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90-480 CERIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date fiet-44.L►cl t g 19 9-1 This is to certify that work requested to be done as shown by Permit No. 90-480 has been completed. This structure may be occupied as a sewage alteration Box 1383, Uppet Bay Road Location KENNETH FUCHSLOCHER Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 90-480 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to KENNETH FUCHSLOCHER OWNER of property located at Box 1383 Bay Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a Sewage 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 RR1 Box 1383 Lake George Ny 12845 2. CONTRACTOR or BUILDER'S Name 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) te ( )Wood Frame ( ) Masonry ( 1 Steel ( ) C 7. PLANS and Specifications No. Sewage alteration to include 200 feet of tile field and D-Box as per plot plan, specifications and application and in compliance with Sewage Variance 8. Proposed Use granted. C Sewage alteration a vc 25.00 $ PERMIT FEE PAID—THIS PERMIT EXPIRES July 23 19 92 a (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the >s town of Queensbury before the expiration date.) Dated at the Town of Queensbury this d Q y of. July 19 90 SIGNED BY f''.7 for the Town of Queensbury Building and Zoning nspector UEtVED `� pl,a�� , TOWN OF QUEENSBUP j_ �i,T113 0 1990 3 APPLICATIOrl FOR SEPTIC DISPOSAL PERMIT ;001ir BLDG. &DOME DE 90 LOCATION OF P OPERTY FO INSTAL�A.TION ��s r 9 P, 9 /� t s e a-.s 4howr 1 Kai . ) cEl scc4 rid /�e. �i4e I k / 1t lI Owner's Name: I ew.14 e t� cat.tts lvclCC.- J Address: l ! Oa It1. Sf3 �� ire v� r l i, f Installer' s Name: .z.t Telephone: 793 9li96. Number of bedrooms (residential only) 3 Total daily flow (compute @ 150 gal per bedroom) 9,)7 j Topography: Circle one: Flat Rolling Et-e-ep §lope of Slope 12 Soil Nature: Circle one: Sand Loam Clay Other /Depth: .3 / 1 Ground Water: At what depth? ; 7 Feet Bedrock or Impervious Material : At what depth? ', Feet Percolation test: Circle one: not required requir- : Rate - Min. Per Inch tom= 143,11 Domestic water supply: Circle one: Municipal Well Other If domestic water supply is a well : Separation: Water supply from any septic absorption j k( feet. Vat �o �� a tC JP OPOSED SYSTEM: Septic Tank �5a gal . (minimum size: 1,000 gal ) _id' ILE FIELD: Each Trench ,54-0 feet/Total system length 2.-0 feet 1D SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used #: /Depth or Thickness feet **************************r** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alarm system and associated electrical work to be inspected by an approved agency. I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Que squry Sanitary Sewage Disposal Ordinance. / SIGNATURE OF RESPONSIBLE PERSON: DATE:--4)727 —' 1 Septic System Inspections: A. All applications for septic system installation. alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance co any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywalls B. No system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure co produce said plot plan at time of inspection say result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installa— tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 k.ata r k s: TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME.`, LOCATION 406.1%.6,7_4c. //, DATE %�--� / PERMIT # QQ- 01V APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION �k OK TO ISSUE C/O OR C/C 1 A SIGNED CERTIFICATE OF OCCUPANCY Mm BE OBTAINED FROM THE BUILDING DEPARTMEN BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ,4„-d „„.„4/12, .064 ARRIVE _ DEPART 5c4z*441(A1/ c7 OILJno/ ?ueenJ ur y BUILDI : and ZONING DE"ARTMENT Bay and aviland Road, D. 1 Box 98 Due:nsbury, New Y3 k 12801 t .`) 1 )�L fit ; ; _ �.- 66,t(__IL(C--1- p"k_ SE TIC DI.POSAL SYST INSPECTION Att NAME ± t _ j ,tCJte1=L iC_ .�..IL-.1L E� LOCAT I• •. Li,/ la DATE rl ;�J qc PERMIT NO. 7�-4 O SOIL TYPE - San. - Lo. - Clay - Percolation Tes Requ red? YES - NO Percolation rat: - Mi /Inch TYPE of SYSTEM: Absorption field to al lengthaj -`- -- Length of each t,en.h So -J-- Depth of trenche- ' - , Pr., Size of gravel Ar SEEPAGE PITS4Numb: . Size- • - 1 ft. el size PIPING: Slge Type Bldg. to tank ir67-74./4' Tank to dist. box — Sccb PVC, Dist. box to fief•/ c,, /'iL Openings sealed? (i) NO Partial LOCATION/SEPARATISNS Foundation to to k '-(Uft.-f -- Foundation to ab orpt;on _ aft _ Absorption to to lin: '-i ft, Separation of pi s —r=- LO •TION OF SYSTN "OPERTY(circle one) rout - Rear ql-ft side - Right side - /•,,•� NTS: '• SYSTEM USE APPROVED 0 /I t trift uilding In-.o tor 01/86 and vl t3 Pz u - .cieti IT - ` _... -.-.__f- -- -----r_,A:N 5l.(7,,i^-- - ----- 4t--) 7. A 41' n I t i T •<417‘-‘ \,‘. ' -I'll i .. ;111 a./ 1 Ili 1 I r 1 '$ r „ ......t. , ,„... , , ' 2.7 4 ow ,.. o' ZA /aa 4" ff/1--) 6 ..... ' 47'I je R -.)Y / c) 44 .. ,/{1 eel 7 ar, _ ti o \ ' • n ` a it/ w Z. \ -, ..,a - t` f r� V C. S r.- \ e .\ t \ V.., D,I • £C C -T- 7