1990-526 ice ' rjj1[/j•' 1 e
CERTIFICATE •
� OF COMPLIANCE
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
August 28 19 gp
Date
This is to certify that work requested to be done as shown by Permit No. 90-526
has been completed.
This structure may be occupied as a sewage alteration
17 Indiana Avenue
Location
BARBARA MALLANEY
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement •
BUILDING PERMIT
A
TOWN OF QUEENSBURY No.
90-526
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to RARRAR A_ MALLANEY 0
OWNER of property located at 17 Tndiana Avenue Street, Road or Ave.
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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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
same
2. CONTRACTOR or BUILDER'S Name
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John Mallaney
3. CONTRACTOR or BUILDER'S Address
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n
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry ( )Steel ( ) CD
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CD
7. PLANS and Specifications
Sewage alteration to include:
N°- 1000 gallon tank with 200 feet of tile field with #2 stone at 1 ft. depth. as
per application and plot plan.
8. Proposed Use
Sewage alteration m
sv
act
25.00 August 13 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
ly
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 13th Day of August 19 90
for the Town of Queensbury
BY �'t�tir//' �
Building and Zo`1 f'ng I nspecto r
,I ak /0 7_ 9- // TOWN OF QUEENSBURY
� # j APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE: 3 i�.. ill- ��; I� Va i� < }
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LOCATION OF PROPERTY FOR INSTALLATION 6Fsf 1d;F+-vlo, . r l , 5D
Owner's Name: ArMA/W/1/r /�il y '" niNG & CODE DEP'r
Address: LI rvi;p cv- vx y o-e
Installer' s Name: .0oh \ fv--v)AloorN2y Telephone: -(98--- SS3 /
Number of bedrooms (residential only) .3
Total daily flow (compute @ 150 gal per bedroom) 'i/5 // - S
Topography: Circle one: Rolling Steep Slope % of Slope
Soil Nature: Circle one: San 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: Municipal) Well Other
If domestic water supply is a, wel
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank /K,4 gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench y0 feet/Total system length 400 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #: c /Depth or Thickness 7 / - feet
*****************************
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/b../L .yDATE: r- / —h'
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 lease 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.) locacion.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 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 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 •
-
resule 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
bu submitted co 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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CALL l+k)Li-- (LE- La/
cc�7 93-84i-2d—9wt, �y,�,l,�l,
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BUILDING and ZONING DEPARTMENT P U
Bay nd Haviland Ro d, R.D. 1 Box 98
2 ueensbury, Ne York 12801
(6)
PfelIC DISPOSAL S STEM INSPECTION '
NAME 6?
LOCATION/7
DATE 42-2-1 'J PER IT NO. 90 --,j 2(6
SOIL TYPE — t.►— oam - Clay -
Percolation Test R,quired? YES -011
Percolation ra e - Min/Inch
TYPE of SYSTEM
Absorption field, total length 2-n
Length of each tench L p '
Depth of trench- _
Size of gravel ItZ
SEEPAGE PITS ► . ..- of)
Size- t. X
G avel size
PIPING: Size Type
Bldg. to tank 5SLt;(5 ��
Tank to dist. .ox VC_
Dist, box to f'el. • . `>C i" pt-_
Openings sealer;? YES NO Partial
LOCATION/SEPA•,'TIO
Foundation to tank ft.
Foundation to absorption ft
Absorption to lot li,'e ft. � �
Separation o pits ft.
LOCATION OF •YSTEM ON PROPERTY(circle one)
Front - Rear - Left s' •e - Right side -
COMMENTS:
17-7—17+ 0/IL.pS(T
Afir_41 akv
SYSTEM U•E APPROVED tim. a
#70)
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Building In-pector
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