98-606 41
woo
CERTIFICATE of e COMPLIANCE
TOWN OF QUEENSBURY
WARREN COMITY , NEW YORK
Da to October 2 lg 98
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
29 LYNNFIELD DR ^ �—
Location
Owner MC DERMOTT , ROBERT & —
TAX MAP NOw 81 . - 1 - 9 By Order of Town Board
TOWN OF QUEENSBURY
O
Director of Building & Code Enforcement
BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No, 98606
TAX MAP NO . 81 . — 1 - 9 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MC DERMOTT ROBERT &
OWNER of property located at 29 LYNNFIELD DR . Street, Road or Ave.
in the Town of OueensburY, 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 Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
GINGER 29 L'Y'NNFIELD DR .
QUEENSBURYr NY 12804
2, CONTRACTOR or BUILOGFISNam*
BARBER , DANIEL R .
3)j4T+'ANG R or DRIVE Address
QUEENSBURYr NY 12804
4. ARCH MCT'S Name
6. ARCHITECT'S Address
6. TYPE of Construction — iplease irxficato by ?tl SEPTIC
i 1 Wood Frame i I Masonry f 1 Steel f 1
T. PLANS and Specifications
SEPT=�o ALTERATION AS PER PLOT PLAN SPECIFICATIONS
S. Proposed Use
SEPTIC ALTERATION
25 September 28 2000
$ PERMIT FEE PAID -- THIS PERMIT EXPIRES , 119
(it a "or period h required an application for an extension must be made to the Building and Zoninq inspector of the
town of Queensbury before the expiration date.)
28 September 1998
Dated at the Town of Gueensbury this Day of 19
SIGNED By14LMUinn
` - for the Town of Oveensbury
and anino I ector
y 'Application for SEPTIC DISPOSAE PERMIT
Town of Queensbury / /1 +�'
Dept_ of Community Development Permit No, t�t',.1�.�JJJC�
Building & Codes office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Eiooation of property for installation:
Property owner's Name: f � ' r L`- /r'?r T� -'�% 1 ' 11�7 S
Property owner's Mailing Address:
Installer's Name: _ 1,4 N f ;• :�'� C,,C- G' Phone #
Number of bedrooms (if residential): Total daily flow:
(residential - compute @ 150 ga1.Ax rm.)
Topography: ' flat, rolling, steep slope 'YQ of slope S E P , 1998
Soil. Nature: - sand, loam, clay, other I depth:
Ground water: at what depth? feet I Bedrock or Impervious Material: at what depth?,—W feet
Percolation test: not rewired, required [ rate min. per inch ]
Domestic water supply: I- 'municipal, well, other
If domestic water supply is a WELL, water supply frorn any septic absorption is feet.
PROPOSED SYSTEM
Septic tank: i_PF gallon (muumum size: 1,000 gal.)
Tile field: each trench feet I Total system length: feet
Seepage pits): number of —elL�-- I site each: ft. by ft.
Size of stone to be used: # _ / death �E t % feet
. t
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each gallons
Alarm system and associated electrical wurk to be inspected by a cerhfxed agency.
For your protection, please note Chat 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 reluuwa upon any material miaregceecuta4iou or Mure to a udw a
material fact or circumstance known by or on behalf of an applicant, shall be void.
I knave read the ragaalabons with respect to this application and agree to abide by these and all reginremmo of the Town of
Queenabury Sanitary Sewage ,Disposal Ordaaame.
Signature of responsible person: �t �rXm -c Y �%'�AP ,2u Date: 7' ' ` -
TOM OF QUEEMSBURY
BUILDING & CODE EMFORCEMEMT
742 Bay Road
Queensbury MY 12804
(519) 761 -9256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ] �'
Location v�- Ile
� 1_—"=" -
Date L�}-0Z `l%Fermi t #
SOIL TYPE: Sand-
Loam-Clay-Results of Percolation Test-
( if applicable ) Rate-Minute/ Inch
TYPE OF SYSTEM:
ABSORPTI FIELD : Total Length
Length of ch trenc
Depth of tr nches --- ---
Size of stun
SEEPAGE PITS . N ber- ft .
Size - t . x
Stone size _ ar
ixe��y ee
Bldg & to Ta
Tank to
Dl A . o Fiel Partial
Openings eal ed?
j LOCATI /SEPARATIONS : eet
Found ion to Tank 2QA*A'feet
Foundation to Absorption feet
Separation o+ Pits es - 0
Conforms as per Plot Plan
LOCATION OF SYSTEM ON PROPEE
( circle on Si Right Side
Front - ea
Middle Fron - . ear
COMMENTS:
:
SYSTEM USE APPROVED : MO
i
Arrived : <Dkjx
Departed "-
r uilding a or
r'
eel
S 71 ? Q? 1998 all ob�e see
shown c such as ho . or believe 1
Person on this docU�nen , wells. trees evidence of
Person, ►ne ed ,the 1 also reArese . etc..
asur
r� c nt that l have
\ S tan es set forth on the diagr
Joe
t--
x
�,— -
Xn 06 JF-
1 ii xl�q