97-206 . . .
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- ' CERTIFICAT Oi:41 COMPLIANCE . •
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TOWN OF 'QUEENSBURY
WARREN COMITY, NEW YORK . . .
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. Date May 7 • . 19 97
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97206
This i t 3o certify that work requested to be done as shown by Permit No.
has been completed. •
SEPTIC ALTERATION
• This. structure may be used as ,a . . .
Location 7 RYAN ST..• .'.
Owner . BALTAZAR i. LOUISE.
• By Order 'of Town Board
TAX HAP NO. 134 . -6-35 -- TOWN OF QUE SB RY
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- Di rector of Bui 1 dinv& .Code Enforcement.
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BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 97206
TAX MAP NO. 134. -6-35 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BALTAZAR, LOUISE
OWNER of property located at 7 RYAN ST. 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 RYAN AVE.
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 X)
SEPTIC
( 1 Wood Frame ( )Masonry ( )Steel ( 1
7. PLANS and Specifications
SEtk'oTIC ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SEPTIC ALTERATION
$ 25 PERMIT FEE PAID —THIS PERMIT EXPIRES May 7 19 99
(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.)
7
Dated at the Town of Queensbury this Day of May 9 7
19
SIGNED BY V Y V for the Town of Queensbury
Building and Zoning Inspector
,,. Application for SEPTIC DISPOSAL PERMIT I 0
• STAMP RECEIVED
7fi 0� 4U
Location of property for installation: "Ti
Owner's Name 6 Q At 7A 2 0 r PERMIT NUMBER
Owner's Mailing Address: 447 C. ek n ,4� g-7 2Q L
lsl. I All) Z
c
Installer's Name: 'Zc c /c.C( 71 a Phone #: )9r—
F
rj'/
Number of bedrooms (if residential): --3 . . .
. ,9.5v .
..<
Total daily flow (residential -compute (0) 150 gal. per bedroom
)
'Topography: EKlat I_ I Rolling r-1 Steep Slope % of Slope
Soil Nature: Sand Loam Clay n Other /Depth:
Ground Water: at what depth? feet
B:: ::
drock ImpervMaterial: at what depth? feet'1'csl; ( -Not Required I I Required/Kale iui a{r' 1
• �tr 0
Domestic Water Supply: Municipal I f Well 0 Vile 118 d9
lifrivif domestic water supply is a WELL: water supply from any septic absorption .13Ul ®F et
Cki 0��Y
1'ROI'OSIiD SYS'I'I;M: _
rj (t--1S/rl/1,
Septic tan gal, (minimum size: 1.000 gal.) •
Tile Field: each trench S i2 feet. / total system length CT 0 d feet.
Seepage Pit(s): number of / size each: ft. x ft.
•
• Size of stone to be used: # / depth or thickness - feet. • '
IIOLDING TANK SYSTEM: (if required) '
•
Numbcr of tanks: • Size of each: gal.
Alarm system and associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 oftlrc Code of the Tony 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 o f an applicant, shall be void.
•
1 have read the regulations wiNi respect to thlis application and agree to abide by these and all
requirements of the Town of Queensbur anitary Sewa ''Disposal Ordinance.
ofres ponsib'e person: G � Date: —22
Signature / 1 —� c--
TOWN OF QUEENSBURY
..�1 . : -BUILDING & CODE ENFORCEMENT
v t742 BAY ROADLAT
w--` QUEENSBURY NY 12804
( (518) 761-8256
S� • J
ARRIVE: DEPART: f i INSP:
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSP ON REQUEST RECEIV D: 5 'i ✓` /
NAME Cks.)C-- L k,�
LOCATION 1 ( r'— -
DATE `PE``RMIT' i •/ R
TYPE OF STRUCTURE , jJ�(5 6-1U Cr)
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B V NT/HEIGH
PLUMBING VENT
ROOFING
EXTERIOR FINISH
PECK PORC TEP j •GS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
J1OKE DETECTORS
PATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLA
OK TO ISSUE C/O O C/C'
a Ho . C6MIO6-i
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 41-47724-X
Location 421/.9-,4// C
Date j Permit #" *?, O
SOIL TYP.: Sand-Loam-Clay-
Results of '-rcolation Test-
(if applic. ,1 -) Rate-Minute/Inch
TYPE OF S-STE'
ABSORPT )i.' FIEL' : Total Length
Length of each Drench
Depth of trenche.
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:
(A) r 64'OP
SYSTEM USE APPROVED: YES NO
Arrived: `),95---
Departed: •
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Building Inspector
1/:
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name /6.¢LT/Zg/2
Location 'V4-,U
Date ermit # q7
SOIL TYPE: ian Lom-C 4
Results of Perc 'on/Test-
(if ,a.p e Ratfinute/Inch
TYPE OF SYSTEM: �.
ABSORPTION FIELD: Total Le ith ga
Length of each trench t 5
Depth of trenches 9-
Size o stone "y
SEEP E PITS: Num er-
S ' e ft. x ft.
tone size .
PIPING: Size Type
Bldg. to Tank •I/l16
Tank to Dist. Box 444 454: gO
Dist. Box to Field/Pit 04
Openings Sealed? 0 No artial
LOCATION/SEPARATIONS
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan r . No
LOCATION 0 SYSTEM ON PROPER
(circle vn-) .
Front -. Re. -. Left Side - Right Side
Middle Front - Middle Rear
COMMENTS: :
•
SYSTEM USE APPROVED: YE NO
Arrived: ) •0
Departed: 1 n', ((_
Building Inspector
i, I h ` Al /V- `I 1 f
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