1990-235 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date I 19 L-10
9)()))
90-235
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a sewave alteration
14 Old Aviation Rd
Location
Valerie Durkee
Owner
By Order Town Board
TOWN OF QUEENSBURY
1 • r
(M (H(1
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No.90-235
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to VALERIE DURKEE
OWNER of property located at 14 Old Aviation Rd Street, Road or Ave. b
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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
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. c;,
1. OWNER'S Address is
same
2. CONTRACTOR or BUILDER'S Name l�
Queensbury Sewer
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X) '
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Sewage alteration to include 1000 gallon tank and tile fields with #2 stone
and depth of 12;. as per plot plan and application.
8. Proposed Use -
Sewage alteration
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25.00 May 9 92
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
CD
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the p�
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this Day f May 1990
SIGNED BY ) for the Tow n of Queensbury
Buil ing and Z o ng Inspector
TOWN OF QUEENSnURY '
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APPLICATION FOR bC1>1
�=v > SEPTIC DISPOSAL PERMIT ";
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DATE\r � — ( 7 76 DING MAY '
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LOCATION OFFP OPERTY FOR INSTALLATION ` CLa.-f" r DE DEPT
47
Owner's Nam , oC / u< i� ee _ Telephone:
Address: / l-(' / C 7/ 6
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C � J'�o r
Installer's Name: R c-c ,� P �i�cam.v- p,��,/ Telephone: i�-
Number of bedrooms (residential only)
Total daily flow (compute (d.150 gal per bedroom) 3 0
Topography: Circle one:, Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one:(Sand)Loam. clay Other /Depth: Feet
Ground Water: At what depth? Feet .
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one(nicipa� Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank�o°—ti gal. (minimum size: 1,000,gal.)
TILE FIELD: Each Trench feet/Total system length �S feet
SEEPAGE PIT(S): Number of / Size each feet by • feet
Size of stone to be used #2_. /Depth or Thickness /2 feet
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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 QueeauRr Sanitary Sew ge Dispos 1 Ordinance.
SIGNATURE OF RESPONSIBLE PERSON:
DATE: ' y\ —
OVER
Septic System Inspections:
A. All a,ppli;ca,t.ions for septic system installation, alteration or repair,
• asrequir;ed 'by'the..Town of Queensbury Sanitary Sewage Ordinance, shall
A'', s`i b`e' siibmitted to the Building Department. at least 24 hours before start
'..-..-',ot ;clonstruc"t ;n and shall include a plot plan showing:
_1.4—;the_:.ptop'os`ed 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.
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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
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Jocun ol Queenabury `
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BUILDING and ZONING DEPARTMENT /l'/ .
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
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SEPTIC DISPOSAL SYSTEM INSPECTION
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NAME `��G .lam re/,Uf P •
LOCATION /. ., 0 ,A17. , d---
DATE a /i f 90 • PERMIT .NO. 90 _1.S
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SOIL TYPE - Sand - Loam Cia
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: i '
Absorption field, total length /5o
Length of each trench „Iro
Depth of trenches / '
Size of gravel, - _
SEEPAGE PITS{Numbr of) •
Size- ft. X ' ft.
Gravel size , ; ,;'
PIPING: Size Type
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Bldg. to tank . O al/ ,o,/'C_ •
.
Tank to dist. box t. • •-f
Dist. box to field/pit t., si
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Openings sealed?` ---YE) NO Partial
LOCATION/SEPARATTONS:
Foundation to tl'tank. !/ ft.
Foundation tojabsorption (RAD ft.
Absorption toyi lot line 'loft. '
Separation of3 pits `tp • ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front 1 'oi- Left side - Right side -
COMMEN �%
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SYSTEM 'USE APPROVE i'N
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t1L• Nig -81990 .
BUILDING & CODE- C.)EPT'