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1999-578 Certificate of • Compliance Town of Queensbury Warren County,New York September 14 . 1999 Date, 6711(12 ) 99578 This is to certify that work requested to be done as shown by Permit No. has been completed. SEPTIC ALTERATION This structure may be used as a . 22 OAKWOOD DR. Location Owner LAMM, RICHARD & LOANNE TAX MAP NO. 69 , -2-11 By Order Town Board TO F QUEENSBURY Director of Building Code Enforcement BUILDING . PERMIT VALUE $ 0 TOWN • OF QUEENSBURY • No 9957$ TAX MAP NO. 69. -2-11 WARREN COUNTY, NEW YORK LAAKSO, RICHARD & LOANNE PERMISSION is hereby granted to 22 OAKWOOD DR. Street;Road or Ave.. OWNER of property located at To Construct or place a - SEPTIC ALTERATION • in the Town of Queensbury, 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. OWI 's(1410Wr1DD DR. QUEENSBURY, NY... 12804 2. CONTRACTOR or BUILDERS Name . CONDON SEPTIC. & DRAIN SERVICE 3. CONTRACTOR or BUILDERS Address • 4.'ARCHITECT'S Name • • 5. ARCHITECT'S Address • 6. TYPE of Construction—(Please indicate b,y, X) SEPTIC:,r,,,. • ( )Wood Frame 1 I Masonry ( )Steel I 1 7. PLANS and Specifications -.. SEPTIC .ALTERATION AS., PER PLOT. PLAN. SPECIFICATIONS. - No. 8. Pro sed Use SEPTICQ ALTERATION 0 September 7 2001 $ PERMIT FEE PAID—THIS PERMIT EXPIRES 19 (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. September . 1.999 • Dated at the Town of Qu bury this Day of . 19 SIGN ED BY for the Town of Queensbury Building and Zoning Inspector ; Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Dept. of Community Development �. _!1i Permit No. Building &Codes Office 742 Bay Road SEP o 3 Fee Paid S > `- Queensbury, NY 12804 1999 13.2"/"ING-ALocation of property for installation: 2 2- COOa '' r Property Owner's Name:/P/C/MA /l , - Kso - Property Owner's Mailing Address: `Z —©/4iXWOEd I Installer's Name( 4 JO f S'SPiot SE, I AA Phone # 77,f-�� y L- . Number of bedrooms (if residential): II Total daily w: D Q (residential - co pute @ 150 gal./bdrm.) Topography: flat, rolling, steep slope % of slope - Soil Nature: x sand, loam, clay, other /depth: Ground water: at what depth eet / Bedrock or Impervious Material: at wllat depth. feet Percolation test: .PS not required, required [rate min. per inch] Domestic water supply: F , municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM 3�1heti Septic tank: ��d gallon (minimum size: 1,000 gal.) Tile field: each trench 3-6 feet / Total system length: S' feet Seepage pit(s): number of / size each: - ft.by ft. Size of stone to be used: # / depth or thickness 1 feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system and associated electrical Rork to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of a val which is based or isQueensbury,failure any permit make a �rry grantedupon granted is reliance upon any material misrepresentation or to 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 Sanittry Sewage Disposal Ordinance.� �}G Signature of responsible person: - -C 0ay1 Date: Q '� 3 ^T / TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ��tt5a Location Date W/0( Permit #c 11 ` 5�8 SOIL TYPE: Sand Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length, Length of each trench 1 5O Depth of trenches Size of stone A SEEPAGE PITS: Number AIII Size - ft. x Stone size PIPING: W Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit m , ,, • Openings Sealed? Yes lip Parti .l LOCATION/SEPARATIONS: Foundation to Tank . fee Foundation to Absorption feet Separation of Pits 1 e Conforms as per Plot Plan Ye . No LOCATION 0 SYSTEM ON PRO ERT . (circle n ) Front - Rear - Left Side - Right Side Middle t - Middle Re r COMMENTS: 56 f oc 05 14 gi-c . 0 r Fi--&&o (( :) SYSTEM USE APPROVED: YES NO Arrived: Departed: ,fie- Building Inspector , 0 - ,3a ri,- 7111r TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road . Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name "c�So � -r 6,---e-eL/ mod` Location -go k � -) _— Date 61 Permit # giq- 5 4 SOIL TYPE: and- oam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ,� , ABSORPTION FIELD: Total Length 99 _ Length of each trench ? 51) Depth of trenches ?� Size of stone r SEEPAGE PITS: umber- Size - 't. x ft. Stone size PIPING: Size Type Bldg. to Tank ' 6xis T/.v(__ ` Tank to Dist. Box it 5cr0 Dist. Box to Fiel .. Pi/ 14 y Openings Sealed? t� No Part' 1 LOCATION/SEPARATIO r Foundation to Tank : feet Foundation to Absor don do feet Separation of Pits feet Conforms as per Plat P an Ala No LOCATION OF SYSTEM ON P"OPER' (circle Front - Rear Lefi Side - Rio t Side Middle F o - Middle Rear COMMENTS: kg ` 111'L SYSTEM USE APPROVED: YES 0 Arrived: _—Deprted: Al m Building Inspector f() c f-1AA . I-11A KS e ` orvcLC)V s (-,z. r L 4sy/y/ry C f( -_, 2).— 0.4 Kwmo c7 DI , -79., -- 66E0 1 aZ G lv.( 4e/6.- 7S-- i-sy2 . QuFe>vs3ur y ✓U,y 1 i_c-o tit 0(ProS fe70 N Y( =0/ TOWN OE OUEENSI URY BUILDING DEPARTMENT FtLEC$PY compliance with our comments shall not be construed as indicating the plans and specifications are in full . C7.p_59 cocompliance��� �©th the code. � , ( 0 r t .1o' l 5-o' 0I I met, 17 D,s, ,,, . ' x .. E,x(s-Htfug ` n EC G\1 .� eo. _ RECEIVED SEP 0 3 1999 CoWc6-Q`� �� b SEP 0 1999 TOWN OF QUEENSBURY :. L o� a6�r�r BUILDiNG AND CODE BUILDiN3 AND Coy v M �r .! f'( V�Q "I have semi or observed, or believe 1 saw evidence of, R . • y JFENS ��� ail objects such as houses, wells, trees, fences, etc., T ' ''� ` ' '�� y — 1snown on this document, I also represent that 1 have b-rr,BUILDING e4 s personally moasured the distances set forth on the diar REVIEWED g`; 1z ?� 3 -97. SIGNATURE ►' DATE . a-)- . 0A FrLO 60`1 64-5 tPt4ICrFS 0 A 641 /NDly 17' yA.D