Loading...
2002-281 TOWN CIF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTCOMPLIANCE IFIrITE QF Permit Number: P20020281 Date Issued: Wednesday,May 01,2002 This is to certify that work requested to be done as shown by Permit Number P20020281 has been.completed. Tax Map Number: 523400-308-009-0001-005-000-0000 Location: 711 LUZERNE Rd Owner: JERRY W.CARUSO JR Applicant: JERRY W.CARUSO JR This structure may be occupied as a: By Otder of Town Board Septic Alteration Residential TOWN OF QUEENSBURY J 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: P20020281 Application Number: A20020281 Tax Map NO: 523400-308-009-0001-005-000-0000 , Permission is hereby granted to: JERRY W. CARUSO JR For property located at: 711 LUZERNE Rd 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 Uniforin.Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: jERRY W. CARUSO JR Septic Alteration Residential 711 LUZERNE Rd Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name Address Electrical Inspection Agency SANITARY,SEWER DAN DRELLOS PO BOX 224 GLENS FALLS NY Plans &Specifications 2002-281 SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS $25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,April 23,2003 (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 tWTO&Wof en b'ut'y- Tuesday,April 23,2002 SIGNED BY "* 'avJl Z for the Town of Queensbury.' Director of Buwg Code Enforcement 518,.745.,4437 FILE No.638 04/02 '02 Aft{'11-25 I D`:TOWN OF LIUEENSBURY FAX:518. 745 4437 PAGE 1 Application for Permit—Septlo Dtspgist System Tawn,Of.2Uge"sbwy 142 BgyRoad Queensbury,NY 12 la) 761-8256 1. OWNER INFQP MATIC)N office use Location of installation• - Pit Tax Map No. l / TQ�!/ $ t Fee Pai2'�I Owner's Name' V S 0 ��� � � fi ... ._. . ... Address• �I` L 11 - F 2. INSTALLER'S NAME S PHONE NO. —7 3. ItESMLrNCE INFORMATION: (cirdd year of dwelling,indicate'#bedrooms) and multiply# of bedrooms with applicable gallons per bedroom to equal total dailyflow) z ear House No 'of Bedrooms x 92nmutati0n Total Willy Flow 1986 or older x 150 gal/bdrm 1980—1991 x 130 gal/bdrm e< 1991—present xn 110 gal/bdrtn. - C3arbage.Orinder Installed . _yes / no tX Spa or Whirlpool Installed yes / no. 4. PARCEL INFORMATION: .(circle applicable information do indicate:neasurements) qapjfi:r at what depth at what depth uniot a Rolling loam —J¢et _--feet we Steep slope clay (fwell-,water supply °�S slope other from any septic-system depth; absorption is, ft. other Percolation'Test: (To be completed by ltoensed profes-vtonal engineer or arphitect} Rats: minute per inOb S. pj;LOPOSED SYSTEM; .For New Constructle '. 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:soptic tank and leach field fbr each Garbage Grinder,Spa or Whirlpool Tub. l Xic "v.lr. Septic TAuk: ��gallon(min. sire 1,000 gal.) C7P_A iT Tile Field: each trench ft Total System Length: Seepage Pit(s): number of to size ofeaeh: f2 by }T Size`of Stone to be uxed: # 1 depth or thickness feet Bad System Size: x Altemative System: length andlor size 6. HOLDINQ TANK SYSTEM: (if required) Number of tanks:. ! Size of each: gallons 1 TOTAL Capacity: gallons t - Note:' Alarm System and associated electrical work must be inspected,by a Town approved electrical inspe6don agency. 7. SIONATURE' &INFORMATION FORRESPONSIBLE PERSON(please read) For your protectioi.,please note that pursuant to Section.136-29 ofths Code ofthe 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 fhct or circumstance known-by or on behalf of an applicant, shall be void. I have read thA� i%lactions.wtth re ectty this application and agree to abide by these and all requirem of a-Town of Que - ury Sanitary wage Disposal Ordinance. 1-7 1 f P 2__.- pcite lgn ture of res►porl b e person a r. 0) v 13 �. U � z `p C .0 4-I\t �+ 41 r V? c � � ro� � ai • . � �f i LL W i o ' r !r {� 0 r" CL D., , Yt zz 0� GNO �' u C2 t 0 Fr 0. r 0. W W ce � I 0 1 'p .0 5. ! -P z u1 W N E . ,� 0 0 U tU ;; tl 0. r i C7 A � 0 'a „ � cn E ., °0 � N Dry W v! d I 0 A -P 0 z 4 0 NMI (0.0 1- � -. 2: C3 N �+ `�0M (u� 11 ,J ozw /� .C, m 1'r"(0) F 'Q 0. S,V) � �k I� � /11 }/tom � ` wy� 'p 41 r�.I�1�1 U C N !! ,1 „Y ! r� 0 0 � td.� •Ct~ � � W I 0 V) CL - -ion! 0 0 r� v) C 4J 0 (OW `J '1 0 N`w + 44 0Z 0 � �sN 0 S. 0hw (0 0 +.) 0J WW 1 (0 C H C7 A ii 4. 0 4J4JW 0 �-- lr cnv6CCC: (00C4) O w { J 0 ,r. 0 4» 011, N c X 114. 0 0 0 OW S» t V) 0 4F, 'r^ 0 0 10 M 0 rn DAL low 0 4- W Ja to -P 0 CO M 4J 4J4-)or 4-) 0.0 CL Z 0 (0 0 4J CH 10 it (0 EH (D % 4J -C Q G) Fr.�° b� S. 0 lo" U FIJ r E U 4rIi�V) C Q, NW N 00o '0 C W Q)�+ a � 0. t» U .r. 0 "Sx tt 0 10 0 t 0 Fr !�" M 0 Qt -r-W-t- 4J H r• (U ,r 0.0 0 0 0) 0 C? U S.'t-C � �• 0 z a 0 ul (4 0 CL ml - © 0 jLL. LLV) U Li.2: u V2 aA L URN TOWN OF BUILDING & C f�,,UE-ENSBUR`�'BUii.LNG DEPARTMENT REVIEWED BY not b Ba:,sd on our limited examination, compliance with our comments shall DATE �� e construed as indicating the plans and specifications are in full compliance vnth the code t t 0,0 A"t-- p 3 Q! U �� 1.11 have seen or obseilred, or believe I saw evidence of, all objects such as hgbses, wells,trees, fences, etc., shown on this documont. I also represent that I have J person y measured fhe distances set forth on the diagram." SIGNAT IRE DATE i 1 F co