1990-232 c
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date !21 19
(10
This is to certify that work requested to be done as shown by Permit No. 90-232
has been completed.
This structure may be occupied as a sewa(e alteratirnn
Location 35tttage Hill. Road
Nicholas Latorgia
Owner
By Order Town Board
TOWN OF QUEENSBURY
r n d u ;I "t ;
Director of Bldg. & Code Enforcement
b
i.._ ..- is..'... .... e ._ a ...1.._ I•.
BUILDING PERMIT
r �
TOWN OF QUEENSBURY
No. 90-232 z
WARREN COUNTY, NEW YORK ' 9
PERMISSION is hereby granted to NICHOLAS LATORGIA �?
co
OWNER of property located at 35 Cottage Hill 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 a
same
151.
2. CONTRACTOR or BUI LDER'S Name z
Quensbury Sewer
sv
u,
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
co
5. ARCHITECT'S Address
C7q
ro
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ') Masonry ( )Steel ( ) n'
7. PLANS and Specifications
No. Sewage alteration to include 1000 gallon tank, 1 seepage pit 8'x8' with
#3 stone at 2' depth.
8. Proposed Use CD
Sewage alteration
cb
m
_ h
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 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 1 Day of ay 1990
SIGNED BY ' for the Town of Queensbury
Building and Zoning Ins ector
TOWN OF QUEE•NSEURY
APPLICATION FOR •
'cja. SEPTIC DISPOSAL PERMIT
OWN OF QUEBNS:.u<<
-q cts
7 �` ,� qt AIR 30 1990
DATE - J
c- BUILDING & CODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name \ < ��L Telephone:
Address:
Installer's Name:
�t �P� � S' tx--�, \��t„�e_✓� Telephone:17 > 6
Number of bedrooms (residential only) Z.
Total daily flow (compute (d. 150 gal per bedroom)
Topography: Circle one:010 Rolling Steep Slope % of Slope
Soil Nature: Circle one Sa Loam Clay
Other /Depth: Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one: : r uired__,r.equired rate min. inch.
Domestic water supply: circle one: _Municipal Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of 7 / Size each T feet by 2 feet
Size of stone to be used #,5 /Depth or Thickness 2-- 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 Queen r Sanitary Sewag Dispos 1 Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: -
DATE:
OVER
•
•
•
•
-.. . ..-.S'ept 'c.'System Inspections:
1 ,
A. .All applications fbr. ,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 Naviland Roads
Queensbury, New Yorke 12804
•
•
Remarks:
•
•
•
•
•
�.. ,.
- gown of Queeniurey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Lt 42
,g
LOCATION " c.za "fy
DATE .•S S" / `44 PERMIT NO. 05-.2,31,,
SOIL TYPE Loam - Clay -
Percolation Test Required? ;'YES - NO
Percolation rite - Min/Inch/
TYPE of SYSTEM:
Absorption field, total l ngth
Length of each trench ,
Depth of trenches
Size of grave !
SEEPAGE PITS{Nuuinber of) /-
Size- Q° ft. X 9r ft.J 10►a`g e_
Gravel size 3
PIPING: Size Tygg
Bldg. to tank 9 67cs/
Tank to dist. lox j yam( 2,Z
Dist. box to fileld/pt '' ;PVC
Openings sealed? ® NO Partial
94 J
LOCATION/SEPARATIONS:
Foundation to tank / 60 ft.
Foundation to absorption o2O ft.
Absorption to lot ;mine 10 ft.
Separation of pits — ft.
LOCATION OF SYSTE0 ON PROPERTY(circle one)
Front - Rear - LeAt side - Right side -
COMMENTS: 1 •
•
;
3 aka
SYSTEM USE APPROVED YES)/ O
•
Building\ Inspector
01/86 and vl
cb. t, N
y
I - I.
. - if
rr� i
ji---- • . ' - - • •,.. •_
31
6` A. ,
ii
T •
!i
. , _ . ..„_/- �j
•
' '^.\. • -. L b I er-a T. '- ' . -- . \\--- A
' - • - SUILMING tt Cu"
.- I il H-Vi ._ iii, . ....
RETIE' BY - _ APR 3.01990
DATE _ a m u BUILDING & CODE DEFT.
I .