2007-104 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number. P20070104 Date Issued: Thursday, March 22, 2007
This is to certify that work requested to be done as shown by Permit Number P20070104
has been completed.
Tax Map Number. 523400-296-018-0001-025-000-0000
Location: 80 SWEET Rd
Owner. VERNON & JEAN MC GUIRE
Applicant: VERNON & JEAN MC GUIRE
This structure may be occupied as a:
Septic Alteration Residential
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, G( lot
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
742 BayRoad, Queensbury, NY 12804-5902 (518) 761-8201
.Community Development -.Building.&,C~des (518) 761-8256 ~ ~ ~~
BUILDING PERMIT
Permit Number: P20070104
Application Number. A20070104
Tax Map No: 523400-296-018-0001-025-000-0000
Permission is hereby granted to: VERNON & JEAN MC GUIRE
For property located at:
80 SWEET 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 Queensbtuy Zoning
Ordinance. T`roe of Construction Value
Owner Address: VERNON & JEAN MC GUIRE
80 SWEET Rd
QUEENSBURY, NY 12804-0000
Contractor or Builder s Name /Address
MORNING STAR SEPTIC
Plans & Specifications
-104
c alteration residential
Septic Alteration Residential
Total Value
Electrical Inspection Agency
$25.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Wednesday, March 19, 2008
(If a longer period is n'quued, an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before: the expiration date.)
Dated at the To o ensb n arch 19, 2007
__ ~_ ....-, .,~, ~~ ~ for the Town of Queensbury.
Director of Building & Code Enforcement
OFFICE USE ONLY ~ , ,
~~
TAX MAP N0. ~ `~S PERMIT N0. ERMIT FEE ~ ~ ; ~ ` I ~~ ~ ;
~ APPROVALS: ZONING TOWN CLERK i rtOVvly u~- ~~~~ d;~r~~9RY ;
BUILDING AND CODE ;
~' ~
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT:
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID
PERMIT. pp~~
OWNER: ~ ~7,1,k~, INSTALLER: r ~a c.z
ADDRESS: ~ ~ LS ~~ ADDRESS: ~~~ ,JC ~ ~ ~~r/1~~+~~
PHONE NOS. ~ % 2 L ~ Q ~ PHONE NOS. ~ ~ J ~ 2 ~ 8 "' ~ "T y ~~ 3 q
LOCATION OF INSTALLATION:
.......
~ ..............................................................................................._. .................................................................... ESIDENCE INFORMATION.
YEAR BUILT NO.~OF X ~ COMPUTATION= ....'....~...ti ..........................................................................i
.BEDROOMS '• TOTAL DAILY FLOW
l._ ........................_...................;. ........i...........{................................................................................ .........................................._...................... GARBAGE GRINDER
........ i
1980 or older I I X ( 150 gallon per bedroom = I INSTALLED?
:
:.........................._..................~..........................._................G.....................................................................................I....~...{.....................~ ~................................
~ 1981 -1991 . ~ X ? 130 gallon per bedroom I
.....;.......... °~' .........~ .........................................................................~.......... = i SPA OR HOT TUB
~ 1992 ..present ! j X ~ 110 gallon per bedroom j I I INSTALLED?
PARCEL INFORMATION:
/ TOPOGRAPHY: FLAT ROLLING_~ STEEP SLOPE %SLOPE
/ SOIL NATURE: SAND_.~,_ LOAM CLAY OTHER
/ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH?
/ DOMESTIC WATER SUPLY: MUNICIPAL WELL
(IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT.
/ PERCOLATION TEST: RATE IS ~~ ~ PER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by
a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250
gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub.
/ SEPTIC TANK: ~_GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH FT.
/ TOTAL SYSTEM LENGTH: FT. SEEPAGE PIT(S): HOW MANY? `'~:~..Qrit~.4 _a.~c
/ SIZE OF EACH~_FT. X ~6 FT. S x ~ /
/ SIZE OF STONE TO BE USED: #~ /DEPTH OR THICKNESS~FT.
/ BED SYSTEM SIZE:
/ ALTERNATIVE SYSTEM: LENGTH AND/OR SIZE
/ HOLDING TANK SYSTEM: (If required) NO.OF TANKS: /SIZE OF EACH
/ GALLONS. /TOTAL CAPACITY: GAL.
NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN ',
:APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED.
/~ ~ ~
Septic Inspection Report
Office No. (518) 761-8256 Date Ins nest received:
2~BasbRd., Quee sbury NY 2804 nt Inspecto s Infhalsm/ Part. am~pm
Y
NAME: ~ I Te PERMIT NO.: ~ ,
LOCATION: INSPECT ON:
RECHECK:
"\,
Soil T nd Cla
T of r: unid Weli Water
Waterline se ra stance ft.
Well separation distance
Other wells: ft.
ft.
Abso Field: Totallen ft•
Le of each trench ft•
of trenches ft.
Size of Stone
Pits: Number
Size: x
Stone Stze:
pi Size T
Build tD tank
Tank to Bis~i~
Distributbn Box to Field Pit
O i Sealed: Y N Partial
End Ca
Inl Outlet Pi & Baffles Y N
IACation rations
Foundation bo tank ft.
Foundation to n ft.
ration ~ Pits ft•
Conforms as r Pbt Plan Y N
E ineer Re rt and As-Built Y N
Locatio(n"of~System on Property:
`F~nc~ Rear (U~Side Right Side
Middle Front Middle Rear
.~ ~
~Y~-~~,~z~~.
V Approved
Partial Approved and nerds to be re-inspected, Please call the Building & Codes Office
Disapproved
Last revised 021006
Last revised 1/6/OS
4..11723":1`
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`" ~ ~ "r ~ivs~s ved, ear bPiieve !saw evidence of,
~' ~ ,~~e ~~ ~~s ~~~ses, veils, trees, fences, etc.,
~~~resen f}~~t av(-~ e~-~
~~~ '! ;~_ ~~'~ei ~~-~~ ist~r~~,es set forth on the dia ra
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