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1990-198 t ' -4 .., 3 CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date 19 CIO , • — (0 This is to certify that work requested to be done as shown by Permit No. 90-19S has been completed. • This structure may be occupied as a sewage alteration Ce (a Location Lot 2 Clendon Ridge-RDO3 Box 211 Luze.rne, Road Owner Fred Carvin By Order Town Board TOWN OF QUEENSBURY 4Ariori c=1- (\ "„ k4 (..!• , - Director of Bldg. & Code Enforcement • BUILDING PERMIT TOWN OF QUEENSBURY No. 90-198 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to FRED CARVIN OWNER of property lock Clendon Ridge-RD#3 Box 211 Luzerne Road 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 same Pzi 2. CONTRACTOR or BUILDER'S Name David Howard n ro 3. CONTRACTOR or BUILDER'S Address CJ 4. ARCHITECT'S Name tb N 5. ARCHITECT'S Address CD CD 6. TYPE of Construction—(Please indicate by X) fl. ( )Wood Frame ( ) Masonry ( )Steel ( ) - -- t 0 7. PLANS and Specifications No. Sewage alteration-to include 1000 gallon tank, tile field with 40 feet of trench total of 240 feet and #2 stone at 2.2 feet as per specifications and o 8. Proposed Use application. z Sewage alteration aq $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 23 19 92 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Olq town of Queensbury before the expiration date.) cb Dated at the Town of Queensbury this 23'd Day of April 1990 SIGNED BY C .�, ( ,'J� for the Town of Queensbury z Building and Zoning I spector 7 APPLICATION FOR SEPTIC DISPOSAL PERMIT '' 41111, DATE t/' 2. a- l a 90 Ca.....&,CSJDEi 7 PT. LOCATION OF PROPERTY FOR INSTALLATION '" tOPfl Owner's Name: Fjt -ti„t/ Telephone: :77 3 `" y ?-3/ Address: R 1 3 2 1 Installer's Name: / his-�e�.�r� Telephone: /2 (42©;-2 Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) Topography: Circle one: Flat Rolling Steep Slope % of Slope/C42- Soil Nature: Circle one: Sand Loamlay Other /Depth: Feet ---_-_.C[104lTlij��A_tpr• A f i..l�.. . c� ri:- - _ t' Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle one: not required required rate 2. min. inch. Domestic water supply: circle one: Municipa ell Other . If domestic water supply is a well: Separation: Water supply from septic absorption /0e feet PROPOSED SYSTEM: Septic Tank /a0G gal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench 1/ D feet/Total system length = - feet SEEPAGE PIT(S): Number of / Size,each feet by feet Size of stone to be used #, 2 /Depth or Thickness Z X 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 Queensbury--Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: / 9 /d O 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, cue 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,__h Should unforeseen problems during construction prevent proper installa— . . tion, alteration or repair of an approvers:system, a ti w -pi.- --- --------___— be submitted. to che.:Queensbury Building Department .before further construction. 6 4. ivg , . . , . . , . . . . _. . . . Town of Queensbury . BUILDING and CODES DEPARTMENT - .. Gel. TS - - -E ey and Haviland Roads - Queensbury,- New York 12804 �i, �'�" cr-v'Aire' (--1/ - . ' 40. / p [ /(T }Lima k.se:. ..ei.../ .: . . .,,._, . . ,. . . : .___ ,. 4() / -'ia.&4 - .42 ------7---r.-----------3 7( 5 s� • �G� �, 4_ 7 ( . - _ - /it - . : . 4_7 ,,.._ .-&. : //:.'P • - . h7 G %%: / �/ f • • Jown o/ Queen3t ur, . BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 /�f�;1 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME J/C.Gd �gL e/ , 4 LOCATION Z-;f O/f - 4 ,7),J r,?( „,,,_„,_1,i/4 DATE , !' / / 9G) PERMIT NO. ti, _ _ `d -/9/'f SOIL TYPE - and ' Loam - Clay - Percolation Test Required?- YES - NO Percolation rate 7Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench 1 Sj'j Depth of trenches Size of gravel 1 `. SEEPAGE PITS4Number oft) Size- ft. X _ , ft. Gravel size , 4 PIPING: i !' Sig Type Bldg. to tank Tank to dist. box j 2 Pk -f�ice-0 Dist. box to field/ ' Openings sealed? S NO Partial LOCATION/SEPARATIONS: ti Foundation to tank A 20ft. Foundation to absorption Eft. Absorption to lot line . in-ft. Separation of pits \ . ft. LOCATION YSTEM ON PROPERTY(circle one) Front - ear Left side - Right side - COMMENT 4... ,L.4,,,,_, ,/ . n s f--„L \ 4,0LP 8 r, . \ . . SYSTEM USE APPROVED Y S Building 'nspector 01/86 and vl _ • vii?. trZ-------LL____„ . 9 , �t,� 9, ` �1i� v • S��• v (FP 01-fi",24-3.4..,P-4-<441 Pw- 145 t 6 ___ -a-6 t. . • 7 /1.'C-6(1 !') - 1_ f1AD�iQo,� (2 9L( / ________ 2 <- t - - - - 26' • i yy I A / ,, ry y a ' APR 2 31990 BLDG. A CODE :DEFT. // TOW� F o F BUIL • �� . t_y c PT;� U RE-VIEWED v DATE • /r c---A Cc ,e '/N -- • E • • t )Nip �� '-'4. 1., •��N a• 2yQ.53 yt' so i 'L 47 l d / — — ` ^ a • 0 i 0 v *;\ Z1! 243.(03"�� a t�-IV p \\ -- v a ?E�co`ATtoN Tr.STs ,V \W Q ` 6 9 2 L i r \ `-� 28 rn \1.2.of TQS$ e c i oer-C% Tt Ma- .r V 24 ra`734 4- . r� 35432� ° 3�g.15 - 7 N ',i,/% `09 30 $ 23° o �% ^I I^ :3 � 0 a Q o �b 2� � I ply " \�� � ` , \ J y w 5o tll in \ 35'7S¢• -5I4tuf ! 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