Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
SEP-000315-2017
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 i Community Development-Building&Codes (518)761-8256 CERTIFICATE OF COMPLIANCE Permit Number: SEP-000315-2017 Date Issued: Monday, July 3, 2017 This is to certify that work requested to be done as shown by Permit Number SEP-000315-2017 has been completed. Tax Map Number: 295.18-1-30 Location: 9 WHITE PINE RD Owner: ALISSA FARRIER,Cliff Farrier Applicant: Straight's Septic Service This structure may be occupied as a: Residential Septic Alteration By Order of Town Board TOWN OF QUEE[NSSBURR/Y Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, lAyir V 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 OL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: SEP-000315-2017 Tax Map No: 295.18-1-30 Permission is hereby granted to: Straight's Septic Service For property located at: 9 WHITE PINE 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 filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Name: ALISSA FARRIER Septic Disposal-Residential $0.00 Owner Address: 9 White Pine RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Straight's Septic Service 1 Myron AVE South Glens Falls,NY 12803 Plans&Specifications Residential Septic Alteration $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,June 14,2018 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the TownofQueensbury befoytmhee irationdate. Dated at the Town f Queen // Wune 14,2017 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement SEPTIC DISPOSAL PERMIT_j Office Use Only l� L� 1 DATE L y Received Tax Map ID _ TAX MAP ID f "1' Jlli� �i 9 1 �� t Permit No. zo 9' Permit Fee 11' p LOCATION OF INSTALL. TIO K �v��GCIU:=c4dcoll^�Y Aplawms-- APPLICANT �r�� T n.J C A� � ;��b , �'eN I Gia / PHo,N /�E-MAIdsts/]4 S©-14883 ADDRESS IcL Sf `JS>On(� 1�IOc�{�c 1� 3fc,..ltls I�) 7 la,8y3 INSTALLER/BUILDER: 11�rCjG S eo04 C, 1JefV VQ,.Q PHONE/E-MAUL ` ADDRESS: � a$� 3 OWNER C�11 r'"I 2r PHONE/E-MAfSI�1)aICta- ZR044 Address 9 use CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE RESIDENCE INFORMATION Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older Garbage grinder installed Y N 1981.1991 } v Spa or Hot Tub installed _Y Z N 1992-Present PARCEL INFORMATION Topography ✓Flat rolling _Steepslope _%slope Soil Nature i/Sand _Loam _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 V3 A Rate: per minute per inch(test to be completed by licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank Size l DSO 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 Dt7o ft.;Each trench _x 4 Seepage Pit with#3 stone How 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. 1 have read the regulations and agree to abide b these and all r quireme is of the Town of Queensbury Sanitary Sewage Dis osal Ordinance. Print Name: },o wr rru�eL_ Date: b -� 7�0 i_l Signature: Q Date: b—'Fl- ZC> 1"7 Town of Queensbury Building&Codes Septic Disposal Permit July 2014 � C JUN 09 2�i7 frN" FILE COPYTOL1/N OF QUEENS ' .BUILDING & COOEoA TOWN OF QUE I R BUILDING & O :eviewed SAF 71 P A I I HAVE SEEN OR OBSERVED Al OBJECTS SUCH AS HOUSES,WELLS,TREE ENCES, ETC 295.18-1-30 SEP-000315-2017 -� SHOWN O HIS DOCUMENT.IHA EPERSONALLY o Ferrier, Cliff MEAS D ETFORTH T IS DIAGRAM. y _� -�/ ' 9 White Pine Road (n SIGNATURE DATE f� Residential Septic Alteration �/ lFim l Jo > tj CLA -94r21RQ- Wow;� Lr /.1t/7Q0oCKT-y 1_'t C- i u k,4 P; Rd Q'jeenS1'b csl( )) rig2. - 7-roq L10-7 o/ �)0 Pb 'P n� cn c ell CIO. y _.ono.) J7s�