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1989-260 BUILDING PERMIT TOWN OF QUEENSBUR''1f'' o $9_260 a WARREN COUNTY, NEW YORK L-�'� l • L L �� � � PERMISSION is hereby granted to Gloria Scherer OWNER of property located at Sunnyside East 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is r Sam r* rr rr rZ w 2. CONTRACTOR or BUi LDER'S Name Cr Q Sanitary Sewer =' R 3_ CONTRACTOR or BUILDER'S Address P . O . Box 224 Glens Falls .N . Y . 12MI r4A:RCFl1TECTfS Name C ARCHITECT'S Address C n r a a 6. TYPE of Construction — (Please indicate by x) C I ) Wood Frame l I Masonry ( 1 Steel I ) 7. PLANS and Specifications No. 1000 gal . tanks 300 ' of the field as per plot plan and application . B. Proposed use 1 u Sewage Alteration ' $ 25. 00 PERMIT FEE PAID — THIS PERMIT EXPIRES 1f&ANINlf K = F Ay 2 199991 (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 Oueensbury thi 2nd Da of May 19$9 SIGNED BY for the Town of Oueensbury Build ing and ing I nspector TOWN OF QUEENSBURY APPLICATION FOR TOWN OF QUEENSBURY _� %'}^`- c- RECEIVED .AZ v SEPTIC DISPOSAL PERMIT Q� - r - z{ar � MAY 2 - 1989 BLD©. & CODE DEPT. DATE LOCATION OF PROPERTY FOR INSTALLATION +�k�+ Owner's Name: < LLIL SQ eAtP 2 _ _Telephone: Address: Installer's Name: /R 1 LTelephone: Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) c� Topography: Circle one Fla Rolling Steep Slope % of Slope Soil Nature: Circle one Sand Loam Clay 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 el Other If domestic water supply is a well: Separation: Water supply from septic absorption c feet PROPOSED SYSTEM : Septic Tank f ty-O ) gal. (minimum size: 1 , 000 gal.) TILE FIELD : Each Trench feet/Total system lengthy feet SEEPAGE PIT(S): Number of -- / Size each feet by--- feet Size of stone to be used # 2./Depth or Thickness feet I have read the regulation on the reverse side sheet and agree to abide by these and all requirements of the Town of Ruee ur San terry Sewa i p al Ordinance. SIGNATURES OF RESPONSIBLE PERSON: DATE: 6 `� 2 '� CJ ,� OVER ■ 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 submirted 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 , the fields anal /or drywells B - No System shall be covered before inspection and approval by the luilding 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 plant at time of inspection may result in an immediate work sCoppage . D . Should unforeseen problems during construction prevent proper installa— tion , alteration or repair of an approved system , a new proposal must be submitted Co the Queensbury Building Department before further cont3rruct inn . Town of Queensbury BUILDTNC and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 k�n�arks ; ./awn e7� �eeeens �c�rt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sox 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION / LOCATION r DATE PERMIT NO * Ri 4a2 6 Z) SOIL TYP an - Loam - Clay Percolat on Test Required? YES - NO Percolat ' n rate - Min/Inch _ TYPE of S .STEM: t' Absorptio field , total lengt Length of ach trench Depth of tr nches Size of gra 1 SEEPAGE PITS 1=tber of) Size- ft_ Gravel Size PIPING : Size Type Bldg . to tank ov'�t' Tank to dist , bo I Dist. box to fiel pit openings sealed? x NO Partial LOCATION/SEPARA IONS : Foundation to k ft Foundation to 4bsorptio eft . Absorption to /lot line ft . Separation of pits ft. ICOcATION OF S STEM ON PROPER (circle one) Front fear Left side - Rig side - COMMEN SYSTEM USE APPROVED 7:4 NO Blu p for 01/86 and vl j to* too c+ F � , toe ,, -