BOTH-000297-2016 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-000297-2016 Date Issued: Tuesday, October 18, 2016
This is to certify that work requested to be done as shown by Permit Number BOTH-000297-2016
has been completed.
Tax Map Number: 239.18-14
Location: 559 LOCKHART MOUNTAIN RD
Owner: David Vogt,Brenda Vogt
Applicant: David Vogt
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 n
property owner of the responsibility for compliance with Site Plan, Ny►_r^(/ �d
Variance,or other issues and conditions as a result of approvals by the k7
Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OFQUEEN BUR
742 Bay load,Queensbury,NY 12804-5904 (518)761-82.01
Community Development - Building& Codes (518) 761-8256
BUILDING PERMIT
Pern:tit Number, 130TH-000297-2016
Tax Map No: 239.18-1-4
Permission is hereby granted to: David Viet,Brenda Vogt
For property located at: 559 LOCK14ART MOUNTAIN 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 bereto baled and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Type of Construction
Owner Name: Brenda.Vogt Septic Disposal $0.00
Owner Address: 559 Lockhart Mountain ICU Total Value X0.00
Lake George,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
Residential Septic Alteration
40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, May 13,2017
(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 da e.)
Dated at the Town Quee ury; 'U1r'e i s 18, 2016
SIGNED BY: for tile'Iaawn of Queensbury.
Director of Building&Code Enforcement
SEPTIC DISPOSAL PERMIT
Qffice UseOnly
_
DATE Received
Tax Map ID
TAx MAP to 239.18-1-4
Permit No.f�r Z
Pe
3
559 Lockhart OaMAI 16 201 '
LocATtQ�N_OFINSTALLATION Approval's:
------
j
APPLICANT David & B enda Vogt ....... PHONE &MAIL 756-6640
dnbvogt@roadrunner.com
ADDRESS 559 Lockhart Mountain Road, Lake George, NY 12845
INSTALLERIBUILDER: Glen Batease PHONE/E-MAIL 361-1506
ADDRESS: 71 Big Boom Road, Queensbury, NY 12804
............. .......
OWNER PHONE I E-mA iL
Address
CONTACT PERSON FOR BUILDING& CODES COMPLIANCE: David Vogt PHONE 796-6640
RESIDENCE INFORMATION SEE PLANS
Year Built #of bedrooms X Gallons per bedroom Total IDaily Flow
1980 or older Garbage grinder installed Y N
1981-1991 Spa or Not Tub installed Y N
1992-Present
PARCEL INFORMATION SEE PLANS
Topography ..........- Flat rolling Steep slope __%slope
Soil Nature Sand Loam .1-......Clay Other
Groundwater At what depth?'__——-—---- -----------------__-_-_-
Bedrock/Impervious Material At what depth?
Domestic Water Supply . Municipal Well (if well,water supply from any septic system absorption is—ft.)
Percolation Test Rate� per minute per inch (test to be completed by licensed engineering/architect)
............... ..... - -----I -_---
PROPOSED SYSTEM FOR NEW CONSTRUCTION SEE PLANS
Tank Size gallons(minimum size 1,000 gallons, add 250 gallons to size for each garbage grinder or spa or hot tub)
System Type Absorption field with#2 stone Total length ft.; Each trench x
Seepage Pit with#3 stone Now many: size
Alternative System Bed or other type? ..............
Holding Tank System Total required capacity? -Tank size #of tanks
Notes: 1) Alarm system &associated electrical work must be inspected by a Town approved electrical inspection agency;2) We will no longer
allow systems to be covered until such time as an As-Built plan is received & approved. The installed system must match the septic system
layout on file-no exceptions.
DECLARATION: 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 hav read the regulations
and agree to abide by these and all requirement f th wn of Queensbury Sanitary Sewage D' a] rdi ante.
,,-�4vid & 1�reqa, ye9t Date:
Print Name,
Signature: Date:
Town of Queensbury Building& Codes Septic Disposal Permit July 2014
Transmittal via Mand Delivered
1'o: 'Fown of Queensbury
am n
Bu ldinu and C'ode s
%
Date: May 13, 2016
Re: Vogt Wastewater
JE 16-009
11"1-,1v1S l'RANSI'vlll FF
nantity Description
Sej)tic° Ilerinit Apj)licdation
a a
d`" by 17 tlr»u",4ngs ea-iWedl "'Relritacement Waste?n alei•Bi~ea(ia crud
Dcavidl Vogt"
lf'i,aswi vcztea°Siting,Plan C'l
Hlasteiv atea•Plan (72
H'casleivcaier&cata<rn & profile - h,dSl
Waasteiv atei-De3tcail� DI
"'c.rclirrte+tet CIono-ol Delails ECJ
Revision A, t1 ateAd 5113/16
1 Check nr,rinb r 3492 in the canaount q1'$40.00
COMMENTS:
For septic permit.
lfyou have any questions, do not hesitate to contact ine at (318) 792-2907.
Sincerely,
JARRE Eneers
"
rwUr rae Smith
2016,05,13 10:57:49
04'00'
to lorene Smith
Office Administrator
Enc. — Septic Permit Application
I l by 1.7 Drawings, Rev A, dated 5/13/16
eC op : David Vogt
12 East Washington Street 518 792-2907
Glens balls, NY 12801
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