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1999-070 CERTIFICATE Or COMPLIANCE .TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date April 16 19 99 ' 99070. 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 97 MASON RD, Location SANDERSPREE, DAVID & " Owner TAX MAP NO. 13. -1-1 . 1 By Order of Town Board r , ..TOWN OF QU NS DRY, Director of Building & Code Enforcement . BUILDING PERMIT TOWN OF QUEENSBURY ,.0 No. Crt TAX MAP NO. 13.—1-1 . 1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to SANDERSPREE, DAVID & • OWNER of property located at 97 MASON 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 PRISCILLA P.O. BOX 192 CLEVERDALE, NY 12820 2. CONTRACTOR or BUILDERS Name- CRANDALL, .CHRIS 3. CONTRACTOR or BUILDERS Address . R.D. #1 , BOX 1376 LAKE GEORGE, NEW YORK 12845 4. ARCHITECTS Name COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECT'S Address • PO BOX -70.6.. - . HAGUE, NY . 12836 ' 6. TYPE of Construction—(Please indicate by X) - SEPTIC ( )Wood Frame ( I Masonry ( )Steel ( 7. PLANS and Specifications SEPTI@p.ALTERATION AS PER PLOT PLAN SPECIFICATIONS B: Proposed Use • SEPTIC ALTERATION 25 March 12 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.) 12 March 1999 Dated at the Town of Queensbury this - Day of 19 SIGNED BY for the Town of Queensbury Buil ng and Zoning Inspector A - Application for SEPTIC DI : .,.�i�, PERMIT { r Town of Queensbury Dept. of Community Development MAR 11 1999 Permit No. 1'O7() Building &Codes Office 742 Bay Road TOWN OF®UEERISBURY Fee Paid $ °CI Queensbury, NY 12804 BUILDING AND CODE Location of property for installation: eV/9-...ft/ _ CLEU eitt Property Owner's Name: Rd _ S14-ovCiP/z s p4 e e Property Owner's Mailing Address: /1 ©^J Rd- Installer's Name: CA/9-419---vii Phone # 72 3 ?/ Number of bedrooms (if residential): 9 Total daily flow: S®C) (residential - compute @ 150 gal./bdrm.) Topography: 1 -1at, rolling, steep slope % of slope Soil Nature: sand, loam, clay, other /depth: Atc��c --J IMF Ground water: at what depth? J'' feet I Bedrock or Impervious Material: at what depth? ck feet Percolation test: not required, required [rate 6 min. per inch] Domestic water supply: municipal, well, other /6//S'e ote If domestic water supply is a WELL, water supply from any septic absorption is MO feet. PROPOSED SYSTEM Septic tank /2SD gallon (minimum size: 1,000 gal,) Tile field: each trench CO feet / Total system length: 300 feet Seepage pit(s): number of — I size each: — ft. by — ft. Size of stone to be used: # .7 / depth or thickness / feet HOLDING TANK SYSTEM: (if required) Number of tanks: _ Size of each: gallons Alarm 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 Queenebmy San;tary Sewage Disposal • Signature of responsible person: ,al�� Date: 3/OS t;' l .t TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name >Qp /I,QQ I� Location '"l l W')ff h 2ri.c7. Date '16 Permit #9q_-070 SOIL TYPE: 1=oa - lay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: 4 ABSORPTI FIELD: otal Len th 7p Ea1D� Length of ea h tr nch Sti ( }� Depth of tren es i` — 2_ Size of stone 47 SEEPAGE PITS: Nu r Size - ft x ft. Stone size PIPING: Size Type Bldg. to Tank Nt.,4 Tank to Dist. him^ 4 c �i��- Dist. Box- owe d Pit�Z'�t 4() r4 j Openings Sealed? ial LOCATION/SEPARATIO S: Foundation to Tank feet Foundation to Absorption feet Separation of Pits _ eet Conforms as per Plot Plan es No LOCATION OF SYSTEM ON PROPERTY: - (circle o - _ Front Rea eft Side - Right Side Middle Front - Middle Rear COMMENTS: M vt_p - SYSTEM USE APPROVED: YES 0 Arrived: I t: tl✓ Depar Buil ing Insp ct COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL \d Panel Board No Cert. N9 6 69 Cut-in Card No. Owner c7/47/6' Sf! Q G'�iE'SY Location / d .0 fl1)I j y Installation Consisting of S 6 erR. / a-444/2 eUA—) 7 /2 Installed By L ' C/1',Q//—. 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 • inspections at any time, and.if its rules are violated,the Company shall have the right to r oke tr-ifica . Z Date... —I T� INSPECTOR tL /.,.�����'�' • • 0 t ..h., '''''''..'-• '• It.' 'VI' ''.' - 3 . *. g' .• • '011\3410.: . -..-- • •. •'' . ',••. " ,' - •-: , TS; . %% \ . ... (I . .., .. . . , \ Tot . • -,j,, .• o ii. -v..: . • • . . ...„ : •-• - 7 .,.,.. , z1.7. 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