Loading...
1989-217 BUILDING PERMIT I>'a TOWN OF QUEENSBURY No. _ 89 -217 � WARREN COUNTY, NEW YORK c 3DI es PERMISSION is hereby granted to Edger Howard n r �awr� 1 r OWNER of property located at S#reef, Raad or Ave. h r in the Town of Queensbury, To Construct or place a Srwage Alteration at the above location in accordance to application together with plot plans and other information hereto filed and I" approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1 . OWNER'S Address is ZRIM Same 2. CONTRACTOR or BUI LOE R'S Name Action Septic Service a a c 3_ CONTRACTOR or BUILDER'S Address C Glens FAlls , NoY . Cr r 4. ARCHITECT'S Name 5, ARCHITECT'S Address r r 6. TYPE of Construction — (Please indicate by X1 4 r I ) Wood Frame I I Masonry [ 1 Steel I I r r 7. PLANS and Specifications 4 Nn. Existing 10008 gal . tank , 2 4 ' x 8 ' seepage pica as per pl t plan , and application . S. Proposed Use Sewage Alteration. f $ 25 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES MR-XAHWHMpr11 26 1g 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 Queensbury before the expiration date.) F f Dated at the Town of Queensbury this 26cb Day of April 19 89 1 r SIGNED BY f'.�/'� r' for the Town of Queensbury Bu1IdIngand Zon ng Inspector = OWN OF QUEENSBUrY TOW1V OF QUEENSSURY � � APPLICATION FOR RECEIVED •+fl yJ � SEPTIC LIISPOSA ERMIT P APR BLDG. &, CODE DEPT, DATE ,/ LOCATION OF PROPERTY FOR INSTALLATION -- y eZ Owner's Name: �vr" 1`IC�GG/offi -rgG Telephone: __ �`�F � �} Address: t�e�uJexii K' Installer's Name; r � �� f � a Telephone: �` Number of bedrooms (residential only) ch Total daily flow (compute (c3 150 gal per bedroom) Topography: Circle one: la Rolling Steep Slope % of Slope Soil Nature: Circle one: and Loam Clay Other. /Depth: Feet Ground Water: At what depth? Feet Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle one: of required required rate min. inch. Domestic water supply: circle one: 1llunicipal Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic TaW< oorcfero gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench �feet/Total system length feet SEEPAGE PIT(S): Number of / Size each� feet by feet Size of stone to be used # +' _/Depth or Thickness feet I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury S itar Sewa Lai as 1 Ordieance. SIGNATURE OF R.ESPPON�SIBLE PERSON: DATE : /'-�`�/ a OVER -L tic System Inspections : A , All applications for sepCic system installation , alteration or repair , as required by the Town of Queensbury Sanitary Sewage ordinance , shall be Submirtud to the Building Department at least 24 hours before start of construction and ahall include a plot plan showing : 1 , ) the proposed location of the system 9 . ) 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 , Cile fields and /or drywalls 84 No system shall be covered before inspection and approval by the Building 'Inspector . Failure to comply with this requirement may reaulc in the uncovering of the System of up to $ 250 . 00 . by the installer and a fine C . xkn .approved copy of the plot plan shall be available on the construction site . Failure to produce said plot plan at time of inspection may resulC in an immediate work stoppage . D . Should unforeseen problems during construction prevent proper installa— tion , alteration or repair of an approved system , a new proposal must lxe submitted to the Quuunsbury Building Department before further cont-, truction , Town of Queensbury BUILDTNC and CODES DEPARTMENT Bay and Haviland (toads Quuunsbury , New York 12804 BUILDING and ZONING DEPgRTMENT Bay and Haviland Road, R.D. 1 Box 98 ©ueensbury. New York / SEPTIC DISPOSAL SYSTEM INSPECTION NWAME. _ DATE _J PERMIT NO9 SOIL TYPE and Loam - Clay _ Percolationlpequirea? YES O Percolation rate - Min/Inch _ TYPE of SYSTEM: Absorption f ie a , total le th Length of each ench Depth of trench size of grave _ SEEPAGE PITS{Numb r o Size- L ft. X _ t. Gravel size PIPING * Size Type. r I'`7.�✓�,� Bldgo to tank Tank to da".st. bo Distm box to fi la/p ' NO Pa. Openings Seale ? 'Es LOCATION/SEF RATIONS*/r/ ft r XUS�'f�UA/& Foundation o tank. f d ftf.• Foundation o absorption tiO to lot line Absorp t- ft. Separatio of pits 1,OCPaTION SYSTEM ON PROP Y (circle one) R ro ear - Left sine - fight side - ��'r�RN�NTS = SYSTEM T3SE APPROVED YE NO Building sp ctor 01/86 ma vl . r` . IF IF F I r u, ". xIr 4 NNg •� It Nen Ir Fie • s , . fn l l ti t ti t� VyV� Y, i a, 'A Fg4 :+t" . Y- �- .1F �V'y r may, s9 r ra., IF rL tFFk I IF .: h #e s ' j .i1 ; ya flu r ' Ty�'�Itt r' ',: t F 8` 'J r iiii M z.Fr F �'Gi'' = .: 1 'IT lea. h. "' .. ,FL . 6. ,1, 4 C µ t .r J i'7L«� 13 r { � n� ._a rv�. k '� n _ .s v i a'' YV .rs .fit A FIF r - FL �'�Y� t1r 'iysy ._ i" '��' k. x�ie `C! y�-� �. y.f+'FF ` • r '�l4 '^a R