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97-662 CERTIFICATE -OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date EAr„r,ta,-.,  19 98 This is to certify that work requested to be done as shown by Permit No. 97662 has been completed. This structure may be used as a SEPTIC ALTERATION Location 30 PULVER ROAD Owner CAROM, RICHARD J. TAX NiAP NO. 18 . -� -1� By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code Enforcement BUILDING . ) PERMIT TOWN OF QUEENSBURY VALUE $ 0 No, WARREN COUNTY, NEW YORK •• • .Y TAZ' MAP NO. rt` 1'8'.--1-14. . • PERMISSION is hereby granted to CAROTA, RICHARD 3. . OWNER of property located at '30 PULVER ROAD Street,Road or Ave. - , in the Town of Queensbury,To Construct or place a ss ' II AAp i�i at'the above location in accordance to application tdgetTiee'r w fft plot igifi pmer information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNERS Address is ' THOMAS AVE. ,Lf 1 T ;JDW*RD, NY, - 12828 2. CONTRACTOR or BUILDER'S Name. =n.> -CREATIVE.' CONSTRUCTION 3. CONTRACTOR or BUILDERS Address =E BILL DEAw a, 1383B, SLY: POND RD. 4, ARCHITECT'S Name 5..ARCHITECT'S Address • 6. TYPE of Construction—(Please indicate by X) ( I Wood Frame ( I Masonry = (``!Stelf!PTXC:L =_. 7..PLANS'and Specifications • -SEPTI >•'-ALTERATION AS. -PER PLOT: PLAN. SPECIFICATIONS-:,; • 8. Proposed Use ti SEPTIC6n ALTERATIOW4. • • $ `M 2 r .: PERMlT=FEE•=PAID —THIS PERMIT EXPIRES November- 99., (If a.Ionger 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 this?'-.,e$.;s ,ait vAn,,l5 :.of.. _..... November,,,,,. =y ember . r 19,E 9,7�:uv;- ° :.y -.. -. SIGNED bY � f for the Town of Queensbury BuildingaKdZo•ingInspector . " i Application for SEPTIC DISPOSAL PERMIT + r� Town of Queensbury 91 ' te 1 o�f Dept. of Community Development ),'g 1 Permit No. to"`^^^��� Building &Codes Office — 1 — L 742 Bay Road Fee Paid $ Queensbury, NY 12804 J Location of property for installation: -gO 4 csiA U p y-- Property Owner's Name: 'RI G \t- C_O_re) OV 0 41997 Property Owner's Mailing Address: '( &-1 e \ St"-. Qc ,F it r.' =Y°?4S UFIY /� t1 iL i�fG AND ODE Installer's Name: g i kt t ec Crec?ci v e C'n� l c�, Phone # Number of bedrooms (if residential): a. Total daily flow: SOO o(residential - compute @ 150 gal./bdrm.) Topography: flat, rolling, steep slope % of slope Soil Nature: and, loam, clay, other /depth: A(11- or — Ground water: at what depth? Al! feet / Bedrock or Impervious Material: at what depth? ` feet Percolation test: snot required, required [rate min. per inch ] Domestic water supply: municipal, hell, other If domestic water supply is a WELL, water supply from any septic absorption is feet. _ PROPOSED SYSTEM Septic tank: gallon (minimum size: 1,000 gal.) Tile field: each trench feet / Total system length: feet Seepage pit(s): number of / size each: ft. by ft. Size of stone to be used: # / depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: t Size of each: ..60Q gallons [Aiarm system and associated electrical work to be inspected by a certified agency. 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: W IEIM, Date: /I I 7 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. • Main Office 357 Elwyn Terrace — Manheim,PA 17545 9 7-6 6 z,..) • MUNICIPAL CERTIFICATE •- ELECTRICAL APPROVAL Panel Board No. Cert. 5 9 8 7 6 Cut-in Card No. Owner CI rder/t)° ,45 Occupant CeileAPkte-/ Location .73 Ele'k./(4412-87--- s-aA,149-iy Installation Consist' g of le) geld/7e19; /ea /A7) re5 _Pia) fri„ PfrA) ft7-1 )_S Installed By 2--47.44-C- Lic.# 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 m ki insp ons at any time,and if its rules are violated,the Company shall have the right to revoke'h rti . Date -701-r INSPECTOR ember N.F.P.A..I.A.E.I. COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. j Main Office 357 Elwyn Terrace — Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL K� Panel Board No. Cert. N° 4 9 9 7 9 Cut-in Card No. . Owner l C.K 644RC 7 Occupant Location o1-a� ,yua--a RD, a �y Installation Consisting of... ..P/ 416 i O 2 �4' ,D/2. /e-vfO6/trC 7- "-- Installed By 5° m - 71) Lic. # 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 g inspec:. at •ny time,and if its rules are violated,the Company shall have the right to revoke t cer' • . Date....,(/'-/7-4/ INSPECTOR .... ..../ y� ember N.F.P.A.,I.A.E.I. \j314-Q—: . TOXIN OF QUE i , (RY v� BUILDING & CODE ENFORCEMENT d� 07) 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name c‘ictiv_ Co\i. CRYt20,/ij)c-x? Location YoND :> Date 1\H3- j7 Permit if SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: - ABSORPTION FIELD: Tot.l ength Length of each trench Depth of trenches Cam. Size of stone MOW SEEPAGE PITS: Number- - Size - ft. x ft. Stone size - PIPING: Size Type Bldg. to Tank 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 Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: �► 4r, 1 _ct44 Pgr.lie/ d 1 "VP � i. J� 4/.se�l'fr 4f , / C4 SYSTEM USE APPROVED: 6... 0 Arrived: 0 26 Departed: Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION NameCes \c-(')-- -e--,, RiCID.V-1) Location30 Pi\_,le Rprk) Date\\ -a-97 Permit # en` 6(P SOIL TYPE: Sand-Loam-Clay- Results of Percolation_ - t- (if applicable Rate-M -/Inch TYPE OF SYSTEM: ABSORPTION FIELD: To . - gth Length of each tren „ Depth of trenches Size of stone SEEPAGE PITS: Numb. r- Size - ft. ft. Stone size PIPING: 47 �9'"T,it.' Bldg. to Tank ``�� � Tank to Dist. Box /i/-•. - Dist. Box to Field/P' . Openings Sealed? o Partial LOCATION/SEPARATION . Foundation to Tank feet Foundation to Absorption i_ feet Separation of Pits eet Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPER c' cle one) ron - Rear Left Side - Right Side e Front -- Middle Rear COMMENTS: ail 4P- ��.5' eCk.., „254 a. 4i $ V ro S 4,-.1 SYSTEM USE APPROVED: YES NO Arrived: flI S Departed: Building Inspector • TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury WY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name 66/4 Location 36 eLier/ P Date I 7 Permit # 17- � SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trenc Depth of tren es Size of stone SEEPAGE PITS: Nu r- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank 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 Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: re_4 SYSTEM USE APPROVED: YES NO Arrived: OLt yY Departed: Building Inspector NOTES I• LOCATIONS AND TOPOGRAPHY TAKEN FROM EXIST 2ND A MAP ENTITLED * MAP OF LANDS TO BE CONVEYED STORY BY OWEN I & MARY J WATKINS TO RICHARD J LAKE GEORGE OVERHANG CAROTA. BY ANDREW T McCORMACK. DATED SEPTEMBER 30. 1992. 2. FURTHER EXISTING BASE INFORMATION OBTAINED FROM AS BUILT DRAWINGS PROVIDED BY BILL DEAN. EXIST' _ _ 3. HOUSE IS A 2 BEDROOM HOME THAT WILL REQUIRE 4 W DOCK A 3000 GAL HOLDING TANK, A MINIMUM OF 3500 i GAL IS BEING PROPOSED TO COINCIDE WITH PUMP EXIST OUT TRUCKS AVAILABLE AND ALLOWING 1000 GAL RESERVE ENCLOSED IS DELAYED.CAPACITY IN THE EVENT THAT TRUCK I BOAT HOUSE- 4. HOLDING TANK IS PRE-CAST CONCRETE DESIGNED TO SUPPORT TRAFFIC AND BUOYANCY. 32' E ' 32.0'7 5. TAWS WILL BE MONITORED BY FLOAT SWITCHES REFER TO TABLE -EXIST CONC EXIST 2ND 6. 1 HAVE SEEN OR OBSERVED. OR BELIEVE I SAW STORY EXIST POOL W/ FOUNTAIN ) EVIDENCE OF, ALL OBJECTS SUCH AS HOUSES. WOOD DOCK EXIST OVERHANG = WELLS. TREES, FENCES. ECT,, SHOWN ON THIS 4' W DOCK C ' DOCUMENT. I ALSO REPRESENT THAT I OR BILL EXIST ' DEAN HAVE PERSONALLY MEASURED OR SCALED ( 1 EAVES SPARE CONDUIT WHERE INDICATED THE DISTANCES SET FORTH ON THE Di AGRAM. ( ` _ ENDS HERE w EXIST ' ( SHORE LINE , w ( LOCATION OF KEY PAD r R� � ( EXIST F ( LOCATION 0 I STORY EXIST 1, Y ( HOUSE (CONTROL WIRING) o GARAGEuj I j' (( (W/ STONE 4.0 GRAY WATER n( �W ! EXTERIOR)� r 0. co12 � i I' I i f PROPERTY ( " OF 6,-0. ( v LOCATION OF i J ' '' DAVID H. b DOROTHY T. VROOMAN ( x CONTROL PANEL GRID I IW ( M PROPERTY ON ' ( pi LAKE WATER r EXISTING UNDERGROUND c� 1000 GAL PROPANE TANK 0,-- p 1 ( ( EXIST i _ 0 I 1 ( EAVESI F ( 1.. _ _OD EXIST b I O I to CONCRETE \ o l , SHORE LINE �li jo p i EXIST 1 59'-8' 13' ACT � � PRECAST HOLDING ' F.\=�_ � SETBACK ACTUAL �- TANK (3500 GAL.) I F I �° �I ( (SCALED) _ HIED) ( - I 4'0 SEWER LINE ( ( O EF x I !Li 5 1-29-98 RECORD DRAWING 'F \ ( 4'f� VENT PIPE TIED INTO ( i , F 1 'cc I' ( PLUMBING STACK. ( Si l 3 4 II-3-97 ADDED QUEENSBURY NOTE I Y GASKETED METAL COVER >- ( 1_ 3 10-16-97 REVISED TO SHOW CAST IN PLACE TAN 1 ' ( W _ m W / , '\q`\C.. \ P ` ;• O o , 2 9-9-97 ISSUED FOR SEPTIC VARIANCE ( I- -� - 0 1 cn Q w Q f ----- ____ F- \..� oiW 1 9-4-97 RECORD DRAWING & SEPTIC PLAN EXIST 18'0 ( 1 CAPPED CONNECTION Si O MAPLE ( io y 6' BELOW GRADE c p 0 4-9-96 ISSUED FOR CONSTRUCTION i ( ( SETBACK LEXIST MACADAM-) T` I _ A I-23-96 ISSUED FOR ESTIMATING AGTVAL �I F L ( ,-B• - ,�J`r /9• Q' i �� oHE NO. DATE REVISIONS ( 30 N v O ° ` ` _ EXIST 6' 0 . Q�OQ /' a ~` O ji -CONTRACTOR SHALL CHECK AND VERIFY ALL DIMENSIONS PRIOR TO XIST ENERA O PROCEEDING WITH FABRICATION OR OTHER CONSTRUCTION ACTIVITIES --=•8� +0' W _ WELL CASING ' AND REPORT ALL DISCREPANCIES TO THE ENGINEER. --• � � � ( d• � i ' T OR O -DO NOT SCALE THIS DRAWING. EXIST — HED 1 -THIS DRAWING AND INFORMATION CONTAINED HEREIN E THE PROPERT V ` VALVE COVER ` S� NOR OF NORTH COUNTRY ENGINEERING. P.C. NEITHER THIS DRAWING co o LEGEND __-___ � I' ANY DATA:OR INFORMATION THEREIN SHALL BE COPED OR W r �s 6. GUY WIRE"_ Z� REPRODUCED IN ANY MANNER. LOANED OR OTHERWISEDISPOSED - OF. OR USED FOR ANY PURPOSE WHATSOEVER WITHOUT THE c Q C+ N �Q° EXIST- ` O I.� PRIOR WRITTEN PERMISSION OF NORTH COUNTRY ENGINEERING. IF THIS tee' W ,- / EXIST SHED EXISTING OVERHEAD DRAWING 18 LOANED WITH OR WITHOUT AUTHORITY OF NORTH SURVEY PIN y Fp Fj 1355�, BORROWER IN B9 `�� EXIST \ i _____ OHE SUCHTLOAN. AGREES TO THE THE CONDITIONS AND CONSIDERATION ROCK ELECTRIC LINES PROPERTY C' STEEL TOWER OUTCROPPING EXISTING OVERHEAD RETURN THIS DRAWING UPON REQUEST. OF W/ LIGHT � ., ,I -- --- - OHT --- CARL A. PAULSEN ` ` TELEPHONE LINES -UNAUTHORIZED USE, COPYING OR MODIFICATION OF THIS DRAWING OR SPECIFICATIONS IS IN VIOLATION OF THE COPYRIGHT LAW OF 1976 EXISTING OVERHEAD ELECTRIC. AND THE ARCHTECTURAL WORKS PROTECTION ACT OF 1990. OHE/T/C- ----- TELEPHONE. d CABLE TV WILLFUL INFRINGERS OF THESE RIGHTS MAYBE SUBJECT TO i $100.000.00 STATUTORY DAMAGES IN ADDITION TO COMPENSATORY E EXISTING UNDERGROUND AMA D GE8 ELECTRIC LINES -UNAUTHORIZED ALTERATION OR ADDITION TO THIS DOCUMENT IS A VIOLATION OF SECTION 7209 SUBDIVISION 2 OF THE NEW YORK SITE PLAN -----5/E- - EXISTING 2 SPARE STATE EDUCATION LAW. ELECTRICAL CONDUIT SCALE, V - 10'-0' T EXISTING UNDERGROUND TELEPHONE LINES A EXISTING UNDERGROUND GASKETED METAL COVER �—EXIST WELL ANTENNA LINES NORTH COUNIRY C EXISTING UNDERGROUND CABLE Q 4' CRUSHED STONE TV LINE & 5 PR TELEPHONE a _, _ EXISTING UNDERGROUND CONCRETE COLLAR `_ P GAS PIPING -1N ENGINEERING, P.C. PROPERTY LINE N 2 WARREN STREET. GLENS FALLS. NEW YORK. 12801-4531 (SIB> 798-0125 ip EXISTING SLATE WALL NEW PIPE INLETS 4 ° a cD _.___ _ __ -- -- EXISTING T/ BANK a �---- 2' RIGID INSULATION -- - EXISTING B/ BANK -- LAKE GEORGE ° PUMP-OUT PIPING �+ EXISTING LIGHT iv d SEALS PROVIDED CONTROL/ALARM TABLE + EXISTING STUMP CAMPHOUSE BY FT MILLER O EXISTING TREE HOLDING TANK y EXISTING POLE NM4-i INSTALLATION FLOAT - SWITCH Z -FULL GALLONS LIQUID NOTES R; REGULATOR Y0 SS PIPE NO. EIGHT {REF EXCESS FLOW VALVE ° 7 100>< 3500 4'-2' ALARM d WATER SHUT OFF TO HOUSE ra. MANUAL SHUTOFF VALVE 0 w o ° DWG. TITLE: = m M 6 86% 3000 3'-7' ALARM SITE PLAN c o 3'0 TEE CRUSHED DSTONE w ° 5 71X 2500 2'-II CALL FOR PUMP OUT JAN 1998 co ROCK ° a a ° iD a ____ _ _ __ __ 4 57% 2000 2'-4}' ---------- TOWN OF QUEBNI 11RY 0 o O o o O O o 0 0 0 0 0 0 0 o O o o °0 3 43x I500 2'-I' ° G r, r1oDE_ --- BUILDING 41+I �j ------- DRAWN FWL 2 29Z 1000 1'-2 ' ---------- CHECKED: DMK 2)M 141< 500 T ---------- SCALE I' = IO'-O' DATE: 1-29-98 JOB NO. 95-89.04 EACH FLOAT SWITCH WILL ACTIVATE LEVEL INDICATOR LIGHTS ON SECURITY PANEL IN THE HOUSE. DWG. NO. TYPICAL HOLDING TANK SECTION SCALE- ' • 1'-0'