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2002-066 TOWN OF OUEENSBURY 742 Bap Road,Queensbm7,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERL%.Tj. IFIr%.,A1T1E OF COMPLIANCE Permit Number: P20020066 Date Issued: Wednesday,January 30,2002 This is to certify that work requested to be done as shown by Permit Number P20020066 has been completed. Tax Map Number: 523400-301-008-0001-027-000-0000 Location: 8 MANOR Dr Owner: J.BUCKLEY BRYAN JR Applicant: J.BUCKLEY BRYAN JR This structure may be occupied as a: By..Order of Town Board Septic Alteration Commercial TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020066 Application Number: A20020066 Tax Map No: 523400-301-008-0001-027-000-0000 Permission is hereby granted to: J. BUCKLEY BRYAN JR For property located at: 8 MANOR Dr 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 Queensbury Zoning Ordinance. , Type of Construction Value Owner Address: J. BUCKLEY BRYAN JR Septic Alteration Commercial 6/0 QUEENSBURY ARMS OFFICE Total Value 6E MANOR Dr QUEENSBURY,NY 12804-0000 Contractor or I Builder's Name f Address Electrical Inspection Agency QUEENSBURY SEWER JAY SWEET Plans &Specificatior,is 2002-066 SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS 05.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,January 30,2003 (If a longer period is required,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 b esda January 30,2002 SIGNED BY T7Q;r7f Z�z, for the Town of Queensbury. Ir- W kQ Director of Building&Code Enforcement Application for Pe'rxnit—Septic Disposal System Town Of Qiteetisbury 742 Day Road Queensbury,NY 72804 (518) 761-8256 I OWNER,INFORMATION: .................................. ............ Office Use hi Location of i stallatiow File Permit No.A=-6 Tax Map No.. Fl_(C - Fee Paid Owner's Name: Q> .............................. ................................................................. Address: F7) V-( 0-0 0L.,C 2.. INSTALLER'S NAME PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#.bedrooin(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 19 80 o�Ade x 150 gal/bdrin =� xr 1980- 1991,. , x 130 gal/bdrn-i = ECEIVELJ. 1991 -present x 110 gal/bdrm = .— JANu' 8 2002 Garbage Grinder Installed yes TOWN OF OUE, NSB Spa or Whirlpool Installed yes BUILDING AN CODE ­� 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) Soil Nature Ground Water Bedrock or Impervious Material - Domestic Water Supply 'san at what depth at what depth j!"!2 u n I c tprra-j Rolling loam feel -feet w Steep slope clay if well; water supply —Vo slope other from any septic-system depth: absorption is other Percolation Test: (To be completed by licensed pr(?IZ,.Y.vional'engineer or architect) Pate: -ininute-per inch 5. PROPOSED SYSTEM: For Neiv 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 septip'tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic TankA _/o_c� gallon(min. size 1,000 gal-) Tile Field: each trench- ft. Total System Length: Seepage Pit(s): number of size of each: _J1. by_fl. Size of Stone to be used: # t depth or thickness feet Bed System Size. X- -Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons /TOTAL Capacity:_gallons Note. Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &,INFORMATION FOR RESPONSIBLE PERSON(please read) 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 resentation 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. 0 signatyrelpf responsible person \-4Jate COMMONWEALTH ELECTRICAL INSPECTION SERVICE, IN ! Main Office 176 Doe Run Road * Manheim, PA 17545 7) SATE • ELECTRICAL APPROVAL MUNICIPAL ERT�� � f N 05 Cut-in Card N�!{iiMlgi!!I#/}ii{{}}}}lii{{lliiHtt! Permit o. {lirf{t#i1M44/i}fttlufitrllHi}llfM4r# } 0 0 f i �wne�f{#{{rlilNt{tf!!li }illl/gf 401}r8{41 r!i to f{iff/iiliiliff fttifr i!Ili4 } ii II! {1 fMi4i itr,ftl1# I MHfftlllf}t{ #MMif *N! t{ft}iili #1i } too## Location fllMlfit i f M }//r f!#Ili }f{{i/ilflilii!{frNf4iMt{/tittiif4lMtlMlf,ltf{lNi N/ii•rlriii+il4rlfff{f{fffufMlii!!}1iiNlllilMilMHf{iiifi„{r tlll4fllf{•YM InstallationConsistingfIfit{ !i! fiulrf lief if lllli!!!/iif}}{furlililii!!fi #4tfitl,otfM6.4lM/ifftr{f{ilfiiuibil!ffff{ffiM4/filllifr/•t11IN /nil#f/tff4ii4!l+irffiililNfull iffu of NMiiffftft#fMMlfffifirHiiii+ntff4Nlii!lfifftf•{NfilllliitfiffMNNlM#tMtiuftatllMf!lfnlNl}ffr•fNtfufffi{li//fuiffrtlllHel •14/Ntt iil}Hfif}}}uf f/fiNip/ffff4!!!}4}ifMNIMrIM lIINf liN}N4if{f ill!ii/rifflfrN 1iHf Hrttf f rrilli4itlf ttHli}}}}}}!flip iiiiif}ffff fliNi•fnif{rfitf f fitiftlMlNMI{fNliN Installedy/iii!• p `� Lie, No.lfiiflipf/Mi#iMMilfpi!liNfiflf{41f4}ffppffril4f//plpiNi4l4iifptr}i}i}N {Nffiif{{ffff!/ftitiff4HMllf{pt!!}}ptffrgt{Ii The conditions followinggoverned the issuance of this certificate, and any certificate previously issued is cancelled: certificate only covers the electrical equipment and installation conditions as of date, Upon the This y introduction of additional equipment or alterations, application shall he promptly made for inspection, Inspectors of thisCompanyshall have the rivile a of maki in ections at any time,, and if its lnspe privilege rules are violated, the Company shall have the right to re oke thi ' ca f de}tfiplffppfflfi}!{ffffrfipiif//fiffffffliil4 INSPECTOR fff fffppililffffffrfir!/lfplfi/ffffMMliiMittfptMi4ifi{flit flifi/fpff{N1i4lfifit{i Member NIP'MAM, LA1,16 M3Inlotr 'iwmmro © -ImTVlcnwoar" -I^;o V1 0 Tr z 0 -J, 1 0 0 0 (D 0 0 0-0 -1- 0 -J a r+ -4, M-J,0 (D to.4 -J.(D 0 0) 0 a 'G N Z a0An:110ccn (Dt) 0A: 'Z0NMN0Z0 '0-to H r+ 0 Q o r+ r+ 4 to 0 (+ U M 0 «t!'n"0 0 .4 +� q} *1 nnt� 0 +0� 0 s /n k 0 N y t -h V) -1. 0 m +rM rn 0 (D 0 N+'a � :1.(A Vi -1, -I (D M r+ c+ �4 0 � " H C N 'rl(tl m (D Ow a �0 "S (D �a � is ..a � rtTa ,0 rta �z (Da cry w I� A, 'fit .,,b i i tD (D In i 11 0' r( 1 , 0 7 � �,i ro 0 ~h z m C+ 0 0 � - ( p a � ' (D as o N p o.ct c ♦ cT -� rt rt a ro (D 0 0 N �'� � (D � � 0 � �� q< 1 all rt ct j, (D tD (D RECEIVED JAN z 8 2002 —.OWN'OF QUEENSBURY BUILDING AND CODE A8 (33M LASH 4:� OM 1n8 01 NY sins 14)40 aauelowm etp ids Pue suald New sW�no��Oq PJ rl '�9euwexa Idum 3" d30 JM�� ino uo N33M4 i 'V "I have seen or observed,or believe I saw evidence of, r all objects such as houses,wells,trees,fences, ✓� shown on this document.I also represent that I have personally measured the.d' ances et forth on the diagram." Cx PF— aL GNATURE DA !f r