Loading...
91-306 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date May 20 iq 91 This is to certify that work requested to be done as shown by Permit No. 91-306 has been completed. This structure may be occupied as a Septic Alteration Location dower Lane Owner Harold Hayward By Order Town Board TOWN OF QUEENSBURY A 7Q747 Director of Bldg. (Sc Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY a No. 91-306 WARREN COUNTY, NEW YORK ,aox O PERMISSION is hereby granted to Harold Hayward OWNER of property located at Mayflower Lane Street,Road or Ave. 0.' •I in the Town of Queensbury,To Construct or place a Septic Alteration f+ 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 SAme 2. CONTRACTOR or BUILDER'S Name a Queensbury Sewer sv 3. CONTRACTOR or BUILDER'S Address O 4. ARCHITECT'S Name r CD Vf CD 5. ARCHITECT'S Address C, a 6. TYPE of Construction—(Please indicate by X) fD e+ ( )Wood Frame ( ) Masonry ( )Steel ( ) • t,, 7. PLANS and Specifications Septic alteration to include: ti No. 1000 Gal Tank with 120' Tile Field Using f2 Stone, 10" Thickness 8. Proposed Use Septic Alteration $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 15, 19 93 (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 thiss,.._.-nth Da o Play 19 91 SIGNED BY for the Town of Queensbury Building and Zo 'i Inspector TOWN OF QUEENSBURY cARY APPLICATIO1 FOR SEPTIC DISPOSAL PERMIT DATE: c;\L -- (7( LOCATION OF PROPERTY FOR INSTALLATION !/ r t e 4f('( e , ( Cf Gt Owner' s Name: /1C-1: wry-6) Address: C G Installer' s Name: Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) LS—C) Topography: Circle one: F1� Rolling Steep Slope % of Slope Soil Nature: Circle one: and Loam Clay Other /Depth: Ground Water: At what depth? Feet Bedrock or Impervious Material : At what depth? TOW1*ithQUEENSBURN RECEIVED Percolation test: Circle one: !Ii_ftzallii0 required MAY 141991 Rate - Min. Per Inch Domestic water supply: Circle one: Municipal Wel Other BLDG. & CODE DEPT. If domestic water supply is a well : Separation: Water supply from any septic absorption %20 feet. PROPOSED SYSTEM: Septic Tank ,"e7 -_ ,--Z) gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench / feet/Total system length ,/ 2„6 feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used #. r 2 /Depth or Thickness l feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alan 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 Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: r DATE: . . ptiC System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Qucensbury Sanitary Sewage Ordinance. shall be submitted co the Building Department at lease 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 to 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 uuild ing Inspuctor. 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 cilia of inspection may 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 bit submitted co the Quuensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queeensbury, New York 12804 • k,n►arka: :. \L , .m.mim•i,\3\, o--n >-""' "I'OY t'- /(4-1 I II\ awn o ueensbur, BUILDING and ZONING DEPARTMENT �\' Bay()a nud and Havilandueensbury New RoadYork, R.D.12801 1 Box 98 , SEPTIC DISPOSAL SYSTEM INSPECTION NAME WO.N(C) , t \(:) k' LOCATION rI\ tOcut',YY atl'-, ur - DATE .5 / lbPERMIT NO. 7/v -30 (r SOIL TYPE - .and Loam - Clay - Percolation est Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length `r/ -? Length of each trench 4/0 ,' Depth of trenches 1 Size of gravel_ .2 SEEPAGE PITS{Number of) _ Size- ft. X ft. , Gravel size , / PIPING: ize Type Bldg. to tank /`4 P U L Tank to dist. box / 1 i/ Dist. box to field/«it y `7 Openings sealed? 4200 NO Partial LOCATION/SEPARATIONS: Foundation to t1ik j g ft. Foundation to adsorption 02y ft. Absorption to of line p'?t7 ft. Separation of/pits ft. LOCATION OF STEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: ac i t SYSTEM USE APPROVE YES N Bui in Ins ector 01/86 and vl // -)n _Jotvn o� Queen i urcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME \Joy /1I\/Lt ki`c) 1)a✓oiG LOCATION 1//�✓cc . '1//OCA tez,' DATE 5 / ,. PERMIT NO. 9 ,/ 3 ('h(G SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS4Nuinbe f) Size- ft. X _ ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist box Dist. box to field/p Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: AO '74 v4;17 /00,..e,Ar.4)//41t /t/ery 7a;i fa%" tae -1 SYSTEM USE APPROVED YES N //f3 /a_IcrC) Building Inspector 01/86 and vl "rt • --..- j , ._ - 1 i 1 // . .' . / \ / I:\ // D' - - .,- .,-- . i .-' - . ' ,,-----) ! - f , . .' I ./ ,e- / i z • A-7,-A-, TOWN OF OUEEN$BURN --J1-1 11 RECEIVED ___I-------) Q.) ,----- 1 MAY 14 1991 / - (--.7., .1.. ...- e ilk BLDG. & CODE DEPT. 3 1.-- . A - &\ i ) ( . 4.4.- 6,0 ....... ,....- . ------ -, • -J r-- n „...... .:, r4 r.,1 Li 1.'4.-- TOWN OF ("3"r":AlsrturY ....,i.4.."Ln.L A • , .-.4 *is, II\ I 4-b REVIEWED BY •iii/ I DATE _ c5/../1 : -- +- f ,.--.L. ------f-A--(- -C-.