1988-856 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-856
WARREN COUNTY, NEW YORK c
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PERMISSION is hereby granted to Joyce Bala
OWNER of property located at 43 Helen Drive Street, Road or Ave. c`
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
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2. CONTRACTOR or BUILDER'S Name
Morning Star Excavating
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( I Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
No. Existing tank, 2 10' by 10' seepage pits as per plot plan and
application.
8. Proposed Use
Sewage Alteration
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$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 28 1990
(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.) H
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Dated at the Town of Queensbury this 8th Day of October 19 88
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SIGNED BY for the Town of Queensbury
Building and Zoning Inspect°
TOWN OF QUEENSBURY �1 ,,.c.�,,,r .
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A�r �� " ! + APPLICATION FOR
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l - SEPTIC DISPOSAL PERMIT 9 �>
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DATE OA11__T. a / I��'�
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LOCATION OF PROPERTY FOR INSTALLATION 741 #G�e_N �r1'v-c— Y" /-
Owner's Name: 0uoe ill , . .a.,.\ Telephone; 79 r85,5-X /jfj�
Address: 4 � e.e\ v`' DC'\oe. Qe 0en �suAr.j , N. `) . `zcolf �%►
Installer's Name: XOrNiN aTaj- EXCavaT/N Telephone: 7” -2290
- - Number--of-bed-rooms (residential-only)-- - -- - — -- — ___-
Total daily flow (compute @ 150 gal per bedroom)
Topography: circle on-41111111 Rolling Steep slope : % of slope
Soil Nature: circle one . 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: unicip Well Other
If domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank / 'f al. (minimum size: 1,000 gal.)
TILE FIELD:' Each Trench fee / Total system length feet
. SEEPAGE PIT(S): Number of Z/ Size each /0 feet by //r feet
Size of stone to be used #J /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 Sanitary
Sewage Disposal Ordinance.
Signature of responsible perso
Date: Oe.A. ag, \ckgg
(OVER)
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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 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,
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 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 installa-
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks:
•
Jown of Queenitur,
BUILDING and ZONING DEPARTMENT
di Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
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SEPTIC DISPOSAL SYSTEM INSPECTION
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NAME is d6f--e, &� &--61.
LOCATION 4(5 W...c-! GGG
'DATE//- PERMIT NO. W-S-A
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SOIL TYPE - Sand - Loam /r Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/iInch
TY*E of SYSTEM: /
•
Absorption field, tot 1 length
Length of each trench •
Depth\of trenches ' /
Size of gravel / •
SEEPAGE\PITS4Number of) ' '?�
Size- �`/)ft. X it) ft. -ice a
Gravel size /w'�
PIPING: �• Size Type
Bldg. to tank, OIL
Tank to dist.\box ir%, Vl1
Dist. box to field/pi=t LI 0/6-
Openings sealed? \/YES1 NO Partial
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LOCATION/SEPARA•• IONS:, "!
Foundation to ank \\ , Lott.
Foundation to bsorption\ L Oft.
Absorption to of line \/() ft.
Separation of pits 2\a ft.
LOCATION OF STEM ON PROPERTY(circle• one) .
Front - Rear - Left side - Right side -
COMMENTS: I `'
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SYSTEM USE APPROVED YES /NO
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Building Inspector
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