1988-839 BUILDING PERMIT ,
TOWN OF QUEENSBURY
No. 88-839
WARREN COUNTY, NEW YORK 0
D..._c\ -- , G--\ _.....-)__:....t..f, ,
PERMISSION is hereby granted to Warren Cole 1
1
iOWNER of property located at )Sunset Drive Street, Road or Ave. W
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
SAME n
0
r
rn
2. CONTRACTOR or BUILDER'S Name
w
n
SAnitary Sewer '-I
m
U
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
r-'
5. ARCHITECT'S Address cn
r_
0
m
co
rt
6. TYPE of Construction— (Please indicate by X) C1
ti
H.
( )Wood Frame ( ) Masonry ( ) Steel ( ) _ ro
7. PLANS and Specifications
No. Distribution box, 2 6' x 8' dry wells as per plot plan and application.
8. Proposed Use
SEwage Alteration c
w
CM
CD
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 25 19 90
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.) -1-1
Iv
rt
H.
Dated at the Town of Queensbury this 25th Day of ,October - 19 88
o
SIGNED BY /�45--
for the Town of Queensbury
Building and Zoning Inspector
•
-.a c� , •
Y 0:1, 1. o uez,( fir',, J / l/ .
6 r DA'rt�Y, 6%
•
'7 �' APPLICATION FOR SEPTIC DISPOSAL PERMIT
• .i 00/ . 1-73v,,,'N or ,,, ,------10Yai or,clufJ irtlullr
/ ® j
OCT 2:) 1938
• BUILDING & CODE DEPT.
LOCATION OF P
iAAR,,OPERTY FOR INSTALLATION • . V
Owner's Name: VA- ' 0/ • Coe,� ' Telephone:• A _-93 —Y�y
.ItIress: 14 Su euse-� !D (e.t c�-(
Inst:aller's Name: VA.) i 7A s CU Telephone: 7 9,2- �,.? 19
Number of bedrooms (residential only) < •
•
Total daily flow (compute e 150 gal per bedroom) 4/cSv
•
Topography: circle one: Flat Rollin Steep Slope 9 of slope
. Soil Nature: circle one: Sand Loam Clay Other / Depth: feet
Ground Water: At what depth? — feet
Bedrock or.luapervious Material: At what depth?• — feet
•
Percul:itiou test: circle one: of require_) required / rate min. inch.
Domestic water supply: circle one:inicipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption . feet
. PROPOSED SYSTEM: Septic Tank &S77N dal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet /Total system length — feet -
SEEPAGE. PIT(S): Number of .'5-- / Size each
feet u'y feet
Size of ::tone to be used .it , / Depth or Thickness
feet
♦ ♦ ♦ i i ♦ ♦' ♦ ♦ ♦ • ♦ ♦ ♦ ♦ ♦ 4 • ♦ ; i i ♦ ♦ • ♦ ? i ♦ ♦' i ♦' ♦ ♦ 4 4 4 4 ♦ ♦ i
IMr' OR 'rAN '1'
...Please...LIST NL•'W LQuu'M.EN'1 TO 11E INSTALLED V
. tc.Srriai jL'i-/J,--) zrX
6 ?' 1)x, Aft//r
•
•
(over)
•
Section 11 r Septic System inspections:
A._ f, All applications for septic system installation, alteration or repair, as
;. ;• required by the Town of Queensbury Sanitary Sewage Ordinance, shall
`- be submitted LP the Building Uepartruuut at least •L.i hours before start
of construction and shall include a plot playa showing: •
1.) ,the proposed location of the system
- 2.) location and distance to lot lines -
3.) .ideation and distance to structures •
- •: •I.) -.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 arid a fine of up to $250.00.
`•C. An approved copy of the plot plan shall he 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 agree to abide by these•an'd all requirements
of the.Town of Queen:.bury :unitary • ge Disposal Ordinance. • .
- _Signature of responsihle_person:- - C�hv =(-- - -v— -._ - _ - -- -- ----
Date: (c —c2- ?. ?
•
•
Town of Queensbury '
Building and CDde_Department
Ray at Haviland Road -
Queensbury, New York 12801 -
•
(51B) 792-5832 •
Jown o/ Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
• Queensbury, New York 12801
SEPTIC/("'3(2 .
// �� DISPOSALL SYSTEM INSPECTION
NAME �• &J
LOCATION /6' �i�LJ,/J •
DATE/0 - .„/ PERMIT NO. c— X ,3 j
SOIL TYPE - and - Loam - Clay -
Percolation -st Required?/ YES - NO
Percolation ra e - Min/Inch -
TYPE of SYSTEM: /
Absorption field, • otal length
Length of each tren 1:1
Depth of trenches
Size of gravel / _
SEEPAGE P,;TS-fNumber, o- - !, '
Size- "ft. X - {ft. ,, 7;
Gravel size
PIPING: Siz Type
Bldg. to tan s/K
Tank to di . box 'y% / L'(
Dist. box o field/pit=L/ ./-' C=
Openings sealed? (YES j NO Partial
LOCAT ON/SEPARATIONS:
Foun ation to tank TX)S ft.
•
Foundation to absorption 3 Sft.\
Absorption to lot line T�ft.
Separation of pitsft. \..
LOCATION OF SYSTEM ON PROPERTY(circle'one)
Front - Rear - Left side - Right side -
COMMENTS:
r, .
)' / S/ 1G /'/l l
/•
SYSTEM USE APPROV D E NO /
r
_ / f
Buil ing Inspector.
01/86 and vl
-.......,..-...,-.,..-es....rabaxamorrwyzompoowea.ex==na..e.57.2mgloraeriaIDAVIZszerer.,,art,samaunna.x...sw•-...s..orso.........-^escawaszawatracasara-sawora
1 1
I
, .
1
,
12 as,,,,2 4-aid
, 1
• ;
I ' -------- ,-Sr
, 1
,
......f Qte ,
. .
,..%
i . .
. 1 . .
a
. .
",....)'
, .
'wrpresznersa .
. 1
t rt0 II-1--' :• V
Th-Cin Q -CI
. ,
,..
. , .
1