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98-065 CERrrIFICATE OF COMPLIANCE TOWN OF QUEENSOURY WARREN COUNTY , NEW YORK y Date Atari 1 14 1998065 This is to certify thatork requested to be done as shown by 'Permit No . has been completed . This structure may be used as a SEPTIC ALTERATION Location 39 PARK VIEW AVE . Owner TABOR , LINiWOOD & MYRNA TAX MAP NO . 103 . - 5 - 20 By Order of Town Board TOWN OF QUEEfJSBURY Director of Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No 98065 TAX MAP NO . 101 . - 5 - 20 WARREN COUNTY. NEW YORK PERMISSION is hereby granted to TABORr LINWOOD & 14YRNA OWNER of property located at 39 PARK VIEW AVE . Street, Road or Ave. in the Town of Queensbury. To Construct or place a SEPTIC ALTERATION at the above location in accordance to app{ication 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 39 PARKVIEW AVE . QUEENSBURYe NY 12804 2. CONTRACTOR or SUt LDE R"3 Name SIGNORELLI & SON 3. CONTRACTOR or BUiLGEfl'S Address 589 WEST MOUNTAIN ROAD QUEENSBURYr NY 12804 4. ARCHITECT'S Name 5. ARCHITECT'S Address B. TYPE of Construction — IPlease indicate by X) SEPTIC [ I Wood Frame [ f Maaonry 4 I Steel [ I 7_ PLANS and Specifications SEPTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS B. Proposed Use SEPTIC ALTERATION 2S April 7 2000 $ PERMIT FEE. PAID — THIS PERMIT EXPIRES 19 [if a longer period is required an application for an eatenaion rnuR be +Wade to the Building and Zoning inspector of the town of oueensbury before the eKpiration da4.1 7 April 19 Dated at the Town of Queensberry. this Day of 1B SIGNED BY �._ �Z€7� +�"�—.- Alai 6 for the Town of Qua nsbury Building end Z64nirg InepaA.w Application for SEPTIC DISPOSAE PERMIT Town. of Queensbury Permit No Dept of Coma unity Development Building & Codes Office 742 Bay Road Fee Paid S Quaensbury, NY 12804 f Location of property for installation: Property Owner's Name: MAR 0 6 1998--- -- - - -- -- c� f]1hii C1F ir . dui$ Y : Property Owner's Mailing Address: � ( ,I ��r'� � �/E'w� /�U�' d� BUILDING Aril CGgL, Installer's Dame: 4 Phon # ram` r� er, Number of bedrooms (if residentia3.) : Tocal dai v flow: (residential - compute Q 150 Qal.A )drm,) Topoj-a.nhy: Zflar, ralliug, steep Slone % of slcpe Soil Nature: sand, Icam, c;ay, ace r depth: Ground water. at wimt depth.? feet f Bedrock or lrrr er-o_cus Mzter..al: at what deprh? _ feat Perccizt:on test: net recuz:xcd, red xi V [ = min. per inch Domestic ware; supply: " auucn_ al, welt, c rf GOLLe=c Water suppiy is a 'W'=, w'a zr S=1V %. Crn. 'r...nv 5e=.0 "'abscr:Mca Is reef. PRopoST:n SY,STE:rA Sendc 0 11pn (inan=nllm sI:e: 11cco gal.) Tile field. each tread W fee: A Tcza' 5:4=e= feet Z�oc,OCPO w s Seegagge pir(s): a=ber or / size +c & by f4 Size of s-oone to be used: W [� f deb to or tb is HOLDLI G TA. F.;< SYSTF_Nf.* (if requred) Number of rn,-riss: Size of �zlcros AIarm eystem sod assoc^.aced electrical wcrrk to be b=n;ie� b.r a certi6.ed sgsacy. For your procecr.: please note tba.t pursuant to se� 136-Z9 of the cod ca :!�e Tovvz of Qveembvey, any pernXitor pr val grzorad wiich is based Moon or is granted in reUaxva up-_,a =y mxtmriNi =ssrvPre6eUL%dm or foam to ma a fay or c=*� ]mwu by or = behalf of ass zppLicac, shaD be said_ 1 :;a-.'e rd_.ad the reguIanoas with reaped: to th s applic=±= = and ag=eva abwde by :hewe and &U r5gcure=4=ts of ELo Town of Qnseva,.sbu^ Sanitary Sewage Disposal Ord.manc�a. r� S i - - ^: e ©s ;eS aonsible pz:Son: —7 �aI/"� Dat.. c TONM OF QUEENSBURY WILDING A CODE ENFORCEMENT 742 Say Road Queensbury NY 12804 s (5is) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Ac +a J2 -- Locati on 3 +G t1 1 !tk2 . Date Permit SOIL TYP San - Loam-Clay- Results of Perco ion Test- ( if applicable Rate-Minute/ I ch TYPE OF SYST VAW ABSORPTION ELD : Total Len t Length of ch trench , Depth of t enches � _ Size of s ne -- SEEPAGE P N er- Size - fto x ft . Stone size PIPING: ize y� Bldg . to Ta k _ Tank to Dist Sox Dist . Sax to field/ Openings Seal d ? Y o artza LOCATION/SEPA TI feet Foundation to nk feet Foundation to A o ti on Separation of Pi eet Conforms as per at Plan es Na LOCATION OF SYS ON PROPER e one ) ron - Rear Left Side - flight Side Pm-cgle Front Midd Rear COMMENTS : GAL� � � � � SYSTE USE APPROVED : YES NO Arri v Depart Sufi ding nspector Jor TOWN OF QUEENSBURY " BUILDING B CODE ENFORCEMENT / 742 Bay Road 5� A�' * t�ueeresbury NY 12S+D4 (sts) 761-8256 40 ► SEPTIC DISPOSAL SYSTEM INSPECTION Name + ��~^yyL9'L�- Location �" -"i�'"at(..&j42 ..+ Date it # cx ^play SOIL TYPE : San - Loam- lay- Results of Pe colation Test- ( if applicabl } Rate-M nute/ Inch TYPE OF SYS _ ABSORPTION F ELD : Tot Length Length of ea h trench Depth of tre hes Size of stone SEEPAGE PITS : Numb Size - ft . ft . Stone size PIPING : Size Type Bldg , to Tank Tank to Dist . Box Dist . Box to Fie Pit Openings Sealed ? Yes N 6 Part 57 LOCATION/SEPARA IOC! : Foundation to T nk feet Foundation to bsorpt an feet j Separation of its feet Conforms as p r Plot PI n �� Yes No i LOCATION OF STEM ON P PERTY : ( circle one ) Front - Rea - Left Side - Right Side Middle Fron - Middle Rear COMMENTS : i AJ SYSTEM USE APPROVED : YES NO Arrived : w Departed : Bui i ng inspector i f TOM OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road ` Queensbury NY 12034 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION f Name l LacatiorS — �� ,� /� i Date Permit # • SOIL TYPE : Sand- Loam- Clay- Results of Percolation Test- ( if applicable ) Rat 1nu Inch TYPE OF SYSTEM- ABSORPTION F �D : Total Lengt Length of ch trench Depth of enches Size of one SEEPAGE ITS : Number- Size - ft . x ft . Stone siz PIPING : T ype Bldg . to Tan ti 'dank to Dist . Box ► t Dist . Box to F eld/Pit rr Openings Sealed Yes No a rtia LOCATION/SEPARA ONs : Foundation to Tan — 1 p feet Foundation to abso ti n feet _ Separation of Pits eet Conforms as per Plo tan LOCATION OF SYSTEM PROPER ( circle one ) Front - Rear - Lef S de - Right Side C dl a Fron i le ear P-1 SYSTEM ESt� Arrived : Depa 71 7ng c or 1 � a T4wr ,► 00 t , } Of low 4W pe an the diagram '• j %NATURE RATE ph cc CE f 1 _ s' —4c+ r t,. f TOWN OF QUEENSBURY BUILDINrG A CONE ENFORCElIENT 742 Bay Road Queensbury NY 12804 cstsa 761-n56 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date © Permit # �L ,Q SOIL TYPE: Sand- Loam-Clay- Result of P of a ti on Test- ( if ap licable ate-Minute/ ch TYPE O SYSTEM: ABSORP ION FIELD : tal ngth Length of each trenc Depth trenches Size of stone kk SEEPAGE ITS : Num er Size - f x ft . Stone siz PIPING : ize ype Bldg . to T nk Tank to Dis Box Dist . Bax t Field/'Pi Openings S d ? s^` o` Partial LOCATION/S PA TIONS Foundatio to ank feet Foundati n to Sor tion feet Separat - on of P is feet Confa as per l t Plan Yes No LDCAT OF SYS ON PROPERTY : ( circ a one ) Front - Rear - L Side - Right Side Middle Front - M dd a Rear COMMENTS : SYSTEM 0 E APPROVED : N Arri rred : a Deprt 4 at ng ' nspec r TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location 301 '20% 9V= N3t' jjL LJE Date :!2 — L4 �'), Permit # ' SOIL TYPE: Sand- Loam-Clay- Results of 'Percolation Test- ( if applicable ) Rate- Minute/Inc TYPE OF SYSTEM: ABSORPTION FIELD : Total Leng Length of each trench Depth of trenches Size of stone SEEPAGE PITS : Number- Size - fto x fte Stone size PIPING : Size Type Bldg . to Tank Tank to Dist . Bo Dist . Box to Fi t Openings Seale es oPart T57 LOCATION/SEPA TION , Foundation t Tank feet Foundation Absorption feet Separation f Pits feet Conforms per Plot Plan Yes No LOCATION F SYSTEM ON PROPERTY: ( circle ne ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMME S : SYSTEM USE APPROVED : YES NO Arrived : IrAa Departed : ng spe TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road �`�,bye'A '1 \ ,fl Queerls6ury NY 12804 t (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name L3 �Ju�[r,[� '+�P.►�A Location 's QAL1��1I Eke pis) Date Perini t 4#` SOIL TYPE : Sand- Loam- Clay- Results of Percolation Test- ( if applicable ) Rate-MI ute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tot Length Length of each trenc Depth of trenche s Size of stone SEEPAGE PITS : iUu Size - f x ft . Stone size PIPING : Size ype Bldg . to Tank Tank to Dist . Box Dist . Sox to ield/Pit Openings Se ed ? Yes No Partial LOCATION/SE ARATIONS : Foundation o Tank feet Foundation to Absorption feet Separati of Pits _ feet Conforms as per Plot Plan Ales No LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : pS\3%v %-\VK-NVZ) SYSTEM USE APPROVED: YES NO Arrived: Departed : r B i spec i TOM OF QUEENSBURY ■ BUILDING & CODE ENFORCENT 742 Bay Road Queensbury NY 12804 Q� ,�3 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location E. Date permit #;`��� SOIL TYPE: Sand- Loam- Clay- 6:T 1&-0(U,!S3 Results of Percolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS : Number - Size - ft . x ft . Stone size PIPING : Siz Bldg . to Tank Ype Tank to 'Dist . Sox Dist . Box to Field/Pit Openings Sealed ? Yes artia 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 :A,)eov '/ f.L++✓' � ir7 c , c is NPR J j►� + i SYSTEM USE APPROVED : YES NO Arrived: 3lc�s Departed : I Sul ding n pector I