1990-097 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ,2/19
(at...3CA
This is to certify that work requested to be done as shown by Permit No. 90-97
has been completed.
This structure may be occupied as a sewage alteration.
Antigua Road-Plum Point
Location
PAUL& BONNIE AARONS
Owner
By Order Town Board
TOWN OF QUEENSBURY
-0A/t/.,/ 44,41,141.4,4
Director of Bldg. & Code Enforcement
- 2 • , , -
BUILDING PERMIT 1-3
TOWN OF QUEENSBURY
No. 90-97
WARREN COUNTY, NEW YORK
ARONS
PERMISSION is hereby granted to BONNIE & PAUL A
OWNER of property located at 89 McCormack Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage System -
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
0
Same
z
.
2. CONTRACTOR or BUILDER'S Name S�
OKO Custom Homes
td
0
3. CONTRACTOR or BUILDER'S Address z
R.
9 John Clendon Rd CD
Queensbury NY 12804
4. ARCHITECT'S Name
`
5. ARCHITECT'S Address
:
6. TYPE of Construction—(Please indicate by X) hs
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Sewage System as per plot plans, specifications and application.
8. Proposed Use
Sewage System
aR
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 3 19 92 cD
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
to
town of Queensbury before the expiration date.)
ro
Dated at the Town of Queensbury thi � Day of April 19 90
SIGNED BY for the Town of Queensbury
Building and o ing Inspector
TOWN OF QUEENSI3URY _ uEL-11`, �n.
�'y'�_. APPLICATION FOR ` L' _
'v SEPTIC DISPOSAL. PERMIT ��p
,i MAR 3 01990-
s/2i/�
DATE 3/2- 00 J -----
LOCATION OF PROPERTY FOR INSTALLATI NAM�U� /� 7—
z�
Owner's Name:q t./L - .0Ai/ 19iy-e6,t/s Te pha
Address: ,F9 /%e.4eiil4e/C J 1ii-74 e1 4-.u,�et),e> A4 z -�oV
Installer's Name: 4/e_ _ a v 7a,1i hD �� Telephone: 792 26 3-0
Number of bedrooms (residential only) "
Total daily flow (compute a 150 gal per bedroom) 75z)
Topography: Circle one: Flat Rolling teep Slop % of Slope
Soil Nature: Circle one: and Loam Clay Other. /Depth: 7 Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? - Feet
Percolation test: Circle one: not required required rate I min. inch.
Domestic water supply: circle one: Municipal Well Other L//« C=a,.2 c
If domestic water supply is a well:,
Separation: Water supply from septic absorption . /$ ' feet
PROPOSED SYSTEM: Septic Tank /15"--6) gal. (minimum size: 1,000 gal.).
TILE FIELD: Each Trench feet/Total system length - S/ZC= feet
SEEPAGE PIT(S): Number of / Size each feet by feet `
Size of stone to be used # 7- /Depth or Thickness • feet
*************************
" -I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbur •Sanitary.Sewage Disposal:Ordinance.
_ . SIGNATURE OF RESPONSIBLE PERSON:
DATE: .�/Zl/ fb
OVER
•
Septic System Inspections:
A. All applications for septic system installation, alteration' or repair,
as .required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of .construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance to lot lines
• 3.) location and distance to structures
4.) location and distance to any water supply
• 5.) size and dimensions of all tanks, distribution boxes,
tile. fields and/or drywells
B. No system shall be covered before inspection and approval by the
Building Inspector. Failure to comply with this requirement may
result in the uncovering of the system by the installer and a fine
of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
•
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
• Queensbury, New York 12804'
•
Remarks: •
_town of Queeniur,
B ILDING and ZONING DEPARTMENT
Ba, and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPT DISPOSAL SYST ; INSPECTION
1 CO . f2___
NAME /' 41�D,US(' ui ;k F uca,,-
I
LOCATION 1n`l TT-1 90A.
DATE 7 A. 0 PERMIT .0. 90- 97
f
SOIL TYPE - .and - Loa t` - Clay -
Percolation est Requied? YES - NO
Percolation sate - Min Inch
TYPE of SYST I:
Absorption fi=Id, tot 1 length
Length of each trench
Depth of trenc es '
Size of gravel
SEEPAGE PITS{Nuier f)
Size- ft. X 1i ,t.
Gravel size
PIPING: \ Size Type
Bldg. to tank 1
Tank to dist. box \ i
Dist. box to field'. nit
Openings sealed? ' ES NO Partial
)
LOCATION/SEPARATIO ` :
Foundation to tank ` ft.
Foundation to absorption ft.
Absorption to lot }p.i .e ft.
Separation of pit-I ft.
LOCATION OF SYST i ON,PROPERTY(circle one)
Front - Rear - Lest s de - Right side -
COMMENTS:
,(.404� I,v50dsctro 0 -
CO VT c-To n. GO"t L 4 41.4-vt. ,V4t. --1/-4T K Ch-e--
Az eeor 74 -4,, xies't 1. e.„v 1,---
/i4„2 -,- , i ZZe\ , - 0
(I` U✓!n ,5- a 7,LL \
1
SYSTEM USE APP"OVED YES A �
-0 di
Bu4ding Inspector
01/86 and vl
c7 aT
. awn of Queenstiury 1/W
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road,!R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SY EM INSPECTION
NAME_ I 1/o/y , o/
c
LOCATION , / y C7
j •
DATE_ 1 2 / P PERMIT NO. 9v q'7
SOIL TYPE - Sand - Loa - Clay - -
Percolation Test Requi ed? YES - 10
Percolation rate - Min Inch ;
.io
TYPE of SYSTEM:
Absorption field, tots length
Length of each trench 1 /
Depth of trenches ' c /
Size of gravel / _
SEEPAGE PITS{Nuinber of) - /
Size- ft. X _ ft
Gravel size R /
PIPING: S"ize Type
Bldg. to tank • 1
Tank to dist. box --
Dist. box to field/pap
Openings sealed? YES( 1 NO Partial
LOCATION/SEPARATIONS.
Foundation to tank / ft.
Foundation to absorption 1 ft.
Absorption to lot line \ ft.
Separation of pits —ft.
LOCATION OF SYSTEM ON PROP RTY(circle one)
Front - Rear - heft side - ight side -
COMMENTS:
( e.e ,K,i, op ,.....,14___s Pced-,,67, --e- ti,,y):_
_z--- a 64
.6, r.
,7 i___ "97 ,_:<4.
RA,. ,,, ,4 ,/, (77,,i ..r-, r/i64 -,041
u . ottircatit"----
SYSTEM USE PROVED YES NO
/,
Bum ding Inspedtor
01/86 and vl
ELECTRICAL INSPECTIONS
\SC1.43 • DUPLICATE MUNICIPAL RECORD
SR)-
Permit No.
Owner 42 0-0 0
• ) /
(1.
Occupant •
U`i CI> `'c•
Location
cpeo, . State
11-
CNC,' • Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes. •
Installed by
Date C/7c
Inspetor
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
: . • FORM NO.18 EL 900 Haddon Ave.,Collingswood,NJ 08108
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