1988-562 BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 88-562
WARREN COUNTY, NEW YORK `y
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PERMISSION is hereby granted to eter Snyder
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OWNER of property located at Meadow Drive Street, Road or Ave. i
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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 incompliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is co
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2. CONTRACTOR or BUILDER'S Name a
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Sanitary Sewer Service
3. CONTRACTOR or BUILDER'S Address
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P.O. Box 2±2* 224
Glens Falls, N.Y. 12801 fD
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X) cn
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( )Wood Frame ( ) Masonry ( 1 Steel ( 1 Qq
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7. PLANS and Specifications F'
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No. Existing 1000 gal. tank, distribution aag box and 180' leach w
field as per plot plan and application - w
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8. Proposed Use 0
Sewage Alteration
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES REixaJuly 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 29th Day of July 19 88
SIGNED BY for the Town of Queensbury
Building and Zonin Inspector
%.JI 1eit O QUarkiSittni
APPLICATION FOR SEPTIC DISPOSAL PERMIT
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�DATE �1-- `10— /
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name:?e,7/-! (cA)(,' Oe/C Telephone: 93- ?/
Address:
Installer's Name: V i/,'?c- Telephone: 7 9,--7 1
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) ' I ),
Topography: circle one: Flat oiling Steep Slope % of slope
Soil Nature: circle one Sand Loam lay Other / Depth: feet
Ground Water: At what depth? -- feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one not require. required / rate min. inch.
Domestic water supply: circle one: unicipaNWell Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
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PROPOSED SYSTEM: Septic Tank _gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 447 feet / Total system length /c feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # / Depth or Thickness _ / feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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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
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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 a ee to abide by these and all requirements
of the Town of Queensbury Sanitary ewag Disposal Ordinance.
Signature of responsible person:
- Date: — ` - • — —
)1 ///)-"6/17?-d.
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD.PLACE TO LIVE
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C,� � � Queenihurf/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
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SEPTIC DISPOSAL SYSTEM INSPECTION
NAME lY '
LOCATION e if, vy
DATE_ 4 / 0 PERMIT NO. ff-:5G
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolati*-rate - Min/Inch _
TYPE of SYTEM:
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Absorption field, total le gth I
Length of e:ch• trench t} f72eM4(4-
Depth of trenches :' /� '
Size of grave '
SEEPAGE PITS{ .er of)
Size- ft. ft •
Gravel size
PIPING: Size) Type
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Bldg. to tank 4 ;;
Tank to dist. box _
Dist. box to fie.d/
Openings seale.. • !E (NO Partial
LOCATION/SEP' 'ATIONS: c/(t/
Foundation .o tank ft.
Foundation to absorption g_)-ft.
Absorptio' to lot line .� ft.
Separati.n of pits ft.
LOC TIO' OF SYSTEM ON' PROPER Y(circle one)
' ont Rear - Left side - Ri•ht side -
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SYSTEM USE APPROVED YES NO
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Buildi g Ynspector
N 1/86 and vl
SANITARY SEWER SERVICE
LUZERNE RD. GLENS FALLS N.Y. PHONE 792-7257
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