The URL can be used to link to this page

98-459 14 1 Certificate ofCompliance Town of Queensbury Warren County, New York €I r I February 17, 2 �J o U 1 f Date - � 98459 This is to certify that work requested to be done as shown by Permit No. has been completed. �x SEPTIC ALTERATION This stricture may k c '1 s 9 3 sHC 3 A MOE I L E lLocation k HOMESTEAD VILLAGE L . P Owner j TAX MAP NO . 93 . - 2 - 11 . 1 1<3y Order Town Board. TAN QUEENS �,, Director of Building roc Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY t�atr rtrc- fi F?r No. _ Cl R r Kot cz__-- TAX MAP NO . 93 . — 2 ~ 11 . 1 WARREN COUNTY, NEW YORK PERMISSION is hereby grantee! to HONESTF'an IL rF r. p OWNER of property located at _,. LOT U ft"met. Road or Ave. in the Town of oueensbury, To Construct or place a SEPTIC Aj-rMRA•PT[]MS at the above location in aocordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. t, O WNE R'S Address is 4294 ROUTE 5 CALEDONIAr NY 14423 2. CONTRACTOR or 13UI LOER 5 Name ADVANCE EXCAVATING 7. CONTRACTOR or BUILDER'S Address 4. ARCHITECrS Name 5. ARCHITECT'S Address d. TYPE o powstruction — (Please indicara by X) SEPTIC ( s Wood Frame ( 1 masonry ( I Steel I I 7. PLANS and Specif(oatioons SEPT;g ALTERATION AS PER. PLOT PLAN SPECIFICATIONS a. Proposed use SEPTIC ALTERATION 25 July 28 2000 $ PERMIT FEE PAID — THIS PERMIT EXPIRES t9 fit a lon of [A,iod is rr�ir ba on} an +rl c soon d�e.a xsa+riw+ nwo be made to the BuikHtq and towing InxPactar of elsa 28 July 1998 Dated at the Town of Queensbury this a ofrI t9 SIGNED BY for the Town of oueensbury Building and towirp IrttpenRer application for SEPTIC DISPOSAL. PERMIT Tows of Queensbury Dept. of Community Development Permit No. Building & Codes office o 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: abet xe 27weer - - Property OwnWs Name: 22=,n ± - 3 Property Owner's Mailing Address: ,a ,�! Installer's Name: ,r�49ZA V1 � �,�6 VA T1 C r Phone # /{D l "` �k" 7 Yc;Z Y7A94 Number of bedrooms (if residential.): Total daily flow: (residential - compute Q 150 gal.Ibdrm.) Topography: flat, rolling, steep slope % of slope Soil Nature: �' sand, loam, clay, other I 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: 4' municipal, well, other if domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank;+'fe�C3G7 gallon (minimum size: 1 ,000 gal.) Tile field: each trench V_feet I Total system length: feet Seepage pit(s): number of � 1 size each.: 4i_ ft. by ft. Size of stone to be used. # I depth or Briskness � feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarsu system and associated electrical work 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 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 kmwa 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 requnvments of the Town of Queensbury Sanitary Sewage Disposal Chdinauce. Signature of responsible person: �X� Date: � w BUILDING& OF QuEENSBURY cOsDc ,arfinRcr 742 BaY Road Queensbury NY 12804 fists) 761 -825e SEPTIC DISPOSAL SYSTEM IXSPrCrj0X Name Location tov TCate Permit # SOIL TYPE: Sand- Loam_ Clay_ Results of Perco7atfon Test. TYPE OF7SySb7e) Rate /Inch note ABSORP7.10N �xE�D: r ------ Length Of each trenc a7 L ngth Cepth of trenches Size of stone\ SEEPAGE PITS : �1M1fumbe Size Stone 5iZe x f•.— __ PIPING: ----- Bli d nk ' to Tank STze Tyypee to Lost . Dist . ga.K to Fle7d/Pit ---- Lox DOCArI gs Sealed ? Yes -_~~-- Found a 01V/ EPion A RAT �S : No Pa rti a Foundation to Absorptio ------ Separat ' feet Conform. on of Pits --- feet LOCATICW as per Plot Pla et f ci rc7 one ) SYSTEX ON Pa PER Front . - Rear - Left Side Middle Front - Middle Re r Right Side COMMENTS : SYSTEM USE APPROVED. Arrived: � ' lYil Depart B i 9 P for �--� I `i ,r / e � c/ pCt r "I harup seen or observed, or bekw 1 am ,p a l; i uwlects such as hocrses, welt, # @ft snown on this dmumeft I! also lr � JUL f �y 1 a wYr Z- 48 � J i TC i DATE J TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 1,wv q (5I8) 76I-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name �� f•.--��...•'S-i-�'Af] �r''1 1 ,"'� Location i71 Date Permit # SOIL TYPE Sand- oam-Clay- j Results of Percolation Test. ( if applicable ) Rate- Minute/Inch TYPE OF SYSTEM: ---� ABSORPTI FI 7 en h Length a tr n Depth t s Size f on SEEPAGE PITS : Size - r Stone size�--' f t x f*C ------ PIPING : Bldg . to rank 11� :5Co pe Tank to Dist . ox Gist . Box to field/Pit Openings Sealed ? Yes No LOCATION/SEPARATIONS : artta Foundation to Tank Foundation to Absorption feet Separation of Pits -- feet Conforms as per Plot Plan ' i`e tt LOCATION OF SYSTEM ON PROPERTY: es ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : PST Jpug SYSTEM USE APPROVED: YES - No Arrived: Depa rt f, z ? ding tar i TOkW OF QUEENSBURY BUILDING A CODE ENFORCEMENT '142 Bay Road Queensbury NY 12804 (519) 761-8256 SEPTIC DISPOSAL. SYSTEM INSPECTION Name Location - `Nr .t�-1 Date ��n� Permi t # SOIL TEE: Sand- Loam-Clay. Results of Percolation Test- ( if applicable ) Rate-Minute! ch TYPE OF SYSTEM: ABSORPTION FIELD : Total ength Length of each trench Depth of trenches Size of stone SEEPAGE PITS . N Size - f Stone size z e ------ f t PIPING : ��a hype Bl d9 . to Tank Tank to Dist , Box --Dist , Box to Field/Pit" ---~— Openings Sealed? Yes No a' rtia?LOCATION/SEPARATIONS . Foundation to Tank Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan feet LOCATION OF SYSTEM ON PROPERTY; s No ( circle one ) Front - Rear _ Left Side - Right Side Middle Front - Middle Rear COMMENTS : BUR, fRE � r �ioi�, SYSTEM USE APPROVED : YES NO Arrived:. D epartf i ding ector • TOWN OF BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY I2804 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location L � Date77JV39- Permit # r SOIL TYPE: Sand- Loam- Clay- Results of Percolation T t- ( if applicable ) Rate- ute/Inch TYPE OF SYS ABSORPTION FI �D; t ength Length of each r nc Depth of trench Size of stone SEEPAGE PITS , I� 'er- Size - ft ft . Stone size PIPING: Size hype` Bldg . to ank Tank to ist . B Dist . x to Fi ld/Pit Openi s Seal ? Yes No Partial LOCAT ON/SEPARATIONS : Foun ation to Tank feet Fou elation to Absorption feet Se aration o- Pits feet C forms as per Plot Plan Yes No ATION OF SYSTEM ON PROPERTY : circle one ) Front - Rear - Left Side - Right Side Middle Front Middle Rear COMMENTS nJ C57 Q.. Dq 12-E_t rz bPE-� SYSTEM USE APPROVED * YES , Arrived : Departed : 602 Id ng Ins