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2000-221 t ial"ii%e U-er'tis icate o., Com Town o Queensbury Warren County,New York April �6 Date 2000221 T11l4s is to y that w(rkre�qiuTe4d o e done as shore by Peatt No. �.. has been completed, SEPTIC ALTERATION This structure may be used as a 2@ 5WEETBRIAR SANE Location . .__ owner KARECC, ANTHONY & JCAN TAX MAP NO. Ww1-25b58 By Order Town Board Q OF' UEAA,� e4' j I s.lA�{ "1f ✓ d Director of Building&Code hi orccmiat , ' BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 0 Building Permit No. 2000221 TAX MAP NO. 80 . -1-25 . 58 Permission is hereby granted to MARESCO, ANTHONY & JOAN Owner of property located at 20 SWEETBRIAR LANE in the Town of Queensbury,to construct or place a SFPrPT(- AT.T7PATTnT\J at the above location in accordance to 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. Owner's Address: 20 SWEETBRIAR LANE QUEENSBURY, NY 12804 Contractor or Builder's Name: QUEENSBURY SEWER Contractor or Builder's Address: JAY SWEET 0 . Electrical Inspection Agency Type of Construction: SEPTIC., Plans and Specifications: SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SEPTIC ALTERATION $ 2 5 PERMIT FEE PAID TINS PERMIT ENPIRES, April 21 2002 (if alonger 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 Town of Queensbury this 21 Day of April 2000 STONED BY for the Town of Queensbury )Code Enforcement Officer Application for Permit=Septic Disposal System Town of Queensb ury 742 Bay Road Queensl5m y,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ram- ..................._..........................._............................._.........................._...._.................._ Location of installation: ,mil p �GJee""C t v t2. Office Use � Tax Map No. / / File Permit N�� -� ' Fee Paid Owner's'Name: Y '� 1 I..................... ............ t Address: aC`3 S[. � lei s-z e e_ ��c.yS r" _ 2. INSTALLER'S NAME _ PHONE NO. 3. RESIDENCE INFORMATION':' (circle year of welling,indicate#bedroom(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 198 r older �? x 150 gal/bdrin _ — 1980— 1991 x 130 gal/bdrm = - 1991 —present x 110 ga1/bdrin = Garbage Grinder Installed yes / no>C___ Spa or Whirlpool Installed yes` / no _C 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) Topography Shil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply a Cs n at what depth at what depth inunicipa Rolling loam feet feet Steep slope clay if well;water supply slope other from any septic-system depth: absorption is ft. other• Percolation'Pest: (To be completed by licensed pr(?esriondl engineer or architect) Rate: minute per inch: '. . 5. PROPOSED SYSTEM: For New 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 septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tan'fc:`ka to a c• gallon(min. size 1,000 gal.) Tile Field: each trench A`O ft. Total System Length: U, ram` t � > Seepage Pit(s): number Ifv_ size of'each: �-ft. by APR 2000 Size of Stone to be used: It / depth or thickness / " feat `I't:3vvw OF. Bed System Size: x Alternative System: length andlor 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 R INFORMATION FOR RESPONSIBLE"PERSON(please read)" For your Protection,please note that pursuant to Section 136-29 of the Codc'ofthe Town of"Queensbury, any,pennit,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 knowsi 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. Lam'' .----- � � c,, '• �} -•, j �" .— cs-z/ sibnattAre of responsible person + Date . �r0 0 ''D 0 0 0'7 -�, M .4- M N ,r, o .� 0 '�' n � ti 0 c n tD 0 :5 a -15 0 N N '0 t!1 'L1 -h In c+ V 0 m A � � � � ro Z (D J AJ f) 2) M : tD r� 0 1 C) 0 � 'lo Ott , .� � � � W � O rF �# cn M 'h 0 � "1-0 C r r r !ll Q Q .r' 0 .� n H r"� m 0 (D = 0 Di � � � (A (n a -1 (D H lr �' IV -i. o p� 0 Q) (D "I U1 m 0 c+ (A a t < n PX. � Zir+ tA 3 M -4X -� 00 0 a C+ © l� 0 7C C 3 (D W Al 0 G� o r' fD Ul V b X 0 M (� MC J' r# l'� ' � n 1� t!I �, O (D (D �' 0 N (D c+ w i a o XC t:3 (D C� ��y Q n X � r n r" zm0 (D 9 0 rit a .. t � , I • .��"�• ;t� a �`�f , as' oc0 � c . ,,. Om 0,528 Ll O' Fhoeb en'or obser�red or sucks huu b�1��U�I saw�uid��c2 of, , ." , ses, ���{I5,trees,fer�ces,etc., shown on tj''Is aocu►;eq. !also r��r - I p�rsor�alb {?Qp�� ry� { sv� �hat.1 have t tt t N. � rtM �• ♦rV�t�tV Bf��i1�y�,Mp�fy jy ! ' t'•, ; i,,�,w.}�Y ; u t�l�k+.��r ' �� li�'"� ,i U�t�Urg( r' t H i it Y1lagram.11 A� , 1;;25"58`s 1M.MARESCQ; ANTHONY'& �JgAN ,��: iN SIG ' 2m'SWEETBRZAR LANE �nl� 1 41 �