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1988-840 • BUILDING PERMIT H TOWN OF QUEENSBURY No. 88-840 WARREN COUNTY, NEW YORK 0 3a, \o---), ...., , 0,' ,_, PERMISSION is hereby granted to Don\ Butler u, cl i_, OWNER of property located tt Luzerne Road Street, Road or Ave. '—' ko 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 2. CONTRACTOR or BUILDER'S Name bd H Sanitary Sewer 7d 3. CONTRACTOR or BUILDER'S Address d 0 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 N rD rf 0 rD 6. TYPE of Construction—(Please indicate by X) 7d 0 ( )Wood Frame ( ) Masonry ( ) Steel ( ) Q, 7. PLANS and Specifications No. 1000 gal tank, 1 8' x 8' Seepage pit as per plot plan and application. 8. Proposed Use Sewage Alteration cn t1 a) $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES october 25, 19 90 aaa m (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 9 town of Queensbury before the expiration date.) rr I—. rD Dated at the Town of Queensbury this th Day of October 19 88 w rr 0 SIGNED BY ' i for the Town of Queensbury H. Building and Zonin Inspector • (JZno) • • , 2/e , x K -7 daJ' iiO//y6 C O Q / . • • # s • + ! • ♦-4 • • ! 4 .• • • 4 4 4 4 • 4 ♦ • • • + • • 4 + • • • • * ! • * • Q'.I rIV.LSNI aft O.T..T.N rtgrinO:j mart .Ls1'I••• 'PTc1-•• .t, Pi V J. 21 0 TX YI I # # • # R • • ♦ ♦ • • ! # • 4 .! # # # * • • • • • ! t ! • ! * • ! s .! 1. * ! • i • looj ssou,ptlij. 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I�c I A.T.2iourl .i0 NOi.LVOO'1 de, A)Inrr,1r�b J0 ► nt �� '. 10175(103 ann 7 r i r z J.rfw2l:41 1vSOcls[ct OLL(rrs trod NorJ.vorlddv • • • • Section lI 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 •Ld 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, . •!.) location and distance to any water supply • 5.) si•ze and dimensions of all tanks, distribution boxes, tile fields and/or.drywcll • 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 be available on the construction site. Pailure 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 ree to abide by these'and all requirements • of the Town of Queeie.Lury Suit Se -go Disposal O ce. • Signature of responsible person: Date: • • • Town of Queensbury Building and Cede_Department Ray at flaviland !toad • Queensbury, New York 12801 • ' (51R) 792-5832 • • • • i• k 1 • bli /P---s--f / /%1 l /� awn of Queenabury . BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 ' SEPTIC DISPOSAL SYSTEM INSPECTION NAME 7a 77 i ) /, LOCATION ice? DATE_ 11 1 ./ a PERMIT NO. I ` d 'Y(76 i a SOIL TYPE '+ Sand - Loam - Clay - ' .. Percolation Test Required?/ YES - NO Percolation rate - Min/Inc,1h/' TYPE of SYSTEM: Absorption i�ield, total length • Length of ea h- trench j Depth of tre ches / • . Size of grave " / ' SEEPAGE PI,TS- , .er of).r I ' Size- `rj ft. ''f ft/ - '7 Gravel size PIPING: Size Type, Bldg. to tank `;'. ' F' Tank to dist. box _ ;,,••' . ' • �f•�,• Dist. box to field s•i* r, " Openings sealed? (/Y.S '"‘•'1NO . Partial LOCATION/SEFARATIIONS: Foundation to tank •--'i ft. Foundation to abisorptio k , ft. . Absorption to lot line ft. Separation of pits . LOCATION OF SYSTEM ON• PROP RTY(cifre-a-one) Front - Rear/-/ Left side i •ight'side COMMENTS: / hr Y t r d�u'. [',• - rri t Pi 4' • F' • t SYSTEM USE APPROVED YES-.. NO / ; '; ;�, ' 1...-" . Building Inspector • 01/86 and vl T } i ici ' /0 0 0 gA1/4.2r S'- p refer. ` ‘1/4 4 } P4 Gy d ge 7 i st k NY t $ A..,,k ...raa..as�.a.:.s.:..wec,.._.,..,,.._—rr—,d 4-, . :' et) "..„_-+e.. ., ..... 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