Loading...
98-652 CERTIFICATE OF COMPLIA NCE TOWN OF .QUEENSBURY. WARREN. COUNTY, NEW YORK Oa to November 17 19 . 98 98652 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 Location 1220 HOLLY LANE -- Owner ROBERTS, WILLIAM & PAMELA, TAX MAP NO 6 . -3-10 By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code' Enforcement BUILDING PERMIT VALUE $ 0. TOWN OF . QUEENSBURY No. 986 7 TAX MAP NO. 6.—3-10 WARREN COUNTY,NEW YORK PERMISSION is hereby granted to ROBERTS, WILLIAM & PAMELA OWNER of property located at 1220 HOLLY LANE' Street,Road or Ave. in the Town of Oueensbury,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. ' t. OWNER'S Address is .. 354 COUNTY ROUTE 45 . ARGYLE., NY 12809 2. CONTRACTOR or BUILDER'S Name CRANDALL, CHRIS 3. CONTRACTOR or BUILDERS Address R.D.. -#1 , '.BOX 1376 LAKE- GEORGE, . NEW YORK ' 12845 ' 4. ARCHITECTS Name 5. ARCHITECTS Address 6. TYPE of.Construction—(Please indicate by X) SEPTIC. 1 I Wood Frame ( I Masonry ( I Steel (' 1 7. PLANS and Specifications SEPW'EC. ALTERATION AS PER PLOT PLAN SPECIFICATIONS . B. Proposed.Use SEPTIC ALTERATION 25 November 2 2000 $ 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 Oueensbury before the expiration date.) 2 November. 1998 . Dated at the Town-of Queensbury this Day of 19' ' SIGNED BY . for the Town of Queensbury Building and oning:Inspector,.: gr or Application for SEPTIC DISPOSAL PERMIT Ir Town of Queensbury `t, 7-.`;,7,..y}f 1'� , 7 C:1) Dept. of Community Development 1 Permit No. Building &Codes Office 0C It�. ' 742 Bay Road ����... Fee Paid '..'/►.`"; Queensbury, NY 12804 7,1"sa.` , , , _ _;;- 7,' Location of property for installation: 2 /1/6 //e F' ( eiP e nse,--2 Bl ) fo,iJ Property Owner's Name: 6)1i4 Gy + (J)ill,)9,41 A 4 e,...]--x - Property Owner's Mailing Address: 3 SY /7/0 01 j a e /U_( /Z J o CRA�04 // . l�xc4v.�-A, 63�- �� ' 1 Installer's Name: Phone # J, �7Y3-© y 3 I Number of bedrooms (if residential): ! Total daily flow: 400 (residential - compute @ 150 gal./bdrm.) Topography: x flat, ( rolling, steep slope % of slope - Soil Nature: sand, ' loam, clay, other /depth: Ground water: at what depth?,9 feet / Bedrock or Impervious Material: at what depth?,feet Percolation test: 1 not required, required [rate min. per inch] 4,,,a( supply: municipal, well, other Domestic water su l : l 14k If domestic water supply is a WELL, water supply from any septic absorption is)/D° feet. PROPOSED SYSTEM 1'7g ci u111'044-Y6S 1We eon&i 6 /tX2 7 t1 W r24� Septic tank: /2SCiallon (minimum size: 1,000 gal.) /OO D p,04 - PCI W'/ 19 N h Tile field: each trench 60 feet / Total system length: 326 feet Seepage pit(s): number of / size each: — ft. by ft. Size of stone to be used: # 2 / depth or thickness / feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons CAlarm system and associated electrical work to be inspected by a certified agency.J 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 circumstance 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 Sanitary Sewage Disposal Ordinance. Signature of responsible person: ki- . Date: /D is �� l COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.°'J Main Office 176 Doe Run Road-Manheim,PA 17545 J MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL d Panel Board N,,o, `` ,Cert. N2 6 6 6 8 3 Cut-in Card No. Owner l/!/I) Location 4 O L&-y Installation Consisting of..S6-10 e 2 /p a-4` Ps(-- I44444 I S'rI/ / k } /U L Installed By 4-• ` 04.12.1. Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of maki s! inspections at any time, and if its rules are/ violated,d,the Company shall have the right to r ke t i'. ccert ica Date.l I'/ ` " ( S INSPECTOR... ' f• — AA.....I.....IU c o♦ TACT - TOWN OF QUEENSBURY 11 C r� BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name C� S 6k,msC,Z ) Plact:t5 Locati on L`"CTh Date - l '—�i� rmit # SOIL TYPE: Sated-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tota en th Length of each trenc Depth of trenches Size of sto SEEPAGE PITS: N ber- Size - . x ft. Stone size PIPING: f Size Type Bldg. to 'raffle 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 P1 an Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: Als \a SYSTEM USE APPROVED Al _YES NO Arrived: Abl '�' Depart. : „ r� - B ding Ins TOWN OF QUEENSBURY • BUILDING .& CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 440%5 Location _ A CcJ Date /4/,/// Permit # 9,-Gj- 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 PI Number- Size - ft. x ft. Stone size PIPING: - S 'ze Type Bldg. to Tank Tank to Dist. Bo Dist. Box to Feld/Pit Openings Sea ed? Yes No Partial LOCATION/ ARATIONS: 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: ,507_R 1-11-AJV5 )x) geK6 SYSTEM USE APPROVED: YES SIP Arrived: Departed: ( '— v Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name /10/-i�/5 Location /h LLf' it/, Date j//z/j Permit # 05?-61t-' SOIL TYPE: and-Loam- ' - Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length 1726 Length of each trench :b w - , L Pe' Depth of trenchgs Size of stone#2--- SEEPAGE P TS: Number- Size - ft. x Stone size PIPING:',�'" Type Bldg. to Tank Tank to Dist. Box r 75,=,5 Dist. Box to Field/'it 0 Openings Sealed? Yes No Partia LOCATION/SEPARAT' INS: / Foundation to Tank / ' feet Foundation to 'bsorption / feet Separation of Pits feet Conforms as per Plot Plan e� No LOCATION OF YSTEM ON PROPERT : (circle opt! Front - ' - Left Side ( ight Y Side Middle Front - Middle Rear COMMENTS: CA/4) SYSTEM USE APPROVED: YES NO Arrived: Dep a rted: Building Inspector .• ' .r." •'1, ,; I , ' 44 : :.-... '.....,:,/. : ' ,-... . i fi6 44:*-1.1WeITSOta•ra0,3771115 . 4 1145.4 70.40. I.• -70.50- - .. ,• ' . ! I ' • ‘ IP. ‘0.1* 0 te .....4 II Cl (-:::: i ,... - : - .:.,.;:-: 'A ' ; • .•'. o Ai's- : A ---:: -:' :-..----;.,-, .. k I : ? • , > ; ' 'Iv i• i ..C. ' t 4. C • • PI 76 ttlt ‘<„ l• t ‘%. ii : I-1.1 - , it .t• .`4 % a ''.% 'AS o . : • .... . 4t a :..', • o -- . • I - i ti t ,.., 133 • : 4, & 1 , - .1. L, t'. 4. • 4 • -. ! 1‘• .L. .,..... , '.!:.,,;:.'.. . 2 hiLCC1414 8% ., gyikl • '4 7 .: .' . '. . . ' . 6•'• '1' : '412, (al ..t • . , - . --..,„,,......_ . . c3- i • . . i z 1 :;,. .. ••••••,,.:., ,.::-:: ...,„..-. -,_ '•-• • -..,cfavoi-ogz,..24r.,*--- ..•• I t1.18 giI A ''-' s ''..'.... --' .':".''' :' . .1".--...-........"' .— -•— — z...a.1:045'•e+'is-:14-- ••••-•...q.In.J...., !:,•,:::!:,....!,:',:-....i..,:'!.,.;. . •,ii 0, ti,: I i •: . .. ":1'C47461fiii ';:.,::''''Z-'• ::7•77":'.7:-7:,.7-1;-- -""L 1 ' -.• ' L A N E ••• . _.:.--— --/-:-.•';07,-/O-_:. • : ( "': '''.:,':"',J!,','"i''.',:-..''..--'-.2i:V,'.`'','-;&""'", ",•T•"-•••7;": :, ' '••• ----,7-17(••- ; -1.,,r1Velf'Y'------I o•S.t'o----,. .----------1 • . .-: •; ,,%...,:;::„s•••1 NA. --, ••4,4....41!,...ftlyiktIrd-c.." •ert,..1 E-.-• to 4.Oce • • . . • 1 . .10 ; •59,id 1 3 • 1 ;:::.''''''•-:,:e X.,:-;:-:1:1:7•.•-.1'ili '.`*-:44. S. wt:I • : . - I :-.,1• ' ....-.I:i .-;:,4:-....::::i:,-,:lf N ..1.., •. 1; 1'';'''':'....;":k•VS''';'": ',:sF,?;,.t.,''l':::..-;. ,•;- :'•::.:;'.:: o : I/000 ?44 et4A4ait,-wh7j;.A.:1.::,.j.—i2; V *";,&-.i:..:1 ..-• 4 ". I :;,:i...:,:9,;, .... . :40• iP ::', 1, ',, ; .. , •.., s..-...::;.:. '..:'.•-...eft. ,,-,,,,,,..--114,..;,..,,,.. 9 , ; -,7,1:?• . ''''• .-.4 I a ''• o • ! !, ,,,..,,.'. ,.• ..• . .x,-,-,?,,..,„--:-..,:& so,.„4...,*,-; . ,, ,........ .•, .. p cl. .rc '.. .• arc '6.. . .`c.^.'t t 1.---ki C ii" ; il, : f 1 1 . +, ,it,::.„ .,. „..;........,i ,,,, . 4. . . . 4- •,',0 ‘ ..., o f, 1250 eio r'C:' Ito ... . :,., .„A .,,,,,i :,•, •.,,..i, ... ' :: . . p.4.-1 . , • 4,..4 - z a f .,.;,,::::.•;.::•: -...4.,..1,1..;,,.;:f. .,-,,,,,t.,..„0: ,,i-: -- ' a c A . 3 ..- . -4 : i •I f' -.-. : -- -..;',...'j:,:i.4";,;('-', ..... 5:41* ' 4 " ‘1 'I ^ , • I I i.;# :,:.;,.-•-; .,-,•;::.;I: ...*:.',,: i op r,oCiot.• ' „..„ ...; • !..1, S la 4 '•:',- • ,...,;:';:•:. 1. .!ir: •-• 1 444 r' 5 '• g`: 1g::•dom4 , 4 ;i4,'"/ 2 e! -I if X.MrLsov i . a 31 I' • - ;. : . ....:':;:;.''. 1:5•:!-•,'•.. • -, 13 o fig.7ei 1 . -11 iTtsi.49 r• • C • rt, . 0,i3,40 ,,, • '44,o.. 4'4.:•.:L ,,, .:•.',-•,•: •'7'-:::.....46:11g,"1:':; ---o.•'' ;1 ra.00' . • g .1.' '''z"."....e. '6 —7- - - • -- ' t3 '.... g g • ..-- • :-;O;1. •-- •-•------ • , ...__ • . _ .. le -.. I.-7.:., ....... .;; ::i • - HARRIS DAY — LAKE GEORGE \ TOWN OF• q ' ENSEP 'r. " . . 1. 0 n.. .:. :: • T 1.! ' .. '-- . .. „,, . 4 i ° •' BUILDING . ., . - _ . . REVtEWED BY - , - DATE /4 .1. 36> ,. _, t"I have seen or observed, or believe I saw evickn i..le,170/ 3 zo 7-07,9-L ..,,. - - all objects such as houses, wells, trees, fliasi eto,..„._.--- shown on this document. I also representthiatHAtp 1- Ptoi,-, EA-ch P4 6 i°- 1_,IN personally measured the distances set forth opAhe,diagrem." .. - 4K4.4.19.--t6t. -f—tiet-^.) , • /60 ( -/-0 CtoSel'i- well _ SIGNATURE I • DA E ... . . . •