1999-133 •
CERTIFICATE OF. COMPLIANCE
TOWN OF QUEENSBURY S
WARREN COUNTY, NEW YORK
Date Apr 11 19 19 99
99133
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
29 NELSON RD.
Location ,
CL11TE, LARRY
Owner .
TAX MAP NO. 36 ,--4-75 By Order of Town Board
TOWN OF QUEENSBURY .
•
1.1110,
Director of Building & Code Enforcement
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury L3S
Dept_ of Community Development Permit No. gq
Building &Codes Office 742 Bay Road Fee Paid S Qa
Queensbury, NY 12804
Location of property for installation: // (ç
HECEIVED
Property Owner's Name: P ® C� G
APR147999
Property Owner's Mailing Address: d�C&
Installer's Name: t 0, S t5- ! f Phone #
Number of bedrooms (if residential): Total daily flow:
)
(residential - compute @ 150 gal./bdrm.)
Topography: ?cat, rolling, steep slope % of slope
- Soil Nature: Krand, loam, clay, other /depth:
Ground water: at what depth? eet / Bedrock or Impervious Material: at what depth? feet
Percolation test: / not required, r5quired [rate min. per inch]
Domestic watersupply: f4 .unici aI, well, other
P
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank/gOb gallon (minimum size: 1,000 sal.)
Tile field: each trench feet / Total system Iength: feet
Seepage pit(s): number of / size each: .€t. by 7_ ft.
Size of stone to be used: # 3 / depth or thickness / feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons .
l
(Alarm system and associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a
material fact or circn*natance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of
Queensbury gAnitary Sewage Disposal Ordinance.
Sib ature of responsible person: r Date:
BU
ILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY
No. 99133
TAX MAP NO. 36. —4-75 WARREN COUNTY, NEW PORK
PERMISSION is hereby granted to CLUTE, LARRY
OWNER of property located at 29 NELSON RD. Street,Road or Ave.
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 Town of Queensbury Building and Zoning Ordinance.
1. OWNERS Address is
13 DAWN RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
I.B.S. SEPTIC
32CLOWER CONTRACTOAddress
R or
QUEENSBURY, NY 12804
4. ARCHITECTS Name
5. ARCHITECT'S Address
6. TYPE of Construction— indicate
(Pleaseby X)
SEPTIC
( 1 Wood Frame ( I Masonry ( 1 Steel (
7. PLANS and Specifications
SEPTIQ0ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
25 April 15 2001
$ PERMIT FEE PAID—THIS PERMIT EXPIRES 19
(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.)
15 April 1999
Dated at the Town of Queensbury this Day of 19
SIGNED BY � A — ,r for the Town of Queensbury
Building and Zoning Inspector
ll
J---- 'Pr-
TOWN OF QUEENSBURY cf-Ziqf
BUILDING & CODE ENFORCEMENT l
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
N a e ,L r t! c-J
Location _
.,Date Lt / q Permit #
d Jj3 SOIL` TY EAR an+ oam-Cl ay-
Resul is or ,Percol a 'ion est-
(if applicable) ILte-Min to/Inch
TYPE OF SYS EM:
ABSORPTION ELD: Total L:ngth
Length of eac t ench
Depth of trenc
Size of stone
SEEPAGE PITS N m61.7
Size - 48 f . x ft.
Stone size .,
PIPING: Size Type
Bldg. to Tank 1-1
"_ Llj
Tank to Dist. Box sD
Dist. Box to Fi -1 d ti lo t',4A7t:3c
Openings Seale0410Z010 ► ._ Partial
LOCATION/SEPARATII"
Foundation t91Tank Ec t4i feet
Foundation too Absorption -Z E) feet
Separation ,of Pits _ eet
Conforms as per Plot Plan Y
LOCATION OF SYSTEM ON PROPE
(circle one)
Front - Rear - L • - Right Side
Middle Fron - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: YES NO
Arrive' . N.
Depar ed:
./.✓ 4 41 P
B' l 4 ing Ins - or
14
tl
`s' ��\( �,
1\ I
r �"' -
C1
I
C
t 1
1
1 � 1 I
l
- - 1 I
C
/� �t � � I 1 I 1
( , /III
I td I. I
t
L
f' ,
f�1 7'.
I 1
1
1
:,I0 �
seen Or,o �CrA°�.r•' ° —
ue r
4r� P_
1 u 1 BBBurh: ��
1,7,
at,
1 1 . . . ' ' rii(r , , ' , , . . .
�u (. j rees ,r'e_i:jibil.'.,es-,,,,'Ft',thId�3
ai G l ,
d . ,,
., . person"r'l4�6 F k ..
G�wC
e4� the nC
Huh
f�`
•
• 1f
I �I
'
•
r4
1
, ,
I'I
'I I I
, 1 --: .7- : 1, -, .7 --: -:- '-7 9 ;:, i , , :: ,, ; .1 ::
: ,, 1 ; ; ; . „ , : 1 : .:: , ;
f�/. , . . ,, . ., d 11 q. .
1 I I I
( -tea':, 1 _ I! \.
✓rs.
Pam• �1 -- - - - - - ' - - - -
I
1
1'R�.i I 1 1 I J '
II � �1 11
,
' 1
1
I
-I '�� 1 �/ ��;jIj 1� _ -4� I!`, - �_,�v,I p 11 r '' 1i r•'<6g.g "\`A 4?','{�Ji,f--11 L �1- 6 :I
1 1
r
i7
l -�- `��` 1 a. ,Y� �,6 u_ _1 1 _/� r I1� �, - - - - 1,1�,i,b/1 1,„4:1_4,,'. :� hi.F't-_sue �' .. :\ `' ti, 1 1-�
• 41 •
1
I . . n 1 f 1 I i
d=,I,1 II -_ _ 1- =' /,,, � J�y �I. 1� 11 �; V 1I I� h _ 1_-'�� �1 -_ _ 1' 1� - -- H 1,.--;1 .,- 1i 1'' -
yu G
I I I'I l'' i'la b � wa 4- II _II - ,� 11 Y 1 �I ,1 1 {� �kph .�A a, p, � u�'', _t • d. \i a ,�_. a I, _ I1,
1 . / 1
1 -'- ' ' -._II ' 1 �11 1 j 1 1' _f '-' 1, -'(= 1�<ej _ ' 1 '__L I I„
I11 1 ,�e�
1 I 11 � I, = II � , III 1 1 �- � ' 1 I I �_ I I � ����I�t���� 1���1 Y —� ���- — - '-.
1
DATE III :__ -- i
1V6 1 II, I1
:-1 11 - ` 1
,r ' 1 I
--I1 �- -'III �I, - 1� 11 1� --r - -11�--1 1; - I; 1 1 1i- II �I' - 1 11 '' 9 1
I l I I
-„ '1;- 11 -I - � ! ' 'I- __11_ - ,:I ,,I i 1I �11_.•, '' ! _ ,1�1
I , 1I_i-- .- I 1 ' 1' I II ' 1 ' 1
1 - , �Si � 1�I_I II ' �' it I ,1I--, - .1 -1-- 1 1 'L . _! 1 _' �_ `, 0 1 I� '
'11 1v_I_ ! i j- ' _I__117 _7, I I ''1 .11, ' 1 61 7 '', 1 I : - --'-1I- 1 1' !.._I7 1 1.7 �11 Ir ' 1'' ,, _ I 11-_,;IL 1 , l 1 1, 1 : II-_k I,`
I. _ _ _ _ i,,�_ �1 I'I__ , - ,-_' 1- '�- - '1- - L '.- �_ _V I- -- 1u, 1 - - - '1 - -'I 7 -I I6- ---ii I-''-I i 1 1'
_-I, I''� --- _ (yyC ,�, �, I --;�.1�, 1V-,I _i _ - _�1-��. _i_.I- . '_,i 1,1, _I I...I �11 I-I''I� d - II ill-' '_1. 9 �� u . -!�
I_ i I 1,1 li-1 a J1'1- --I 1' :-- -i1- ' r _ _ 1 1 1
� � /� �r I I 11 __..._ '�_
I--� ==1=- - � - �•-, =--1 I 1 � --- ,- _. �°'�°�i.� - - — � I �� I1'
I