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97-047 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 •)-0—a—t This is,`to certify that work requested to be done as shown by Permit No. 97047 has been completed. This structure may be used as "a. SEPTIC ALTERATION Location QUEEN MARY DRIVE Owner QUEEN VICTORIA GRANT By Order of Town Board TAX, MAP NO. 121 . -12-205 TOWN OF QUEENSBURY w • Director of :Building & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No. 97047 • TAX MAP NO. 121. -12-205 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to QUEEN VICTORIA GRANT OWNER of property located at QUEEN MARY DRIVE 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 HOMEOWNERS ASSOC. INC . MARGARET DR. BOX A QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name I.B. S . SEPTIC 3. CONTRACTOR or BUILDER'S Address 2 LOWER WARREN STREET QUEENSBURY, NY 12804 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by XI SEPTIC I )Wood Frame ( ) Masonry ( 1 Steel ( 7. PLANS and Specifications SEPTICNALTERATION AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SEPTIC ALTERATION 25 February 24 19 99 $ 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.) 24 February 19 97 Dated at the Town of Queensbury this ,1 ay of SIGNED BY C for the Town of Queensbury Building a °ring Inspector Application for SEPTIC DISPOSAL PERMIT 1 170 Town of Queensbury Dept. of Community Development "' ' Permit No. Building &Codes Office FEB � 0 Fee Paid $ 742 Bay Road 1997 Queensbury, NY 12804 TOirtr-. U4 Location of property for installation: 1 ' ; Property Owner's Name: r e�r:,�t C ti 1 �Cr r �i ;> rI . , ' �- Property Owner's Mailing Address: Installer's Name: 1,, , � �//%. ( Phone # ,� r72 Number of bedrooms (if residential): Total daily flow: (residential - compute @ 150gal./bdrm.) • Topography: // flat, rolling, steep slope % of slope Soil Nature: its" sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: not required, required [rate min. per inch ] Domestic water supply: ,i j; municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM'�� Septic tan1c '000 gallon (minimum size: 1, g.) e`Q ✓ �L6�24rbrci V '1 e-c Tile field: each trench feet / Total system length: J 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) Number of tanks: Size of each: gallons CAlarm system and associated electrical work to be inspected by a certified agency.j • 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 known by or on behalf of an applicant;shall be void. I have read the regulations with respect to this a and to a ' these and all requirements of the Town of Queensbury Sanitary Sewage Disposal n / Signature of responsible person:C Date:(f� „ ---,.....„ \\ ” TORN OF QUEE!SBURY BUILDING A CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Jq9,,Nr \�Ic -V-1G' vY6Vvv- LocationC k 2 DIn caUiig Date3_3 / Permj f} .���t # 4 ° `.1/ SOIL TY'4': Sans Lo., -Clay- 1 / Results of Percolatil, est- (if applicable) Rat- •i'ginute/Inch TYPE OF SYSTEM: - . ABSORPTION FIED ot. Length 44Z4) Length of ea tench � Depth of -=.v.:Lb '7 .��-r 3; Size of stone SEEPAGE P S: Number- Size - t. Stone s' PIPING: Size Type Bldg, to Tank E 5Ti L L_ Tank to Dist. Box 61', Dist. Box to Field/ - Ir Pt3----c-pr___04,- Openings Sealed? _Yes o Partial LOCATION/SEPARATI . Foundation to Tank F t)i r, feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot P1 an _ ,Ye o LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: SYSTEM USE APPROVED: (121E0 NO Arriv Dep. '41 :. : _ ir � :wilding I' T,.. -or / TOWN OF QUEENSBURY BUILDING ;& CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name GliEEk\ \IICLTDRIA GVPOT- Location Q0E_ \ \1\R' V)P'1\\E Date 712107 Permit # CI- -Q-}71 SOIL TYPE: Sand- oamlay- Results of Percola ion Test- (if applicable) te-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: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial 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: SYSTEM USE APPROVED: YES CNO Arrive. • I 'LM Depa -'ed 0 .; i hi// ` Building Ins. •c or f.s' F T h�.c TEST PIT NC lO S • t :± * . - JFS� _WN c_r_ s: - �6'/-,-- if V , II FINE -C. VEj J i 8=::'r►'• &to,: j 6-96- .--- -- I: _ . :-.e,RSE 6FiAt 12•-9_. w 4 ' ' SG�: 1Y **ARSE G� i�.. ... r �. -- _, I j SAP.; t DA. FEB 2 o 1997 EU ILO ii`ai PAD C0 - _ N3 *ATEF h_ lr- GR .. - (::: .1(`elei..,, V) C+rtcs cEE;1:- -e''.'"---- 1.• 13l ELEVATION 394± M 4 €JUNiT . E- 47.-g9ESs - • :IC ram',. :iP -TAliL6 - • . '»FS • ' . J /DAY • • a,.�./AAY TOWN r`. .lSBURN., BUILDE. RC?r~QED DEPT .��.' . , _ / : z. • REVIE E�. . � Ar ( ' , ' ; • _LECIL•1 l�f_HlD _ A1E 2-V i Ito', - . :_ l .. ,. . T ,.. 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