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BOTH-000208-2016 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: BOTH-000208-2016 Date Issued: Thursday, April 21, 2016 This is to certify that work requested to be done as shown by Permit Number BOTH-000208-2016 has been completed. Tax Map Number: 296.9-2-62 Location: 142 MONTRAY RD Owner: STEPHEN PORTO Applicant: STEPHEN PORTO This structure may be occupied as a: Residential Septic Alteration By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the �,t,--(/NS4 property owner of the responsibility for compliance with Site Plan, ���^^^��� Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8'201 Community Development - Building & Codes (518) 761-8256 BUILDINGPERMIT Permit Number: BOTI-I-000208-2016 Tax Map No: 296.9.2-62 Permission is hereby granted to: Sanitary Sewer Service For property located at: 142 1W ONTRAY RD In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto fled and approved and in compliance with the NYS Uniform Building;Codes and the Queensbury Zoning..Ordinance Type of Construction Owner Name: STEPHEN POWFO Septic Disposal $0.00 Owner Address: 142 Montray RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name l Address Electrical Inspection Agency Sanitary Sewer Service PO Box 224 Glens Falls,NY 12801 Plans&Specifications Residential Septic Alteration S 40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Monday,April 10, 2017 (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 ate.) Dated at the Towne' sbury: Fr` u l5,2016 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement SEPTIC DISPOSAL PERMIT idle l�nly Received Tax Map ID mw� TAX NAP Permit No. Ian Ik 9-C SVD Permit Fee 4L ly)""f Loc YMcEMrA Approvals: Qt ADDRESS r A C) z z /USS Fmk IV-1 ! G^� (-),l -0 PHomEIE-AwL Address r,. Year Built ##of bedrooms XGlallonsperbedroorn =Total Daily Flow 1990 or alderGarbage grinder installed Y 1981.1991 Spa or Hot Tub installed —Y �N a sea-i�reser�r Efiffmt �ca TopographyFlat rolling Steep slope —%Slope Soil Nature Sand Loam Clay Other Groundwater At What dept°i'rZ ,272 Bedrock!impervious Material At what depth? Dor rie tic Water Supply . municipal Well(if gall,water supply from any septic system absorption Is—ft.) Percolation Test bate:/' �per minute per inch(test to be completed by licensed engineering#architect) Eggegggp SYSTSWe Tanis 8I e � gallons(minimum size 1,a' o gallons,add 2:80 gallons to size for each garbage grinder or spa or hot tub) System Type ,absorption field with#2 stone Total length fL,Each trench Seepage Pit mM 10 stone grew many: size Altermative System Bed or other type? Holding Tank System Total required capacity? Tank size of tanks Note: 1)Alann system tip associated electrical worts must be Inspected by a Town approved electrical inspection agency,2)We will no longer allow systems to be covereduntil such time as an As-Built plan Is received'&approved. The Installed system most match the septic system layout on lite-no exceptions. DEc ,q,7ox— Any permit or approval granted which is based upon or is granted In reliance upon any material representation or failure to make a material fact or circumstance know by or on behalf of an applicant, shall be void. I have read the regulations and agree to abide byhese and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. s' Date- signature- Print errwe: �"�"' • �� Date --T ,� _ ,/�✓ sigroalture: ' date Town of Queensbury Building&Codes Septic Disposal Permit Jply 2014 Y� d f4 q r I 296.9-2-62 BOTH-000208-2016 Porto, Steve 142 Montray Road Residential Septic Alteration 1 FILE� 9 i I v �/o c' d f ktl s � r u � a r s u a G "TOWN F QU BUILDING & OD Reviewed By. Dates ,�� . w. . . = i e .