98-712 CERTIFICATE OF CO:MP LANCE
TOWN OF UUEEN58URY
WARREN COUNTY, NEW YORK
Da to November 13 19 98
98712
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 --
Location (LQ DU rbn i 1 y-�] ._
SULLIVAN , LOIS & BENWARE ,
Owner
TAX MAP NO * 52 . - 1 - 8 By Order of Town Board
TOWN OF QUEENSBURY
Director of Building & Code Enforcement
i
BUILDING PERMIT
TOWN OF QUEENSBURY Na. 98712
VALUE $ 0
TAX MAP NO . 52 . - 1 - 8 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SULLIVAN LOTS & BENWARE `
OWNER of property located at 16 CRC 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.
t. Oy+1II Address is
CLAIRE 16 OLD CRONIN RD ,
QUEENSHURYr NY 12804
2. CONTRACTOR or BUI LDER S Name
STEVENSONr WALT
3, CONTRACTOR or BUILDERS Address
i. ARCHITECT'S Name
S. ARCHITECT'S Address
6- TYPE of Construction — (Please indicate by x) SEPTIC
{ i wood Frame I I MaaonrY { I Steel { i
7. PLANS and Specifications
SEPTlt' ALTERATION AS PER PLOT PLAN SPECIFICATIONS
S. Proposed Use
SEPTIC ALTERATION
November 13 2000
g 25 PERMIT FEE PAID — THIS PERMIT EXPIRES 19
tlf 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.l
13 November 1998
Dated at the Town of +Queensbury this Day of t9
SIGNED BY
for the Town of (lueensbury
Buipding and Zo0irq t++swector
Application for SEPTIC DISPOSAL PERMIT
TQun of Queensbury Permit No.C�
Dept- of Community Development
Buildrna & Codes Office
742 Bav Road Fee Paid S
Queensbury, NTY 12804
LOcadon of property for installation: p
Property Owner's Name: &I S 3tt VA Z C. r Yl r. t �,aw grr � �`o v
P
roperty Owner's Mailing Address: �� b � � C�vr►irt � W }?%j
Installer's Name: ?yul[Se (17 k%L 1T ` �&G `x Phone # _ !t ) Q 7/ q
Number of bedrooms (if residential): Z Total daily flow: `
f (residential - compute 150 gal.fkydrxn.)
Topography: ✓ flat, rolling, steep slope % of slope
Soil Nature: " � sand, loam, clay, other f depth:
d '0
Ground water: at what depth?S0 feet f aedar2ck or Impervious Material: at what depth?/ feet
Percolation test: not required, required [ rate . min. per inch ]
Domestic water supply: municipal, ✓ well, other / n�
If domestic water supply is a W'EL.I., water supply from any septic /absorption is IQ feet.
PROPOSED SY'STENI
Septic tank: W' gallon (mu' 'r um size: 1 ,000 gal.)
a
Tile field: each trench O feet f Total system length: feet
Seepage pit(s): number of f size each: . ft. byaaaa�aa ft.
Size of stone to be used: # � I depth or tbic'kness Z__� feet
HOLDING TANIK SYSTEM: (if required)
Number of tanks: Size of each.: �ailons
Alarm system sad 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 Qneensbury, sny parnait or
approval granted which is based upon or is granted is relirmca uprxi muy maSerial misregresaion or failure ha make e
material fact or circu=stance kno%n by or oa bahAl.f of as applicaxr , shail ba void,
I have read the regulations with respect to this application and sgrese to abido by thee& and all requirements of the Town of
'4atwarY sanitary Sewage Disposal CYrdimaauae.
S ig a_ure of responsible person: _!t" ,r't i ' �" � - _ Date:
TOW OF QUEENSO""
BUILDING 'a" E1iFORC�T
7A2 Bay Road
ueensbury V I�g04
(si8)
SEPTIC DISPOSAL 'SYSTEM INSPECTION
flame
Lacatian _
Permit # � ,�w -+ir �►
Date
SOIL TYPE: Sa
-Lo y'
Test Results of percol ate-Mi nut nch, ,
( if aPPl i cabl e)
TYPE OF SVSIE,M Total ength ip
AggpRPTION tren I
Length of e h --�`
Depth of enc r-------.""-
Size of one
SEEPAGE ITS= ft b f t .
. �.�-�---
Size - Size ype
Stone size _ wv
PIPING:
Bl dg • to Tank --~�
Tank to Dist , i0eld/Pi a� artz a
Dist Ye. Box to Fit
tl peni ngs Seal ed? s fee
p t
&,T3.0KI SEPARATI ONS
to Tank feet
Foundationtion t Absae"Ption et
Foundation o+ Pits o
Separation er Plot Plan
Conforms OF SYSTE" ON PRO
PERT
LOCATION Side
( cir a one) - Ri ht
ron Rear _ eft S ear
e rant
COLTS
,s
SYSTEM 115E APPR,0HED
Arrive
Depa
ui
spectar
C j Y
zo
r U N E a OF
' Z
Fiddo a
6 r r ui t>I
14
Ll
J
Y'
1 ox
+»
a
off
f Y ) $ W
zCD
f2£•o91. ' � � s F � 4a
cnsrr
UYn�
r p
u
i
s �
f
3
i
4 ;
1 t
4
t
_.f a1�--n'M:A�+^'::'.�'whrRw=:^T�+.���•�r "�T sy..:�..�•�
000
lr � � �