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1990-482 CERTIFICATE OF COMPLIANCE • TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • n - f Date‘ lib 1 t 4._ 19 r`� This is to certify that work requested to be done as shown by Permit No. 90-482 has been completed. This structure may be occupied as a sewage alteration Hillman Road, Cleverdale Location Owner FRANK & KATHLEEN ENGLAND By Order Town Board TOWN OF QUEENSBURY 41±LAJyk LPL Director of Bldg. & Code orcement BUILDING PERMIT TOWN OF QUEENSBURY No 90-482 WARREN COUNTY, NEW YORK ro O PERMISSION is hereby granted to FRANK & KATHLEEN ENGLAND OWNER of property located at Hillman Road, Cleverdale Street, Road or Ave. co e Alteration `1 in the Town of Queensbury,To Construct or place a Sewage 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 PO Box 63 Cleverdale NY 12820 2. CONTRACTOR or BUILDER'S Name 171 3. CONTRACTOR or BUILDER'S Address H 4. ARCHITECT'S Name Eugene A. Christian, P.E. tr z 5. ARCHITECT'S Address 15 Helen Drive Queensbury Ny 12804 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) r 7. PLANS and Specifications 0 NO.Sewage alteration to include 1000 gallon tank with 500 feet of tile field and t fo #2 stone at 9" depth. szo 8. Proposed Use fD Sewage alteration m $ 5_p6 PERMIT FEE PAID —THIS PERMIT EXPIRES July 24 19 92pD (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (�D town of Queensbury before the expiration date.) (D Dated at the Town of Queensbury this 24th Day of July 19 90 \cc // o SIGNED BY for the Town of Queensbury Build ngand Zoning Inspector A� AA* TOWN OF QUEENSBURY i# it APPLICATION FOR SEPTIC DISPOSAL EMIT DATE: 7 23-990 I)' lb ' LOCATION OF PROPERTY FOR INSTALLATION #j/_//f4,44/ , _ 9� •Z ' , Owner's Name: %Pnn�/.'� d -r/g �z& 'u � �C/_, v//� (2r.i9 �c c.OD . I�CPT 14�DING Address:' j��,���v �f�. /? •L.A. l 4.4"iciw4i ii, /L/y. /,Zg 7 744er L/,tcL Installer' s Name: 'ATM /&7i f,-i',s n,j4'A- ) Telephone: Number of bedrooms (residential only) ,g Total daily flow (compute @ 150 gal per bedroom) 4432 Topography: Circle one: lat Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other.$ -ir,,,,,T /Depth: ,-fir. Ground Water: At what depth? I/ Feet Bedrock or Impervious Material : At what depth? /r/,57-,,r.:.,,,e, Feet Percolation test: Circle one: not required required Rate - ,%S Min. Per Inch Domestic water supply: Circle one: Municipal Well Other ZA,ez If domestic water supply is a. well : Separation: Water supply from any septic absorption /U? feet. PROPOSED SYSTEM: Septic Tank /O726 gal . (minimum size: 1,000 gal ) A/4/21 TILE FIELD: Each Trench feet/Total system length Sdd feet .3-4,,e,v„i..7Lcp SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used if: Z /Depth or Thickness q/A/tw.,51. &,,Y,& feet ***************************** /1/D?Lt:. ('a" oZ- c'�rs/�ooz %% ?41-124 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: /7. A'- DATE:_,Z3— 2) r . r % • • 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 anal/or drywalls B. Nu system shall be covered before inspection and approval by the Building Inspuctor. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up co $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— cion, alteration or repair of an approved system. a new proposal must bu submitted to the Queensbury Building Department before further construction. • Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads • Queensbury, New York 12804 k.zmarks: YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED - TEMP.N DATE l/'j _ %,Z CITY OR VILLAGE TOWNSHIP COUNTY STREET AND NO.OR ROAD' t POLE NUMBER ,— .'7 _Z_.!,'I -t%:! �!�/ BETWEEN WHAT TWO CROSS STREETS IS PREM(gES SECTION BLOCK LOT /2-'5 jj 7 A(C"i . ., .).-f'').-- :- ,,,:! rZ _r',.,`....`'- '/, T, '_/1.,.- ,, •F..-. i_ , s- .: OCCUPANTS NAME BUILDING OCCUPANCYj�, / iv ::.f... .=r '.1i . ,,, /-`A/ _ Fi 4 ,2 OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER J - ( c. .- CURRENT SUPPLIED BY . FROM THEIR OFFICE WORK TELEPHONE NUMBER BUILDING IS NEW❑ OLD❑ WORK IS NEW❑ ADDmONAL❑ DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Na.of Fixtures& MUIURS HEATERS BRANCH OFFICE USE LOca- Lamp Receptacles CIRCUITS ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION OUT- SIDE SUB- BASE BASE- MENT 1st FL. 2nd FL. 3rd FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. ? �11, . :/,-..',, _ "7 ' , . L ./4 -J - ./L,_Jr ,l1 . ,, M7 • G-: /-'1 r:/:_.. Z e a ! i/i J , £ <-;' /...' .- 4 ) THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA ❑ CONCEALED DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFACTURER OF SIGN ❑ OVERHEAD ❑ UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS IDENTIFICATION NUMBER AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT ....- r , y /1 r;'-"-', ,DATE OF APPLICATION SIGNATURE OF APPLICANT /—,,}/'],1, `- /N i:.i 4,eL i=7r . ,'%!I (1Y,of ::i.; i,`,--17- .-,.... D v X STREET ADDRESS - TELEPHONE NO. CITY OR POST OFFICE rJ (� ZIP CODE LICENSE NO.WHEN APPLICABLE ?! ;. i "e--. FI..,j/ a nj. l! /2...- .. .d /1. .L.,.: ❑ 85 John Street E 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue 202 Arterial Road NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206 (212)227-3700 (518)463-2122 (716).884-1155 , (716)254-0141 (315)463-8552 THE NEW YORK BOARD OF FIRE UNDERWRITERS J7Y _Joevn of ueenibur, BUILDING and ZONING DEPARTMENT Bay)and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM NSPECTION NAME f lL�(a-A. LOCAT I O DATE 6/-a qD PERMIT NO. 10— d x SOIL TYPE - Sand - Loam - Clay - Percolation Test Required ' YES - NO Percolation rate - Min/In h TYPE of SYST . Absorption f' eld, total length Length of ea.h trench Depth of trei hes Size of graver SEEPAGE PITS{ +umber of) Size- ft. ft Gravel size PIPING: .ize Type Bldg. to tank Tank to dist. b.x Dist. box to fi:ld/pi' Openings sealed? YE% NO Partial LOCATION/SEPARAT ONS: Foundation to tan ft. Foundation to abs.rp,ion _ ft. Absorption to lot i e ft. Separation of pits ft. LOCATION OF SYSTEM PROPERTY(circle one) Front - Rear - Lefttside - Right side - COMMENTS: FJ ',4e AO SYSTEM USE APPOVED No /14 Building I spector 01/86 and vl F Ly 4/vi awn o/ QUPhUry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEP IC DISPOSA6(‘--,1)/(/ ) L SYSTEM IINSPECTION NAME/441 /L/%, L. // LOCATIOf9,1,�.�../7/..1',/( , li.,( " /�.//_,f//.4 DATE dir )() PERMIT NO 941— �2_ SOIL TYPE - Sand - Loam - Clay - Perc ion Test Required. YES - NO Percolatio + ate - Min/I ch TYPE of SYST a : / Absorption field, ft tal ength Length of eac ; tren \ / Depth of trendies ' \\ 7 Size of gravel ;.\ SEEPAGE PITS{N .er of) s\ Size- ft. X //ft \\ Gravel size ,f' I PIPING: Sizes Type Bldg. to tan) Tank to d',b L. box I Dist. to fiel., p t / Openin s sealed? Y S / NO Partial LOCATION/SEFARATIO 1 Foundation to tank // ft. Foundation to abso .fion ft. Absorption to lot A'i, e ft. Separation of p1it= ft. LOCATION OF SYST !' ON PROPERTY(circle one) Front - Rear '0 :. t s de - Right side - COMMENTS: /C 'OPP ' Ec. i 7 ,.6 C ,4 / : -e . Ca// G,�4,,, F cU tee-4_ SYSTEM USE A:PROVED •YESJ 0/+ C277-'y2 "`�• — 7, ; / .-Zr Building Ins!ectbr I • 01/86 and vl Metal 1 No'Le o location Weather roc7f fox to contain o v power stake I y for puma and A3-2012 Cantac or to die connect d with A2-7 different tal swlTch. )z" nominal Select Ea.ckfill - Separate ctrcutt 115v Sour cere9urred for A4-2 alarm-alarm unit must be located W, 5011d PVC u ZnlJ rl 3''head Qcroes tank h Qut)et In �loUSe. tt tt JUL 2: 1990 one Pao 'numbe�d Weatherproof flax BQ f T e I DING&CODE DEPT are G 0 U L-D 5 1. U tt u 48 min. _ � No check valve to be union Set lcveel on G" led to per mtt out+e' .. n F crt,tshc rat F a..;::....:.:. :e::. >.:.:.,e.....,•:; Stone b kd u/ee to Meld ;,. Valve . z"p antic A ZAlarm 5wtch (pressure) T� is a r p Set orr,17" >� P T C TANK Az-7ContactorSw. Set on 15"-off 7/i,, use FORT M ILL ER 1000 qa(. 5ecwnle35 '"°�" Rcmp W 1012 N or equiv. ,- set PuThp an3%zca.p block a FILE COPY TOWN OF QUEENSBURY BUILDING - Wo .vehicular- traffic over tan PUMP TANKks REVIEWED DATE� � FORT MILLER 1000 gal. 5e.,amle55 ye��e T� 1 - All taylkopenrn95 must be waterproo�'ed to prey nt __ao 5�6,.,.;y�'" or equiv. *°`sic •` groundwater Infiltration. Engineering Deta 115 - If seasonal high ground water m higher -than zl in. belotl) FOFFssroNa� ON- S I TE SEWAGE SYST E M topof pumptank,tank could f loat at end of pu.mp ctjcle. a °HR,sF as shown �r �� 2 July 90 Iz 3-s t.t �f so tank must be prdperlij anchored. FRANK 4 KATHLEEN ENGLAND T` 033840 ��`d' °Fj#ESTOP HILLMAN RD. OUEEN5B7 5h I of 3 Select Ynedium k3arrier sand fa. er Lat era 15 6"Tops 011 i 3 1 t Blend soils I - - - - - - - - - - - - - - - - - - - - - - well —� bed /zg9zegate 1'1 awed Laterals 5tane bed 10'x50' /� lager force main BED LAYOUT PROFILE T E 5T HOLE DAT -Top soil - nil - 0-Go" Med Sand-trace° e�s�ti,Lti`' Ica clay -traces sha - Hole spacings trca.Ces Till material _-Hale s If'g water �QR44ESSfDNaIF� �d No mDttI es 2"pressureeed - No stone ,� I me to dump -z 2"Mantfol- d "�Loterala I"dlam -- ��- Engine e ring E) etai Is Adjust flaw t0 Z-5 ft. ON- SITE 5EWAGE .,SYSTEM End Cap Z b head 0-lpsi) at manifold July 90 12-3-34}.1 LATERAL LAYOU-'r FRANK 4 KATHLEEN ENGLAND HILLMAN RD. ©UEEN5B'Y I Sh 20f 3 i t 1 I --I 1 ' cc � 0 c� 10 Iw I� } � C3 1 w * to � < 00 �a 2 I tl �t+safs J t t � ' 1 1� S�Ta� 3 o3a(3) ' .3�.SE�i�pRpiNPNPb� 1 4 -- 1 130`+ i Engineering petO115 �ora�tEssl��iq�F ON-SITE 5EWAGE 5`I5TEM as shown ti -h 92 July go �a-6 12-3-34tA FRANK 4 KATNL.EEN ENGLAND oFraFsta��°� Hfl LMAN RD. OUEEN5ES' `( Fsh3of 3