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1990-032 BUILDING PERMIT -I TOWN OF QUEENSBURY No. 90_32 WARREN COUNTY, NEW YORK c •• PERMISSION is hereby granted to TODD ENGWER i..� r-4 OWNER of property located at 74 Boulevard Street, Road or Ave. IV in the Town of Queensbury,To Construct or place a Sewage Alteration ro 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 z m 2. CONTRACTOR or BUILDER'S Name Condon' s Septic & Drain Service 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address W 0 O OJ 6. TYPE of Construction— (Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( 7. PLANS and Specifications No. Existing 1000 gal tank with 1 8' x 8' seepage pit as per application and plot plan. 8. Proposed Use CD Sewage alteration w co $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 23 19 92 • (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.) • Dated at the Town of Queensbury this 23rd Day of February 19 90 SIGNED BY /LU(Q( 14-att-2. 41 for the Town of Queensbury Building and Zoning ni.ector TOWN OF Q UEENSn UR Y 6.50_5 , 0 , OF QIUlSB ,0#S` ��. APPLICATION FOR -�� > SEPTIC DISPOSAL PERM j U FEB 211990 f3UILDt\G & CODE DEPT. DATE `- QO I ) LOCATION OF PROPERTY FOR INSTALLATION d ZQ oL eWf-g '2). Owner's Name: EN 'EilywgA, Telephone: —"?$'r gr 6 2- Q Address: 21i 800 l/g v,),,o Installer's Name:CprUb poil �� t c, d-.Di l,1l �'c'/�. 2- S � Telephone: 7 ��j`-�..� G Number of bedrooms (residential only) Total daily flow (compute (. 150 gal per bedroom) .340 Topography: Circle one: CP Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam clay Other j'!h/f�- /Depth: Feet Ground Water: At what depth? ,I VA- Feet Bedrock or Impervious Material: At what depth? NA Feet Percolation test: Circle one: €t required required rate /1.A min. inch. Domestic water supply: circle one: Iunici al Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank .) 0 © 0 gal. (minimum size: 1.000 gal.) TILE FIELD:. Each Trench feet/Total system length • feet SEEPAGE PIT(S): Number of / / Size each ` feet by feet Size of stone to be used # 3 /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 PERSON: J- .eliir," DATE: 2 -. ??, OVER • • • •r • ' .Sept' c 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 : - _ oom of Queen.dury J ,j ' BUILDING and ZONING DEPARTMENT (AP'-' Bay and Haviland Road, R.D. 1 Box 98 rl " Queensbury, New York 12801 / SEPTIC DISPOSAL SYSTEM INSPECTION 1 NAME -A-AMA��� j-ilt.00L-- .. + , ( LOCATION 1 xxL V/oL'\.C\ DATE 23/-1O PERMIT NO. i O -3 2- SOIL TYPE - Loam =.Clay - Percolation Test Required?\YES - g Percolation rate - Min/Inch , TYPE of SYSTEM: \ 1 Absorption field, total length. Length of each trench Depth of trenches ' Size of gravel:_ SEEPAGE PITS{Number of) / Size- A__ft. X 01 ft. 1 Gravel size 3 i PIPING: Size pe Bldg. to tank 4 yv(i T k to (list. box / k boy_ to field/. • 1 6)C-i Openings sealed? NO !Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to abscrption 1 7 ft. Absorption to lot line Soft. Separation of pits ----''ft. LOCATION OF SYST ••c•ERTY(circle one) Front - Rear - . eft side Right side - COMMENTS: 1� l + SYSTEM USE APPROVED NO il ild-.,_Akisiiant Buil.in''Spector 111 01/86 and vl _11),D &qWEP . f!).D07iis SE/o-ri -4-DA/9" 3L QuEE-ivs2w- c-t /t)Y- : - A-127- gA_A_A)--rx-vE 1-Lgo1/ • ios 1;a/A 1i)y - • . . TuviN OF QUi.ENS13LiJY • . _FEB-21-1990 : • • BUILDIkG &CODE DEPT. • Pr Qt1r4 s SQ' / - : • GAIU)-G . 6 ' - -tr I • (g)v b_DR, • co;0 , <— • . TOWN OF C/. EATSBURY BUILEANG C ittEpT., • REVIEWED BY DATE Z- 1:9 . 59 • 8 0uLV r TOWN OF Dlu NSBD Y• • aEC . APR 51991 . ..BLDG.-& CODE DE . 1 1 o- -- I \ 1 I Z1 E J `••• 9L� 9.8� /o.00 ` f SSA' dt' eni 4e' �.r _ Ct ... t,?DP-- , I f 1 W r-2o.G'-71 k J1I 30 fir. . 1 I2E•VODAs3LE. - d 4 o Q 63 3y!c� .� n Q OI(L . S8-'y1 E —.. IN �- ; :t -.•1 \„ . . T . Q N ` C. i o ~ " I p I914-s9.3„3Y.G4/. i �pJte • • I Q £ 1` J . •O DQ‘JEw►.Y T. • $ REIoch-res; s 1• ' Sri. 71t04.'1 10.0g� 07:x it i \ i 1 BOULEVARD . I