1999-703 ex* •
Certificate of • Compliance
Town of Queensbury
Warren County,New York
Dsceraber 3 99
Date
99703
This is to certify that work requested to be done as shown by Permit No. •
has been completed.
SEPTIC ALTERATION
This structure may be used as a
271 BIG BOOM RD.
Location
Owner MC DONALD, ROBERT &
TAX MAP NO. 181 . -1-2 . 1 By Order Town Board
=BE.
Director of Building & Code Enforcement
•
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 0 Building Permit No. 997®3
TAX MAP NO. 141 . -1-2 . 1
?Ate
Permission is hereby granted to MC DONALD, ROBERT &
Owner of property located at 271 BIG BOOM RD.
in the Town of Queensbury,to construct or place a SEPTIC 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
MARGARET 593 CORINTH RD.
QUEENSBURY, NY 12804
•
Contractor or Builder's Name:
MC DONALD., ROBERT
Contractor or Builder's Address:
Electrical Inspection Agency:
Type of Construction:
SEPTIC
Plans and Specifications:
SEPTIC ALTERATION. AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SEPTIC ALTERATION
November 9 2001 •
$ 2 5 PERMIT FEE PAID-THIS PERMIT EXPIRES
(If a longer period is required,an application for an extension must be made to the Code Enforcement
Officer of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 9 Day of November 1999
SIGNED BY .,\ -e 1�3!'c lk _ for the Town of Queensbury
Code Enforcement Officer
• Application for SEPTIC DISPOSAL PERMIT •
Town of Queensbury Permit No. -7 o3
• Dept. of Community Development
Building I\
&codes Office F� pC>
742 Bay Road Fee Paid $
Queerabury, NY 12804 NOV 0 9 1999
TOV:1;.,r OF
Location of property for instal1a Lion: �,',�r.11 ,(�<< ." a;�t l l r
.v .
Property Owner's Name: / ici,7 y a -
Property Owner's Mailing Address: ,5/1
Installer's Name: /'T 7,VA2d . Phone # 7f,"•
ii z
- Number of bedrooms (if residential): 02 Total daily flow:
(residential -compute @ 150 gal./bdrrn.)
Topography: flat, rolling, steep slope % of slope
Soil Nature: sand, loam, clay, other /depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at wb,at depth? feet
Percolation test: not reau d, re uir ed [rat„ min. per inch]
Domestic water supply: —municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.. .
• PROPOSED SYSTEM
Septic tank / - gallon (minimum siz : 1,000 21.)
Tile field: each tench feet / Total system Iength: / 2 feet
Seepage pit(s): number of / size each: - ft.by fr.
Size of stone to be used: # / de-th or tbiclmess feet
HOLDING TANK SYSTEM: (if required)
•
Number of tanks: • Size of each: gall
ons
rl
(�Iarm system and associated electrical Rork to ics.pecZed by a certified sexy.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queecsbury, any pemut or
approval wed which is based won or is granted is reliance t on any material misrepreset*i n or failure to take a
matey:al fact or cauir*natance known by or on behalf of an applir• r , SLaii be void.
I have read the regulations with respect to this application and agree to abide by these and all rectirements of the Town of
Queersb,�, Sanitary Sewage Disposal Ordinance.
Sim a:-are of responsible person: �� �� �
Date:f/`�—'
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name , - -IF_Eivith1
Location eoge.1 ge 1. 9A3 RP�i i-L
Date a_- 1-7_0y Permit # 9g--702)
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Te -
(if applicable) Rate-Min ' e/I ch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Lengt
Length of each trench
Depth of trenches
Size of stone\ /1111111
SEEPAGE PITS: `Number
Size - ft` x j ft.
Stone size
PIPING: " ize Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATI O'.5:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pit. feet
Conforms as per ' of Plan Yes No
LOCATION OF SYS M ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
[ILL & cJ or 1:)u
/J ya c RvE dua
SYSTEM USE APPROVED: 41111210
NO
Arrived:
Depart:: ''' ///
Bu ling Insp: 2r
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518)761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 4 Al eawf,g-co
Location 77/ idid9 3V17 42 .
Date 3 9 9 Permit # 7�-743
SOIL TYPE: and- oam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: i
ABSORPTION FIELD: eng h/ 12-5
Length of each tr nct1 Z ---
Depth of trenche
Size of stone A) iLli Pv 6 7
SEEPAGE PITS: N mber-
Size - i t. x / ft.
Stone size,
PIPING: \ 0_— Size Type
Bldg. to Tank 0 1-2z0 9/0
Tank to Dist. Box it iU
Dist. Box to 'ield/P'
Openings Seal •d? No Partial
LOCATI Ot1/SEP,' TI ON:1
Foundation ti Tank. ) feet
Foundation ,o Absorption 7,() feet
Separation if Pits eet
Conforms as per Plot Plan 416110No
LOCATION 0 SYSTEM ON PROPER
(circle one)
Front - Rear - eft Side Right Side
Middle Front ear
COMMENTS:
•
SYSTEM.USE APPROVED: YES) NO
Arrived: _
Departed:
(0v
Building Inspector
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