1990-333 V
suer
CERTIFICATE OF 'COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YOR
Date 4 P)/ 19 O
PACs$ -D- X7
This is to certify that work requested to be done as shown by Permit No. 90m333
has been completed.
This structure may be occupied as a Sewage Alteration
Location
14 Owen Avenue
Owner Carl Rueckert
By Order Town Board
TOWN OF QUEENSBURY
,(116.1.
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Director of Bldg. & Code Enforc ment
BUILDING PERMIT
TOWN OF QUEENSBURY ,a
No. 90-333
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to
CARL RUECKERT ri
.i1
OWNER of property located at 14 Owen Avenue 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
0
Same
2. CONTRACTOR or BUILDER'S Name
Condon' s Septic & Drain
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
O
rn
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. Existing 1000 gal tank with 4 10' x 4' seepage pits
8. Proposed Use
Sewage Alteration
m
$ 25 PERMIT FEE PAID—THIS PERMIT EXPIRES May 31 19 92 rr;
(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 31st Day of May 19 90
SIGNED BY for the Town of Queensbury
Building and Zoning Inspectors'
TOWN OF QUEENSBURY
� j A '. C .- 41 FOR SEPTIC DISPOSAL PERMIT -----AgC)25--
DATE: • 3O ��O � [5' q_'
QsUfENSSBURY
LOCATION OF PROPERTY FOR INSTALLATION 6 -/ Wen) AVE E NECEI'[EL'
Owner's Name: CA f L. u E cK e ,'- MAY 3 0 1990
Address: j �` (9 A-G'e ni-n� o D:
a. � CC� . WEP7'.
Installer' s Name: a/Va9///c ���[C, �-1? fi"UTelephone:
Number of bedrooms (residential only) 11
Total daily flow (compute @ 150 gal per bedroom) 6' o ey
Topography: Circle one: 411110 Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? TO Feet
Bedrock or Impervious Material : At what depth? /WA Feet
Percolation test: Circle one: . not required required
Rate - Min. Per Inch
Domestic water supply: Circle one: 0jUnicipaj Well Other
If domestic water supply is a. well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank II Q D gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of 4/ /Size each 1 0 feet
by feet
Size of stone to be used # 3 /Depth or Thickness 2,- feet
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HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical work to be inspected by an approved
agency.
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: � 1 ru DATE: r-- c1
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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 co the Building Department at least 24 hours before start
of construction and shall include a plot plan shoving:
1.) the proposed location of the system
2.) location and distance to lot lines
3.) location and distance co structures - -
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
cile fields and/or drywalls •
• 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 co 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: .
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_Down of Queeniur , k 1C
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
•ueensbury, New York 12801
SEPTIC DISPOSAL SYST` INSPECTION
NAME (---)-0-11--( P4_PJ
LOCATION V s ),()-(4.- (/ ,
DATE 6 /,5j /9C PERMIT NO. 61()--333
SOIL TYPE - an1 - Loa - Clay -
Percolation Test Requ'red? YES - Q -
Percolation rat- - Mi ,/Inch -
TYPE of SYSTEM:
Absorption field, to =Ll-e g
Length of each t la
Depth of t - ches
Siz- Y gravel -----
SEEPAGE PITS{Nuinbe, of) - ``1
Size- '-rft. X Jo ft.
Gravel size -- -
. PIPING: l Size Type
Bldg. to tank • C--5CC5-11,(i&
Tank to dist. box L4 'U C _
Dist. box to_fiel./- -,.N -'--- - 0c--_-
Openings sealed? YE' NO Partial
LOCATION/SEPARATIONS:
Foundation to tack. Foundation to ab_orptiol ft. 8le___
Absorption to 1. line ft.
Separation of p :ts ft.-
LOCATION OF SYS EM ON PR••ERTY(circle one)
Front - Rear - left side Right side -
COMMENTS:
d\AL — - u xl (5'&LI)A-GiAlls
i
SYSTEM USE ,PPROVED YES •
Alf
[1'1) Building f nspec or •
01/86 and vl
_Down o f Qaeenitur , Pi/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Qu-ensbury, New York 12801
SEP IC DI ,POSAL SYSTEM INSPECTION
NAME _ - L /�
LOCATION 4P '/� t1 e
DATE 6/44 q0 PERMIT NO, L-70 -33 3_
SOIL TYPE -era, - Loam - Clay -
Percolation Test Required?1 YES<(NOJ)
Percolation rate Min/Inc`i
TYPE of SYSTEM:
Absorption field, total le-1gth
Length of each tre ch
Depth of trenches •
Size of gravel_
SEEPAGE PITS{Number of) " I
Size- ft. X - ft.
Gravel size . I
PIPING: Side Type
Bldg. to tank
Tank to dist. box _
Dist. box- to field/pif
Openings sealed? YE NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absor•ti.n ft.
-
Absorption to lot line+ ft.
Separation of pits ` ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Lef side - Right side -
COMMENTS:
t- LF ' x r 0 SG 6C AT-
--s
\\\
SYSTEM USE AP?ROVED Y N
Bui ng Inspector
01/86 and vl
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MAY 30 1990,
:BLDG. & CODE DEPT.
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