1999-214 AtteiteMeriatto
et C
el et
er� if sate of ' oimpliance
•
. •
Town of Queensbury
•
Warren County,New York
June 24 99
Date
99214
This is to certify that work requested to be done as shown by Perruit No.
has been completed.
SEPTIC ALTERATION
This structure may be used as a
7 ALGONQUIN DR.
Location
Owner DAVIS, DENNIS & LISA
TAX 21AP NO. 121 . -1-16 . a7
By Order Town Board
TOWN, QUEENSBU Y
aof,,
Director. of Building& .ode Enforcement
BUILDING PERMIT
VALUE $ 0. -TOWN OF QUEENSBURY No. 99214
TAX MAP NO. 121 . -1-16. 4 VAR REN COUNTY, NEW YORK
PERMISSION is hereby granted to DAVIS, DENNIS & LISA
OWNER of property located at 7 ALGONQUIN DR. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a SEPTIC ALTERATION
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
7 ALGONQUIN DR.
QUEENSBURY, .NY . 12804 _.
2. CONTRACTOR or BUILDER'S Name
CRANDALL, CHRIS
3. CONTRACTOR or BUILDER'S Address
R.D. . #1 , BOX 1376 ..
LAKE GEORGE, NEW. YORK 12845
4. ARCHITECT'S Name
5. ARCHITECT'S Address -
6. TYPE of Construction—(Please indicate by X)
SEPTIC.
1 1 Wood Frame ( )Masonry ( I Steel 1 1
7. PLANS and Specifications
.SEPT ...ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use -
SEPTIC ALTERATION
2.5
May 4 19 2001
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
4 May 19 1999
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
Building and oning Inspector
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury .q)i
Dept of Community Development Permit No. f
Building &Codes Office
742 Bay Road Fee Paid Sc21..S.
Queensbury, NY 12804
r. •
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Location of property for installation: —1 �\g--).m\o\c ca„,' CE VED
Property Owner's Name:)(7,M\' \> \) S • MAY 0 4 1999
Property Owner's Mailing Address: Q�(�V iO k]�� �'\'\\( 'TOWN OF QUEE.PJSBURY
Dilr, AN (3D_
C \ 1c� J ��Q��Q Phone # r Ai'�i , i C
Installer's Name: `l �i .
. Number of bedrooms (if residential): 3 Total cl2ily flow: Aso
(residential - compute @ 150 gal./bdrm.)
Topography: Vflat, rolling, steepslope % of slope
• Soil Nature: V sand, loam, clay, other I depth:
Ground water: at what depth?V P\ feet / Bedrock or Impervious Material: at what depth?f feet
Percolation test: X not required, required [rate min. per inch 1
:: Domestic water supply: municipal, well, other
If domestic water suvply is a WELL, water supply from any septic absorption is feet.
11`
PROPOSED SYSTEM
Septic tanlc`COD gallon (minimum size: 1,000 gal.) Cr4\.
Tile field: each trench _ feet / Total system length: (150 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) 'L FA. Ida.
Number of tanks: '— Size of each: T— gallons
Alarm system and associated electrical w 1ork to be inspected by a certified agency. I
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]mown by or on behRlf 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 .
Sib azure of responsible person: � ----)9tr - Date: C?)--CACt
— 3 - 33off '
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
L
Name \2 )px\x- _,N0OWL ,S
'
A n I
Location AI Ly-M
Date c} `[ - Permi t li q9 -.1L'
SOIL TYP : San. 'am-Clay-
Results of Perc lation Test-
(if applic. )le) pte-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION IELD: Total Length ►;(�j
Length of e.ch trencc� ,cCPcth -
Depth of treiches \ 2
Size of stone \ Z
SEEPAGE PITS: Number-
Size - _ t. x \ ft.
Stone size -
PIPING: Size Type
Bldg. to Tank _ -5-‘1�
Tank to Dist. Box, I LA11 w C
Dist. Box to Field/Pi ."
Openings Sealed? ADOP No artial
LOCATION/SEPARATION
Foundation to Tank _�ffeet
Foundation to Absorption feet
Separation of Pits \ eet
Conforms as per Plot ;l an N . s No
LOCATION OF SYSTEM ONIPROPERT :
(circle o `��
Front / ..... - . - Right Side
Middle •ront - 'ir. e Rear `.,,
COMMENTS:
•
SYSTEM USE APPROVED: (jjiI -NO
Arrived: 3 "o
Departed: _ ._
ui3 ing Inscf for
127
d"illi
DUKE 99 ! Duke Industrial Park
:1101:4 CONCRETE PRODUCTS, INC. Queensbury, NY 12804
518/793-7743
FAX: 518/793-0179
MAY 0 4 1999
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R VIEWED c�' r •
nrt be ,onst ued).s indicating the
pi ins and.,r eci icatror;s-ate in-fu i
D TE �� 4.......„.._ compliance with t}c code.
MM.mom CONSTRUCTION CHEMICALS CONCRETE CURES & SEALERS
MOISTURE PROOFERS
�� . FLOOR HARDENERS
MIENJ GROUTS
RESTORATION PRODUCTS