1990-579 \
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
August 31 90
Date 19 _
( c 6,7
This is to certify that work requested to be done as shown by Permit No. 91-c7w
has been completed.
septic system
This structure may be occupied as a
27Mountain View Lane
Location
WESLEY MORRISSEY
Owner
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY No 90-579 0
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to WESLEY M RRTSSEY
OWNER of property located at 2 Mountain View Lana 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
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2. CONTRACTOR or BUILDER'S Name
Queensbury Sewer
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address . `Y
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6. TYPE of Construction—(Please indicate by X) L~
( 1 Wood Frame ( ) Masonry ( )Steel ( ) _ N
7. PLANS and Specifications
No. Sewage alteration to include 160 feet of tile field with #2 stone at 8 ' depth.
as per plot plan, specifications and application. .k
8. Proposed Use CP
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Septic system
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$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 28 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the �Y
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 28th_ Day of •August 19 90
SIGNED BY v for the Town of Queensbury
Building and Zoning Infpector
��,�- / TOWN OF QUEENSBURY
• � � APPLICATIOU FAR DISPOSAL PERMIT—
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DATE: l.at i — 2_ - a
LOCATION OF PROPERTY FOR INSTALLATION //q/- Oe_C.)
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Owner' s Name: (?,314L.1 / t-P--/S2.
Address: /6/1--/ 0/ &- 1
Installer' s Name: au( a e- -SO, Telephone: Tr- ..2_69cd'
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom)
= 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: 6-ot require required .
Rate - Min. Per Inch .
Domestic water supply: Circle one: cipal 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 ` 0 feet
SEEPAGE PIT(S): Number of /Size each feet -
by feet
Size of stone to be used #. /Depth or Thickness g'' 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: DATE:
•
• 1
Septic System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ord.inance, shall
be submitted co the Building Department at Isaac 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 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 co $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 co the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT .
Bay and Haviland Roads
Queensbury, New York 12804
•
•
Remarks: i
•
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c� /-Jown of Queeniur,
BU LDING and ZONING DEPARTMENT
Bay :rid Havil. d Road, R.D. 1 Box 98
eueensbu y, New York 12801
SEPTIC •ISPO"L SYSTEM INSPECTION
NAME //1,6L/ /7) PT}'? f--ei(4
LOCAT I N/ �'l%Jj" ))/t./() ,j�lL/_-�
DATE A-d /6 l P RM I T NO. 7 U )//
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SOIL TYPE - Sa • 1 Loam - Clay -
Percolation Te . required? YES - NO
Percolation ra' - Min/Inch
TYPE of SYSTEM:
Absorption fiel. total length /02,E
Length of each t ench �p - ys- 30
Depth of trenched. e
Size of gravel_
SEEPAGE PITS4N .-r of)
Size- ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank ek/5-
Tank to dist. b.x t/'' /40 _
Dist. box to fi•ld/.it_ " /1fr'G
Openings sealed' qS NO Partial
LOCATION/SEPA'A IONS:
Foundation to lank a-1"~5'71-ft.
Foundation to .;bsorpt on o2.a ft.
Absorption to . ot line /0 ft.
Separation of .its -- ft.
LOCATION • SYSTEM ON "OPERTY(circle one)
Front - Rear " Left sid• - Right side -
COMMENTS:
SYSTEM USE APPROVED dig1 NO
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