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1989-379 w BUILDING PERMIT " TOWN OF +QUEENSBURY a No. 89=329 WARREN COUNTY, NEW Y©RKcps Ir PERM1551 0N is hereby granted to Jack Balfour � � s OWNER of property located at 2X2iFl XJf§9Z1*XIII<"X„ 58 _Boulevard Street, Road or Ave. in the Town of Queensbury, To Construct or place a Sewage Al terati on 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- f. OWNER'S Address is 3 Sweetbriar Lane Queensbury, N . Y . 1281014 r 2. CONTRACTOR or BU1 LDER 'S Name � Brian Granger , 3. CONTRACTOR or BUILDER'S Address Glens Falls , N . Y . 12801 4. ARCHITECT'S Name O 5. ARCHITECT"S Address C CX arc .7G 6. TYPE of Construction — (Please indicate by }41 ( ) Wood Frame ; P Masonry ; l steel ; ) 7. PLANS and Specifications No_ 1 9 ' x 16 ' seepage pit as per plot plan and application S. Proposed Use Sewage Alteration m a= $ 35 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 31 , 99 91 e`�a (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.) C? Dated at the Town of Queen his 31st ay of l4a / 7989 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURZY -f .'!tip`"•=', APPLICA77ON FOR. SEP"C DISPOSAL PERMIT ©F ofJ REceI C SgURy ,I 31 &!rci �raSAY3 7 1g89DATE � G. +� LOCATION OF PROPERTY FOR INSTALLATIONy Owner's Name: r✓rC . _ Pz� ) 9�,, • Telephone: r' - 1 O Installer's Name: i: -) CV# Ax"r A Telephone: Number of bedrooms (residential only)' ` Total daily flow (compute (d 150 gal per bedroom ) Topography: Circle one: Flat Rolling Steep Slope c16 of Slope :Soil Nature: Circle one: an Loam Clav 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: lunicipa Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTE1111 : Septic Tank gal. ( minimum size : 1 . 000 gal. ) TILE FIELD : Each Trench feet/Total systeme length feet SEEPAGE PIT(S): Number of r / Size each 1 1 feet by feet Size of stone to be used # /Depth or Thickness 7 feet I have read the regulation on the reverse side of this s and ag to abi e by these and all requirements of the Town of Queensbury Sa it ewag Disposal rdinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: 5 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 submitted to the Building Department at least 24 hours before start of construction and 5ha11 include a plat plan showing : 1 . ) the proposed location of the system 1. 0 ) 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 . Nu :system shall be covered before inspection and approval by the Building ILrspuctor . Failure to comply with this requirement may r 7ult in the uncovering of tht2 system by the installer and a fine u; f " I] to $ 250 . 00 . C . An approved copy of rile plot plan shall be available on the construction situ . Failure to produce said plot plan at time of inspection may r4ault in an 3mmudiate work stoppage . Do Should unforeseen problems during construction prevent proper installa— tiun , alteration or repair of an approved system , a new proposal must he submitted to the Quuensbury Building, Department before further caci tructiun . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 K iu.:x r k s } '"'I 1 ,� .� .�'�.l'�"1 W C3..S I n st ai 5 PC (, in eear L4 AP6 1 . Pt cc cC L.Uc5 OvCr 1 (L, ucrn �tcd Qr�a� 1,� ]her� .5.e'p C� u � ,, b� +, nS�Cu iec beoo ►UCL uF �3ed � c��lc . ►u �rtrCWtw1n 0..E W0 S Cad v i 5 i r n of w hCd:� 3 h[)U 1 cL be Un S t a I t ncL .Scp t i- e ,S U 54e r -) 5e f v I<C�� S l A fJ St a i..r.5 C2 fJ a-►"t.a- e ni: O'M' l q - _Jotvn o1 Queen 36ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. York, 1 Box 98 Queensbury, New 01 SEPT L7IS SA L SYSTEM INSPECTION LOCAT I Oh+ DATE -f PERMIT NO . --- SOIL TYPE - Sa - Loam - Clay , �-- Required?ed? Y NO Percolation Ya - Min/Inch - Percolation Te �---�- TYPE of SYSTEM: ¢ total leng h Absorption f ielc' v Length of each ttench Depth of trench4.. Size of gravel SEEPAGE ;7ITSIEN ly of) _ ---�--� Size- f to X f t. -- -- Gravel size ra Type PIPING -* Bldg . to tank Tank to c;ist . box `, r Disto boa: to fieldQ Partial Openings sealed? ES f LOCNTxOta/'SEPA TIQ . ft. Foundation to tank 3-oOn 4Vfto Foundation to absc ft_ Absorption to lot li ` f t. Separation of Pits PROPERTY one) �QN QF SYSTEM -- Rear - Lef t . de - Right side F ant - 'ENTS Af,x SYSTEM USE APPROVED' YES NO Bxxil in Inspector 01/86 and vl BRI.AN E. GRANGER ► ASPHALT MAINTENANCE CO, 43 W. Notre Dame Street Glens Falls, NY 12801 (518) 792-0477 1 cCA l Excavating o Blacktop Paving • Sea/ Coating • Parking Lot Striping Snow Plowing and Removal