the statements contained in this application , together with the plans and specos ifications submitted , are a true and complete statement of all proped work to be done - on the described premises and that all Provisions of the BUILDING CODE; , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, whether s ecif ' authorized by the 'owner , or no . and that such work is SWORN TO BEFORE ME THIS Signature ---_ - �.�! !� Owner , owner ' s a nt , c ,ge cow ntr c�tor day of � ,�-c..e-. l9 _ f=ATI MC.IA E. FURPHY } "Ilry P '.-'4 c, State of New York Notary Public , W N. Y . ,' :i{ified an S"chenectady County emission Expires Sept. 30. 19 SPECIp,L, CONDITIONS OF THE PERMIT ; 1040 Square feet lives 264 Square foot garage Onestall 1304 @ $T .WIIW" or part of One stall garage $ CJ0 peruti.t nor Total By TOWN OF QUEENSBURY ,.RIF WARREN COUNTY , NEW YORK Application fors BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . &NSWER ALL of the following . 3, . Gross floor area 1040 S . F . 2 . Type of h e a t Baseboard electric 36 Ia the building mechanically cooled ? No 4 . Percentage of area of windows and doors 12 . 33% A . Over 16 % Only 1 . Uo value of gross area of walls , roof /ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation wails insulated ? YES NO 1 . If YES , what is the R value ? 3 . Slab on grade YES NO 11 a . If YES , what is the R value of insulation around perimeter of floor ? 4e is basement heated ? YES NO as R value of insulation 5 . Type of insulation s . Under 16 % Only 1 . R value of goof and floors exposed to ambient conditions_ R-38 2 . R value of exterior walls XXXWX R-23 . 5 -U -O 04+ 3 . R value of glazed area U . .0 . 3G 4 . R value of doors R-14 . 9 (U-0 • 06 ) 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab 12 . 5 8 . R value of heated basement/ cellar walls ( above grade ) N/A 90 R value of heated basement /cellar walls ( below grade ) N/A 100 Type of insulation Fiberglass Co Controls 1 . Thermostat maximum heat setting D . Duct Systems N/A 1 . Is duct system installed in unheated spaces ? YES No a . If YES , R value of duct installation b . R value of duct in other areas E . Piging Insulation N/A 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance +efficiency, N/A 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . maximum heating N/A Telephone No . ( 516) 899-9161 1 ( applic nt " s sign ref r y ' � s APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P . E . D. S . DATE September 29 / 87 permit # MUDEI, K of C/K New York - 0202525 LOCATION OF PROPERTY FOR INSTALLATION 56 Queen Anne. Court Owner's Name: Guyer Builders , Inc . Telephone: ( 518) 899-9161 Address: 119 Dunning Street , Ballston Spa , New York 12020 Installer's Name: Guyer Builders , Inc Telephone: ( 518) f 899-9161 2 A, C , E, I , J, K, L, M , Number of bedrooms (residential only) 2 3 F , G , H t Total daily flow (compute @ 150 gal per bedroom) 300 Topography: circle one: lot Rolling Steep Slope 96 of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: 8 " feet + Ca ound Water: At what depth? unklo'wn 8 feet + Bedrock or Impervious Material: At what depth? unknown feet Percolation test: circle one: not require} requiured j rate min. inch. Domestic water supply. circle one: Municipal Well Other IF domestic water supply is a Well: Separatitmoo Watersupply from Septic absorption NIA feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench N/'A feet / Total system length N/A feet * SEEPAGE PIT(S) : Number of / Size each feet by feel * Size of stone to be used / Depth or Thickness feet ss * saRars +s * * ss * * * * as * Iti * is +ls � s # si # * a * � sRss * * �Ie IMPORTANT See S . P . E . D. S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached map (over) Section Il 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 propoaed ,location of the gystem 2.) location and distance to lot lines 3.) location and distance to structures 4J location and distance to any water supply S.) sine and dimensions of all tanks, distribution boxes, the 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. Co. 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 in 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 ail requirements of the Town n of Queepsbury Sanitary Sewage Edupomd Csxlinance. Signature of-responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 176 HOME OF NATURAL, BEAU " . . . A GOOD, PLACE TO LIVE I TOWN OF QUEENSBURY W�, 4 BUILDING AND CODES DEPARTMENT BAY & HA ND R ADS QUE'ENSBURYRYr NEW ORK 3280s'E TELEPHONE (5I8) 792--5832 BUTILDI INSPEC'TOR' S REPO REQUESTINSP CTION RECEIVED LL> NAME LOCATION ' DATE PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR F S FOUNDATION/DAMP— PING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—I INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES,,+''S P STAIRS—CLEARANCE & LS PLUMBING FIXTURESI EF VALVE` INTERIOR TRIM/PRIVAC DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INS CT N _ FINAL APPROVAL OF CO STR ION OK TO ISSUE C/O OR C C A SIGNED CERTIFTCAT OF UPANCY MUST BE OBTAINED FROM THE B ILDTNG DEPARTMENT BEFORE THESE PREMISES ARE CUPIE REMARKS: E 0V A DRIVE DEPART �' , I �S NS TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HA VILAND ROADS QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME / �^ LOCATION S b `�' [,, g DATE S - f � PERMIT # � " � APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR , FORMS FOUNDATION/DAMPi,PROUFING BACKFILL APPROVA ROUGH PLUMBING FRAMING E ECTRICAL ROUGH-INi i SULAT ION: FOUNDATION FLOORS r WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH SISTEPS STAIRS-CLEARA CE & RAILS PLUMBING FIX RES/RELIEF VAL INTERIOR TRI /PRIVACY DOORS FINISHED F RS ti GARAGE FIRE ROOFING DOOR CLOSE (S) SMOKE DE TE TORS FINAL ELECfi ICAL INSPECTION FINAL APPRO AL OF CONSTRUCTION A SIGNED C TIFICATE OF OCCUPANCY MUST BE OBTAINED F M THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVTLAND ROADS f✓J/7 QUEENSBURY, NEW YORK 12,901, TELEPHONE (518) 792-58.32 BUILDING, INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED s ['Z- ci, NAME LOCATION DATE •� - I S , �i _ PERMIT # Sr�f -^ 550 "0 3 1- APPROVED YES NO FOOT-ING/PIER MONOLITHIC UR FORMS FOUNDATTOIN PROOFING BACKFTI,L APP VA C/�''R..OUGH PLUMBING; C,PRAMING f ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING STDING ; EXTERNAL PORCH S/STE STAIRS-CLEARA CE & RA LS PLUMBING FIX RES/REL F VALVE INTERIOR TRI /PRIVACYIOORS FINISHED F R,S ` GARAGE FIR PROOFING DOOR CLOS (S) SMOKE DET CT'ORS FINAL ELEC ICAL INSPECTION ; FINAL APPR VAL OF CONSTRUCTION pq A SIGNED RTTFICATE OF OCCUPANCY MUST BE OBTAINED F ON THE BUILDING DEPARTMENT BEFORE THESE PREM RS ARE OCCUPIED! REMARKS: INSPECTOR �OLV,1't U� �Lt�'BIT3d+f,[rr�t BUfLOING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ON Sjr DATE / PERMIT SOIL TYPE San Loam - clay - Percolstion Test Required? YES Percolation rate - Min/Inch TYPE of SYSTEM : Absorption field , total length Length of eachVern,Depth of trenchSize of gravels'SEEPAGE PIT'S{W�Size- `�ft. Xt, Gravel size PIPING : Size T Bldg. to tank Type Tank to diet. bo� ��� Dist. box to fi d4 Openings seals NO Partial LOCATION /Of TIONS : Foundatioank. Foundatiobsorptio ft . Absorptioot line +. Separatio ft. itsLOCATIONEM ON P ER" Y (circle ane ) Front - RLeft s ' e - Right side COMMENTS : SYSTEM USE APPROVA! 4� YES r c71/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DZpARTMENT BAY & HAVILAND ROADS S?C7EENSBFjRY, NEW PORK TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RE'CEITJED NAME ---_ ZOCA27XON DATE APPROVED FOOTING/,PIERS YES NO , PNOLITHIC POUR FORMS L�fd7l"ATXQ N/DAMP-PROOFING CKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT 'i9 ROOFING r SIDING EXTERNAL PORCHES/S, EPS STAIRS-CLEARANCE RAILS .PLUMBING FIXTURES/RELIE INTERIOR TR F VA LVEIM/PI tVACY j VA FINIS"ED FLOORrS GARAGE FIREPRC] XlVG DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRI4'AL INSPECTI�}N FINAL APPROVAZ OF CC_7NSTRUCTIO21 l A ,SIGNED CERTIFICATE OF CUPANCY _ ST DE QBTAINED F1�OM THE BUILDING DEPARTMENT THESE PREMISES ARE OCCUPIED.+ BEFORE REMARKS Vp INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280&t TELEPHONE (518) 792-5832 ` BUILDING INSPECTOR ' S REP{]RT REQUEST FOR INSPECTZON RECEZVED L / NAME LOCATION DATEy/� d�f— PERM-TT #�'��'/ APPROVED FOOTING/PIERS YES NO MONOLITHIC POUR FORMS FOUNDATXON/DAMP-PR002;XNG BACKP%XLL APPROVAL L000POUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN zN.sULATION� FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: t CHIMNEY HEZGHT ROOFING SIDING EXTERNAL PORCHESfS p.. STAIRS-CLEARANCE & i, PAS LUMBING FIXTURES/RELIES VALVE INTERIOR TRIMfP�IVACY D001;?S FINISHED FLOORq GARAGE FIRE-PR PING DOOR CLOSER (.RO) SMOKE DETECx'ORS FINAL ELECTRXVAi* INSPECTION i FINAL APPROVAL OF CONSTRUCTIO- OiV I A SIGNED C4tWTIFICA2?E OF OBTAINED ,EOM THE 'OCCC7PANCY �i7j,GT BE ' THESE BUILDING DEPARTMENT BEFORE` PREMISES ARE OCCUPIED! REMARKS: INSPECTOR � o wx: urr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sox 98 QueensburY, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date/4 gqltt z Permit No . ✓ =2'ooting/Pier Fo APPROVEDrms - YES NO foundation Waterproofing yvackfi11 Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves 1%xt . Porches Finished Floors Interior Trim Stairs & Raili gs Cellar Drain ilex -- ---- Concrete Flo rs "- - - - _ Plbg . Fixtu es Gar . Fire p oofing Door clos rs Smoke De ectors chimney CaITSUI,ATI N - �undati n Floors Walls Ceiling FINAL EIECTRICAL INSPECT'IO DRIVEWAY APPROVAL Final Building Survey Next scheduled ilnsp�ec�tion { cal, l then ready } iRemarics- /�/G►��L 1st I Cs r> r1� Building Inspe to 6/86 md4 vl / �ueena6urrar BUILDING and .ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date .Permit No . I'- mooting/Flier Foams APPROVED - Y. NO Foundation Waterproofing Backfill 1'ram i n g Roofing Siding Masonry Ve eer Rough Plum} ' ng Relief Valve 1:xt . Porches fznished Floor Interior Trim --- Stairs & Railing Cellar Drain Tit - — -- Concrete doors ~- P, bg . Fixtures Gar . Fireproo ing Floor Closers Smoke Det_ec ors C'h i mn e y INSULATIO Foundatio Floors Walls Ceiling FINAL EFE TRICAL INSPECTION DRIVE"Y A PROVAL - Final Building Survey Next scheduled inspection ( cal ]. when ready ) Remarks;- Building 6/06 and-vl spactax SUitDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 88 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME do LOCATION �i�]�ow --:� 1..� DATE r „2 f ram' PEPMIT NO, SOIL TYPE - Sand - Loam _ Clay Percolation Test Required ? YES Percolation rate Min/Inch - No TYPE of SYSTEM : ,'J ^ Absorption field , total length r Length of each txench Depth of trenches Size of gravel_ SEEPAGE PITS{lftunber of} - Size- ft x ft " Gravel size PIPING : ` ize g Hldgo to tank 5'pie Tank to dirt. box Dist. boX to field/pit L Openings sealed? YES �IVO Partial LOCATION/SEPARAT'IONS : t Foundation to Dank Foundation to on ,abso ft. Absorption to lot line ft . Separation of pits ft_ LOCATION OF SYSTEM ON pRopERTY (Circle one) Front - Rear - Left side - Right side - COMMENTS : I4wrje. ;r SYSTEM USE APPROVED YES NO Building in ctor 01/86 and vl REFEPENCE DRAWINGS CLEANOUT TO GRADE e-0 DIAMETER 9'-0 DEPTH QUEEN VICTORIA' S GRANT QUEENSBURY , NY. 5A SITE UTILITIES SEPTIC t WATER * FIELD CHECK DIMENSION QUEESSC NANNEOURT PLOT PLAN 4 SEPTIC SYSTEM GUYER BUILDERS, INC. QV- 27 DWN : Scale ; I"= 2v- 0