1990-426 t s
CERTIFICATE OF COMPLIANCE
-TOWN OF OUEENSBURY
WARREN COUNTY, NEW YORK
Date duly 3 19 90
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This is to certify that work requested to be done as shown by Permit No. 90-426
has been completed.
. This structure may be occupied as a sewage alteration
4 gpMfidDrive
Location
Zohrab Melkonian
Owner
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By Order Town Board
'TOWN OF QUEENSBURY
Director of Bldg. & Code.Enfo Dement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-426 t
WARREN COUNTY, NEW YORK ro
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PERMISSION is hereby granted to ZOHRAB MELKONIAN
4 Bonner Drive
OWNER of property located at 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
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same t�
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2. CONTRACTOR or BUILDER'S Name Z
Queensbury Sewer o
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( I Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
NO. Sewage alteration as per plot plan, application and specifications includes
one seepage pit 8'x8' with #3 stone at 2 ft depth.
art
8. Proposed Use
Sewage alteration
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25.00 June 28 92
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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 28th Day of June 19 90
SIGNED BY ( ,/ (� �' for the Town of Queensbury
Bur-filing and Zoning Inspector
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, Mel kon ,ia TOWN OF QUEENSBURY
AR APPLICATIOII FOR SEPTIC DISPOSAL PERMIT
!OWN OF OUEENSBURY
DATE:_ 7— �J RECEIVED
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LOCATION OF PROPERTY FOR INSTALLATION a g
Owner' s Name: C I CO !i t -40? & CODE DEPT.
Address: j /Y', i -2 ie ()Y ,
Installer' s Name: j•e �� �,S (AA,- ct,'2Ie9p.hone: �(� Vr
Number of bedrooms (residential only) 21
Total daily flow (compute @ 150 gal per bedroom) E
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature: Circle one: and Loam Clay Other /Depth:
Ground Water: At what depth? Feet
Bedrock or Impervious Material : At what depth? Feet
Percolation test: Circle one: not required required
Rate - Min. Per Inch
Domestic water supply: Circle one: niripal) Well Other
If domestic water supply is a• well :
Separation: Water supply from any 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 / /Size qeach feet
by feet
Size of stone to be used #. /Depth or Thickness • 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: DATE: 7-- z--t-/ e
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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, showing:
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,
tile fields and/or drywalls
B. Nu 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 •
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pilot ng-o-Loy-+- -P i/ % I
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P}1--€16. ILDING and ZONING DEPARTMENT
� Q� nd Haviland Road, R.D. 1 Box 98 .
v(4, ' Oueensbury, New York 12801 '
SEPTI(. DISPOSAL SYSTEM INSP`CTION
NAME zv LA/5l 1/( / O/-0 24/
LOCATION 1 Y /"Y/r E4e___, Der 1/6_1)
DATE 10176// PERMIT N0.q ` 24
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SOIL TYPE -. ,:nd Loam - Cay -
Percolation Tst Required? YES - NO
Percolation rate - Min/Inc;` '
TYPE of SYST E,
Absorption field, total .ength
Length of each:trench '
Depth of trenc ,es '
Size of gravel
SEEPAGE PITS{N i .er ofI ' /
Size- 8 ft. X T f..
Gravel size .z `� "0'1,;,-r,e / 3'
PIPING: , t7 Size Type
Bldg. to tank I eX147
Tank to dist. bo'.
Dist. box to fied/i.it / Pc_
Openings sealed? ; .YES NO Partial
LOCATION/SEPARATI'NS: /
Foundation to to i' � 5_`, 'ft.
Foundation to ab:tw? ption ft.
Absorption to 1., i_ine /6& ft.
Separation of p.ts ft.
LOCATIO YSEM 'IN PROPERTY(circle one)
FrontRear eft side - Right side -
COMME .
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SYSTEM SE APPROVES />O
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