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96-125 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 3 19 9: 9612 This is to certify that work requested to be done as shown by Permit No. has been completed. • • This structure may be used as a SEPTIC ALTERATION Location LAKE PARKWAY Owner BIRNEY, ARTHUR .& ALLISON By Order of Town Board TAX HAP NO . 9 . -1-14 TOWN OF QUEENSBURY Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No 96125 TAX MAP NO. 9 . -1-14 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to BIRNEY, ARTHUR & ALLISON LAKE PARKWAY OWNER of property located at 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. OWNER'S Address is 4846 VAN NESS , N.W. WASHINGTON, DC 20016 2. CONTRACTOR or BUILDER'S Name GRANT, DAVE 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) SEPTIC ( I Wood Frame ( I Masonry ( I Steel ( ) 7. PLANS and Specifications SEPTII°oALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATIONv� � Cal+,) $ 25 PERMIT FEE PAID —THIS PERMIT EXPIRES April 16 19 98 (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.) Dated at the Town of Queensbury this 16 Day of April 19 96 f 1 SIGNED BY 1 for the Town of Queensbury uilding and Zoning Inspector t . -- -------------- -- H Application fOl• ,SYLI'TIC 1)IS1'OSrAL PERMIT o S IAM!' ItECEI VIA) (q. - 1 - 04 ) o I.ocatinn oLake. Parkway, �scmh!yPi, '-z-i f pt opct iy for installation: __-- Owner's Nan,,. A i"hur 8%rnG7_ 'ItltMl'1'NUk11tl:It110 _-- y89G VG." N'cs 5 S4• M '.i r ✓ Fri Owncr•s Moiling Address: Wszs/ r►3'fo A t D.C. .1001(0 ((1tli cJ ,� . ' 8 1:1W. PAIDAPAID . ,Si Installer's Name: _ Gran+ — I'honc #: 4 La- " e - - (..)w Number of bedtonuts (if residential): 'fol81 daily !low (residential -compute Git 151)gal. per bedroom); 4o0 Topography: -_ a:1:il I-_ I Rolling I-1 Steep Slope If, of Slope -- Soil Nature: I I Sand ''1 I.o:on 1-1 Ctfty 1 1 Other /l cl,lli: Uround Water: at what depth'? A,A%'r k6le feel lietlrock or Impervious Material: at what depth? (.hLv6tap* feet I'crcolat' Test: t-Not Rcquioell I _1 Re,luited/Itlllc win pt intIi Domestic Water Supply: LJ Municipal I ] Well Oilier /G. k� If domestic water supply is a 1VF.1.1: water supply ftotn any septic absorption is Icet EmJ) kc-1?u - Ac t-1�1 /� l'foros t.l) sysl I M: +air k r4ast,Frl r>«�f oh ly ( K-Ev1 0 Septic tank:ia56 gal. (minimum size: 1.11011 gal.) 'lite Field: each trench -55- feet. / total system length Z-SI feet. Seepage I'il(s): number of / size each: ft. x ft. Size of stone to lie used: ft Z- / depth or thickness feet. I101.1)INO TANK SYS'l l:M: (if required) , Number of tanks: • Size of emit: gal. 11:W I Alarm .system anddLassociated electrical!cork to be inspected by a certified agency. For your p►•orection, please tune that pursuant to Section 136-29 of the Code of the Thorn of Queensbury, any permit or a p prowil granted which is based upon or is granted in reliance upon any material misrepresentation or.ftihue to make a material fact or circumstance known by or on behalf of an a p plicant, shall he void. 1 hare read the regulations with respect to this a pplieation and agree to abide by these and all requirements o f the Town o f Que'ensbur•y Sanitary Sewage Disposal Ordinance. / Signature o f t,'slrrrn.cib'e• person: �_ - /`� -,u-¢� Date: 4//15/ 94 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name A1/4".1.16; f1 Location 11' Date Permit # SOIL TYPE: Sand Loamy Clay- Results of Percolation Test- (if applicable) Rate-Mi ' ute/Inch TYPE OF SYSTEM: ABSORPTION FIEL : Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Numier- Size - ft. ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Fiel :/Pit Openings Sealed?! Yes No Partial LOCATION/SEPARJtIONS: Foundation to tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPER : (circle one) Front - Rear - Left Side - Righ . Side Middle Front - Middle Rear COMMENTS: �vl ' /-120 ,4i10,ec zl C r� P-66x /d 1` `r %O y5rU. LcAcl& - ci< SYSTEM USE APPROVED: NO Arrived: 4 u Departed: 0 Building Inspector /o : 30 t TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name fr/q Nv_iktA Location "4ke 4\ALl Ct Date 37-3-9 Permit #9(p - j025 SOIL TYPE: Sand-E oa Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: 1 ABSORPTION FIELD: Total Length 1- 1 Length of each tren h Depth of trenches 1-- Size of stone SEEPAGE PITS: Num?,er- Size - ft x ft. Stone size PIPING: Size Type Bldg. to Tank p `— Tank to Dist. : ,x 0 Dist. Box to , i -ld/P . ' �-xio 00 Openings Se. ed. o Partial LOCATION/S', A'- i Ir' • 41461' Foundatio to Tank 01 \ feet Foundatido to A sorption - .L feet Separa on of Pi s _ Meet Confo s as per P of Plan WE, No LOCA ON OF SYSTr Or PROPERT- (cir le one) ab Fro t - Rear - L� - Right Side Middle Front - Mi. 'ear IMMENTS: SYSTEM USE APPROVED: dell° NO Arrived: 47 .Z5 Departed: ' J� Building Inspector TOWN Y OF QUEEPISBUR, BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location DateG21a2gPermit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applica.le) Rate-Minute/Inch TYPE OF SYS EM: ABSORPTION ' IELD: Total Length Length of ea h trench Depth of tre ches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank 41tA fo Tank to Dist. Box _a Dist. Box to Fiel . Openings Sealed? 4110 No 'arti 1 LOCATION/SEPA I Foundation t. ank /6- feet Foundation to Absorption feet Separation of Pits % feet Conforms as per Plot Plan 4100 No LOCATION OF SYSTEM OPT PROPER (circle one) Front - Rear - Le t Sid- - Right Side Middle Front - - 'ear COMMENTS: RTI/1- I .20is,j\ 400-56 - 0 A) lc —re) D --Gc33L — °K SYSTEM USE APPROVED: YES (j) Arrived: Departed: 2c- Building Inspector TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Qj 1 Location 2\1,: RHRi<t),)al' Date (c`Zt_i )cl Permit # qfr u zs- SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: t) LE_PCAA F‘ELD t- bT Pig 1 �ERLLEXj fn 6M SYSTEM USE APPROVED: YES NO Arriv •d. ;� Dep .rt- . • j 7 ailed_._ 41 Building p•ctor V� 4 TOWN OF QUEENSBURY yQ r BUILDING A CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name (tom, .- .1AVA, Location AEO:e ':? ).1i.Aili-21-4 Date —Z-9(ppermit #CI(p--l-42 SOIL TYPE: Sand Loa' Clay- Results of Percolation Test- (if applicable) Rate-Mi ute/Inch TYPE OF SYSTEM: i ABSORPTION FIELD: Tota Length Z5� 2. --ength of each .trench1 '35 1" Depth of trenc es Size of stone SEEPAGE PITS: umbe Size - f, . x ft. Stone size PIPING: ` Size Type Bldg. to Tank Tank to Dist. Box e_ __70 Dist. Box to Fiel ./PitlIlir Openings Sealed? Yes No Partial LOCATION/SEPARA. IONS: Foundation to 'ank feet Foundation to/Absorption feet Separation of Pits _ feet Conforms a "per Plot Plan Yes No LOCATION SYSTEM O6' PROPERTY: (circle ne) Front - Rear - eft Side Right Side Middle Front - a','. - . .r COMMEN : (k)N, Ck.).K �� ov T SYSTEM USE APPROVED: YES (i Arrived: I /'?) Departed: 7767 ,f2C_- Building Inspector �V ,1 / C7 Ira, -7/r • . I ._ -31d S ! 7 3 EIMINWIIIMINIMPJUME ■■ INNIE111.1111111111 w I ■■ Q,SD,/06d ■�� E. ■ I■■ 13P/di ' V 111.11111110111111111 1 - I ■ 9 V V U ■ IRE III■ ■ ■■ 1■■ ■ I 1 - ■ _ 1 ■ i ■ ■■ ■1 taiiii- MI - . ■ 15 D : 1 . -^7J I \ ■■ ■ , ,9y C 1 ■■ . 1■■ !IPi' �'�.iTA ■■IM11U 1IN■■ MEI .. . 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