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1989-344 w BUILDING PERMIT TOWNS OF +QUEENISBURY No. 8 -344 { WARREN COUNTY, NEW YORK l 'r t ru cin PERMISSION is hereby granted to 0* 'ECM FEilifif�USA�I OWNER of property located at _ GRIFENMAY N_ N __ Street, Road or Awe_ in the Town of Queensbury, To Construct or place a _ SLUAGL 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 I1 SAME G LI> Q 2. CONTRACTOR or BUILDER 'S Name QUEENSBURY SEWER a CONTRACTOR or BUILDERS Address GLENS FALLS , N . Y . I1MI 12804 4. ARCHITECT'S Name did m eo 5. ARCHITECT'S Address d r*C w'G O 6. TYPE of Construction — (Please indicate by X) I ) Wood Frame I ) Masonry ( ? Steel ( ) 7. PLANS and Specifications No 1 8r x 8 ` seepage pit as per plot plan and application . 8. Proposed Use Sewage Alteration no $ 25. 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 22 19 91 a (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ^s town of Queensbury before the expiration date.) C,M et W, 0 Dated at the Town of Queensbury this 22nd Day SIGNED BY for the Town of Queensbury Building and Zo n WA Inspector Q,���Nse`�R .ruri~s. o �.p']E'nOV ED 'F Eaice�,rr�� G o � � '[© Rrc- 1lg$C� APPLICATION FOR SEPTIC DISPOSAL PEI1ZMIT 2MINGF Q B�1JESREff• 01 TOM DATE d LOCATION OF PROPEnTY FOR INSTALLATION � V Ir -e Owner's Nztme: 0 Lt /tom Telephone: Address: -,2 ,to A.) Installer's Narne: t �Jr j4 � k? le. t:l Telephones Nun) ber of bedrooms (residential only) �ri�--- -- — Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Flat Rollin Sl g( tcc�p� i'o of slope Sail Nature circle one: an Loam Clay Other / Depth: feet Ground Watu : At what depth? fret IJ4.*drock or Impc:�rvious Mates-izd: At what depth? + feet 1'erctsl.stion test: circle one: ict requir required / rate min. inch. I]oruestic water supply: circle one: ici a Well Other _ IF domestic water supply is a Weliv Separation: Waterliupply from Sµntic absorption feet PROPOSED SYSTEM : Septic Tank ____ gal. (minim- urr: size: 1 ,000 ,gal.) TILE FIELD: Each Tre.-tch feet / Total system length feet SEEPAGE PIT(S) : Number of /'� / Size each 4 feet byo feet Size of stone to k,� use d # / depth o. `iltickncss feet IMPORTANT !:.!ST NEW UQU1PM-E;N'I' `ro ICE INSTALLED �r A- a i I I +ti iq w e v ct "-L-jo .F- ea< - (over) a Y -6 —ate 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 l,e submitted to the Building Department at least 24 hours before start of construction and shall include a blot plart showing* l .) 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 boxesm tile fields and/or drywells 8. 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. l have read the regulations above and agree to abide by these and all requirements of tiro 'Town of Queensbury Sanitary Sewage Dispo::al Ordinance. Signature of responsible person * ~p°` Date * Town of Queensbury Building and Code Department Buy at 1-laviland Itoad Queensbury, New 'York 12801 (518) 792-5832 awn o f Q"een36"ry BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 i SEPTIC DtISSPP-OSAL SYSTEM INSPECTION NAME ,5 3z LOCAT ION aL1 U DATE ._ ! / PERMIT NO. � , SOIL TYPE - Sand - Loam - C1aY - Percolation Test Required? YES - NO Percolation Ir o - Min/Inch _ TYPE of SYSTEM: Absorption fie, total , gthx Length of each tr nch <' Depth of trenches Size of gravel SEEPAGE�P TS - &W ' Size- ftW t. - �• - Grave, s ze PIPING : a.ze� Type Bldg * to tan r Tank to diet box Dist . box t field/ Openings s sled? YES NO Partial LOCATTON SEPARATIONS : �' Foundat on to tank Founds ion to absorption ft . Absor ion to lot line _ t- Sepsr tion of pits - I,OCA ION OF SYSTEM ON PROPERTY (c4cl e One) Fr on - Rear - Left side - Right aide - C PITS : Y IP 14 SYSTEM USE APPROVED YE Bu c7 g Inspector 01/8+6 and vl %Lek rj�'� t k t4 f