1990-295 •
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CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YOR
Date ` LA� (,' 19
This is to certify that work requested to be done as shown by Permit No.90-295
has been completed.
This structure may be occupied as a - sewage alteration
Chestnut Lane, Assembly Point"
Location
Owner Mary Scuderi
By Order Town Board
TOWN OF QUEENSBURY
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Director of,Bldg. do Code Enfoy/'e ent
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-295
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to MARY SCUDERI 00
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OWNER of property located at Chestnut Lane, Assembly Point Street, Road or Ave. 00
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
46 Ormond St
Albany NY 12203
2. CONTRACTOR or BUILDER'S Name
Horning Construction
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name CD
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) `C
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( )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No. Sewage alteration to include 1000 gallon tank, 150 feet tile field with #2
stone at 1 ft depth
8. Proposed Use Co
Sewage alteration
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$ 25.000 PERMIT FEE PAID —THIS PERMIT EXPIRES November 21 19 92rt-
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 21st Day of May 1990
SIGNED BY (\liU�!� c �./""f r" 1,{/" for the Town of Queensbury
Building and Zoning In 4 or
TOWN OF QUEENSPURY
APPLICATION FOR ' S
v� > SEPTIC DISPOSAL PERMIT
TOWN OF QUEENSBURN
CE;iafi-7
DATE S " 1'5 -5O
� s E-`14 s- liA16 a 1990
LOCATION OF PROPERTY FOR INSTALLATION /or i2, "/3, /4 ,
131.D( DEPT.
Owner's Name: 'A2Y JCI21 Telephone: 45 2^ /S 7
Address: 440 CPJZAfo/40 S' " /milc.i°v i2-203
Installer's Name: 1`L,41 ,.It, ..c•S, Telephone: 7, 3 -029
Number of bedrooms (residential only) 2,
Total daily flow (compute (d 150 gal per bedroom) 34.0
Topography: Circle one: Flat Rolling Stee Slope % of Slope 20 v
Soil Nature: Circle on : Sand Loam clay Other /Depth: 4 Feet
Ground Water: At what depth? Cp T Feet
Bedrock or Impervious Material: At what depth? 0414i041..i Feet
Percolation test: Circle on : not require required rate min. inch.
Domestic water supply: circle one: unicipaIWell Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank 1. Do O gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench 50 feet/Total system length • / 5 C� feet
SEEPAGE PIT(S): Number of /.Size each feet by feet
Size of stone to be used # 2 /Depth or Thickness / feet
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I have read the regulation on the reverse side of this sheet and a re o abide by these
and all requirements of the Town of Queensbury Sani ry Sew, ispos inance.
SIGNATURE OF RESPONSIBLE PERSON:
DATE: J r I
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 :
cc77 Queen
own o f Jbur,
BUILDING and ZSNING DEPARTMENT
Bay and Havilan• Road, R.D. 1 Box 98
Queensbur , New York 12801
SEPTIC DISPOSAL SYSTEM INSP CTION
NAME /z I a
. _i . ft
MOWLOCATION ,,,..,„,,_,A
DATE 0 / i PE' IT NO. D-
SOIL TYPE - Sndi- Loam - ,lay -
Percolation Test R quired? YES - NO
Percolation rate - in/I ch _
TYPE of SYSTEM:
Absorption field, t tall length /6-0
Length of each tren!h S eb
Depth of trenches "/ /.`/
Size of gravel , PA/
SEEPAGE PITS4Number `f) •
Size- ft. X _ / t.
Gravel size /
PIPING: Size Type
Bldg. to tank i/rPi Sx 1/0Tank to dist. bo ( / C.
Dist. box to fie d/pi c4
Openings sealed S___:› NO Partial
LOCATION/SEPA••TIONS: !
Foundation to ank J O?-0 ft.
Foundation to absorption a ft.
Absorption to lot line\ $gyp ft.
Separation o - pits ft.
LOCATION OF .YSTEM ON PROPERTY(circle one)
Front - Rea - Left site - Right side -
COMMENTS:
SYST! USE APPROVE! q, O
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