1990-165 CERTIFICATE OF COMPLIANCE .
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date A nril 26 1990
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This is to certify that work requested to be done as shown by Permit No. 90-165
has been completed.
sewage alteration
This structure may be occupied as a
Location 117 A vintion Road
DeSantis Enterprises
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-165 V
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to DESANTIS ENTERPRISES co
OWNER of property located at 117 Aviation Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sewage 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•
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2. CONTRACTOR or BUILDER'S Name
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D. Granger & Sons
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address O
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6. TYPE of Construction (Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications
No. Sewage alteration-1 seepage pit 6tx8t with #3 stone at 18" depth. ro
as per plot plan and application.
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8. Proposed Use
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Sewage alteration Po
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$ 35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 17 19 92
(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.)
Dated at the Town of Queensbury this 17th Day of April 1990
/2SIGNED BY. tnf for the Town of Queensbury
Building and Z ing Inspector
1'O WN OF Q UEENS E UR Y -9- / ac'
��-_v, APPLICATION FOR
v SEPTIC DISPOSAL PERMIT
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DATE '1/ l 7 g6 ;±fir. 4QQr
LOCATION OF PROPERTY FOR INSTAALLATION
Owner's Name: V,p.s - s et.tA y • Telephone: 7f 3— 3 <Q d
Address: / 1 7 ,uia.4Ze,,, CI,J,
Installer's Name: : ) 67 94\ 67,1 Telephone: 73-66 9
Number of bedrooms (residential only) 6 spree ,
Total daily flow (compute (d 150 gal per bedroom) G X2.5= 1 SO G F 1:2 T'cc n S/4=ZJ,i ' 6' I- 9,7z.
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Topography: Circle one: C at Rolling Steep Slope % of Slope
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Soil Nature: Circle one Sand Loam clay Other /Depth: & 0 Feet
Ground Water: At what depth? e. 04 Feet
Bedrock or Impervious Material: At what depth? 66,12 Feet
Percolation test: Circle one: not required required rate, $min. inch.
Domestic water supply: circle one: unicipal ell Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank 006 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench feet/Total system length • feet
SEEPAGE PIT(S): Number of / / Size each 0 feet by K feet
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Size of stone to be used # >j /Depth or Thickness /8 feet
*************************
I have read the regulation on the reverse side of th sheet and agree to abide by these
and all requirements of the Town of Queensbury S itary Sew ge posal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: 6,,i ��_
DATE: i T/,1d .
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:
_lown o/ Q ,.,,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Oueensbury, New York 12801
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cD SEPTICDISPOSAL SYSTEM INSPECTION
IAME /4,74/kc/ a7;6-1.04 /( -
LOCATION ' ;awl
DATE '//;d� "9� PERMIT NO. 9 - l(p S
SOIL TYPE - Sand - Loam - Clay!-
Percolation Test Required? YES - NO
Percolation rate - Min/Inch ;x`
TYPE of SYSTEM:
Absorption field, total length
Length of eachtrench ' F
Depth of trenches '
Size of gravel'_; ' •
SEEPAGE PITS{Nuinber of)/
Size- 6, ft. X s;, ft; -- 7,
Gravel size , j
PIPING: i, 1'Size Type
Bldg. to tank k. `' t,
Tank to dist. box "*!
A.
Dist. box to field/,' i�
Openings sealed? �' ES) NO Partial
LOCATION/SEPARAT1tONS: '.
Foundation to tafik •
a cxt ft. .
is'-Foundation to absorption c ft.
Absorption to ,of line % , Oft.
Separation of pipits ft.
LOCATION a SYSTEM ON PROPERTY(circle one)
Front j Left side Right side -
COMMENT . _ -
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SYSTEM 'USE APPROVED 'YES NO
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