96-340BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No.96340
TAR MAP NO. 83. -1-12. 71 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
OWNER of property located at 36 Street, Road or Ave.
in the Town of Queensbury, To Construct or place a qEI2!1!Tg AT
at the above location in accordance to application together with plot plans and of er information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1.
OWNER'S Address is
36 ELDRIDGE RD.
QUEENSBURY, NY 12804
2.
CONTRACTOR or BUILDERS Name
BELL, IVAN
3.
CONTRACTOR or BUILDERS Address
516 BIG BAY ROAD
QUEENSBURY, NY 1280
4.
ARCHITECTS Name
5.
ARCHITECTS Address
6.
TYPE of Construction — (Please indicate by X)
( )Wood frame 1 1 Masonry ( 1 SteelSEPTIC
7.
PLANS and Specifications
SEPTre ALTERATION AS PER PLOT PLAN SPECIFICATIONS
8.
Proposed Use
SEPTIC ALTERATION
25 PERMIT FEE PAID — THIS PERMIT EXPIRES 71inp 10 1 19 19 ---
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of QueensburV before the expiration date.)
nntcri at the Town of Queensbury this
SIGNED BY
20 Day of June 19
the Town of Queensbury
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date June 20 19 96
This is to certify that work requested to be done as shown by Permit No. 96340
has been completed.
This structure may be used as a
Location 36 ELDRIDGE; RD.
SEPTIC ALTERATION
Owner DAVENPORT, RONALD & ANN
By Order of Town Board
TAX rfAP No. e3.-1-1.71 TOWN OF gUEENSB R
Director of Building & Code Enforcement
j e Y'I Application for SEPTIC DISPOSAL PERMIT
STAMP RECEI VI?U
Location of properly lur insl:d In%liuu:`r �L(�r� " rd
Owner's Ntmu: � L? L- C? &PC PH It MIT NU At It N. It
Owner's Mailing Address: �C �r' G(;e
6eU T. .a S : I:IiIi PAN)
❑tslallcr's Name: (/lt � Phone #: � �� — �7
Number of bedrooms (if residential): Y
"Total daily flow JaI
- compute �, I50 gal. per bu
cdrex❑):
Topography:Rolling Q Sleep Slope 9'n of slope
Soil Nature:d Q honeClay Q Other /Ucpth:
Ground Water: at what depth? ` fcct
Bedrock or Impervious Material: at what depth? feet
Ycreol alion 'fcs L' [� ul IicquircJ
Domestic Water Supply: Municipal
Q Required/Rake _ min. per inch
Q Well Q Other
If domestic water supply is a WI?L.L: water supply from any septic nbsorpti on is feet
PROPOSED SYS'I 1iN :
Septic lankpl, (mini mitim size: I.000 gal.)
,life Field: each trench fcet. / total system length 0 v feet.
Seepage 1'it(s): number of / size each: It. x ft.
Sim of stone to be used: # / depth or thickness I feet.
IIOLUINU TANK SYSTEM: (if required)
Number of larks:
Mldmo
'L�tJ
Size Of each: gal.
Alarm system ruin associated electrical work to he inspected by a certified agency.
For yoar profectian, please more that pormtoat it, .Section 136-29 of rive ('ode of the Taira of
Queeasbury, any permit or approval granted which is based upon or isgraoted itt reliance a poo
any material arisrepresenmtion or firihtre to make a material fact or circimrsmnce known by or an
behalf of as applicant, shall be void.
1 have read the regalalimis u•itlt respect to his application and agree to abide by these and all
regrtirenteatsofthe TomaofQueeashur ape .tutilnrySnvUisposa Ordinance.
Sigaatureofrespansib•e person: C- Date: �I<
Ll
havee GNU w��' MM7�a
l objects 1WO SSWWs* � M:
InWn on iWs �l
S(rruib_�
T0WN OF QUEENSBURY
BUILDING S CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
S PTrll DISPOSAL SYSTEM INSPECTION
Name
Location l9
Dat P L Permit #
SOIL TYP . Sa oam-Clay-
Results of Percolation Test -
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Len th
Length of each trench a +
Depth of trenches
Size of stone —
SEEPAGE PITS: N ber
Size - t. r, ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box tc geld n
Openings Sealed? Yes oly' Partial
LOCATION/SEPARATjT
Foundation to Tank F��,feet
Foundation to Absorption 7_ feet
Separation of Pits feet
Conforms as per Plot Plan ?Ye s:>o
LOCATION OF SYSTEM Or. PROPER
(circle one)
Front - Rear - Left Sid ht Side
Middle Front - Middle Rear
COIMIENTS:
SYSTEM USE APPROVED: Y
Arrived: �'
Depa;� � ; : t i-