1989-121 BUILDING PERMIT �
TOWN OF QUEENSBURY No. $g _121
WARREN COUNTY, NEW YOR K a
- 1 �qc
PERMISSION is hereby granted to Eloyd Br bc l
1 ll+1i n Street, Road or Ave. I
OWNER of property located at F✓
tri
in the Town of Queensbury To Construct or place a and In at the above location in accordance to application together din and plot
plans
O dother information hereto filet! and
approved and in compliance with the Town of Queensbury 9
t_ OWNER'S Address is
Same
2, CONTRACTOR or BUILDER'S Name
Sanitary Sewer
Daniel drellos t ,
t-+
CJ
3. CONTRACTOR or BUILDER'S Address �C
d
p . OIII, Bax 224
GlenS Falls , N . Y . 12801
4. ARCHITECT'S Name
H
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5_ ARCHITECT'S Address
C
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F
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6. TYPE of Construction — {Please indicate by XI r
) Wood Frame f ) Masonry { i Steel { I S
l
I
7. PLANS and SPecifications
No. 1000 gal . exiisting tank , 3-6 ' x 8 ' WI Seepage pitS , as
per plot plan and application _
a_ Proposed Use
Sewage Alteratlon
$ 25 _ q0 PERMIT FEE PAIL} - THIS PERMIT EXPIRES March 3n
19_�i l
{If tin longer
Per
sbsuryuirad a the iicalion f date date.)
must be made to the Building and Zoning inspector of the
expirat
Dated at the Town of Queensbur t is 30th
Day
for the Town of Queensbury
SIGNED BY
Building a Zoning inspector
cam' L
TOWN OF QUEENSBURY •._l.rw7�t G+ �Cz'G�l.�r 'Cl Dh'I' ` G q
RECEIVED
s MAR 3 0 ggg A1�x�L1cATlON r• O1z SEP11C DMPOSAL nr•. MIT ,n;c L 1st a COOLS Duore
1t,Yr1t of 141im"ulty
BLDG. ,& CODE DEPT. �
ID 3
LOCA11014 Olt PROPEn TY FOR 114STALLATIOIA / 3 _ /7/ Clry/ �rds'
Owner's Name: Ott/ r� Arz Ta l2pl�onc: /p
Aclilrvas: _ Pt rm;i 1t l T-V�- I vt'_
ln::tallvr's N;Amc: A P 1u-14 .t t .] e&j-c4 , TvIC141011e: '7 q L - 71.5' 2
flumbor• of laedroonis (rc::iclential only)
Total daily flow (compsato 160 gal per bedroom ) �SaCJc�?
"l'opul,:r:alaLy: circle one : flat Rolling; Steep Slope $", of 51ope
`.soil rjaturrc:: circla• onu: 'aanci Loam Clay Other / Depth: rcc: t
Crouwcl Watu-: At what depth? [=ut
.Utzdrock or l&"p%:,rvioua Malarial: At wlsat depth? _ feet
Percol;itiaaa !silt: circle orse: at raenuircd required / rate trsin. inch.
Doraaeztic water supply: circle one: <61unici a well Other
I P dnmastic water supply is a Well:
_a;ul►aratio=s: Water»ulalsly from Septic uhxcarntian - � feet
SI:I] 5Y % TENI : Se [!;A
, tic Tank � C] 0�
PROPa � lo (m
. 1 L, (minimum ..ixu: 1 .000
T11.12 FIELD: Vach "french feet / Total system lonvth facet
SEC PAG1_ P1T(S) : i4uanl,ea• or , / Size c:acls ^ (ep feet u-y k ree: t
Sir.v of stony to tJ.: usual 11 3 / Depth or '4*14icknes:: �— feet
• i i i i } i 14 i ♦ i it f i iIF t it i i i i i 7f + i i } i • i ai i • } il� � � * il� 7► }
xMr• 01iTA14 •r
NI:W 1iQUlkvjvUs:N'1"t60 111m: INS'1'ALLl'. 3
• � i i � ar �; +r • -r � • • i �► ♦ ♦ ♦ } s • ♦ ,r } . ♦ • f # • ■ �Ir • �► i w • ♦ +► � �
(over)
Section li S� tic S atern lna ections:
• All alAlAlia::. tions for z'eptic systCm instalI" Lion, altax-;ation or repair, as
rcaluir►Al Ly tlja 'Town ul' QucunaUut-y S.anatary Sew;a};e L1r`lxn:xnrc , a1x.a11
La.• ou1JISI i l t4:a1 ts] tl+u l3uilalixrb ! luls.ae txtla•nt :at !A :aat G-} leoura L� l'urea :[:u L
Of CIJAe:. tl*UCtaOn :anti »la;all xxaClueja; :A laluL l�l;ata slauwint;;
1 .} the proposed location of the system
x.} loC,utiun ;arxel Olist ;Ancrr to lot linA:s
i . l luc:. tian ianal dlul "nCa: to str•uctur•as
•l .! IOl':atron anL' rti:. t :,nCe to :Any wute:r sulxply
5. ) aive ;anal alirrlGn:iions of all tank:;, el %otriLution
Loxea, tilt fields amljor• air-ywclls
13. No system shall be covered before inspection :And zipproval lay the building
lrispa:ctor•. l'ailuram to comply with this r•a•ciuira! mi-Dnt rn;ay reault in tlau
unCuvwriitig of cleat systanl Ly the inzaullar "rid u fine of up to 7GiS 60Q0
C. An :approved copy of the plot plan shall be availaLle on the construction
site. 1 ';, iiura to l,roaluct s:aial blot plan at tiniv of ir+spuction may rutaAlt
in ;an inrrnaAli;a [e worit stoppaage.
i�. Should uraforesce:n problems during construction prevent proper installation,
;allcr;ati" or 1•aalA;air of an approwca .ys[a:rn, :a lxa w prol,oaal txtiu ;t L e t: ulaniLLed
to t !►e Qua. nsLury liuiWin6 Dap"rtma:nt bafcr':: further construction.
1 have read the rvguLitioras :above anti agree to ;abide by tllc
t
se and all reclairemcnts
l,. "Town if Quca na bur y =::ani
Of t a I]i lAo:=:al ce,
aai (,n:Aturr ol• r`�spanvihle person :
M•
Town of Queensblu-y
.. building :a.nd Code_ Dep;artment
Bay :at 1'l;aviland lie:ad
Queensvury, New York lZ901
.._../awn a/ Queerssh�cr�
BUILDING and ZONING DEPARTMENT
Bay and Havifand Road, R_C]r 1 BOX 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME _ I z L''
LOCATION , I ff
PERMIT NO..
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
percolation rate - Min/Inch
TYPE Of SYSTEM:
Absorption field , total length
Length of ealsh trench
Depth of tren hes
Size of gravel
SEEPAGE PITS-(N a -
Size- ft. X ft
Gravel size
pe
PIPING : Sl t d
Bldgv to tank
Tank to dist . box E ^�
Dist* box to f iel Partial
Openings sealed? s XES NO
1.0CATION/5EPARA ONS :
Foundation to t k
0/f tm
Foundation to sorption Pft-
Absorption to Ot line
Separation of pits ne)
LOCATION STEM ON PitCkPE�It.T-Y-�cxryr]
Front _ r Left side - Ri' s3h"t /side
CC[ MEWTS
SYSTEM uSE APPROVED i
NOBuiiNO
01/86 and vl
SANITARY SEWER SERVICE
` Division of G. P. Drellos, Inc,
53 FOURTH STREET GLENS FALLS, N. Y. 12801
TELEPHONE 792-7257
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