1990-608 j tg ua', M
CERTIFICATE : OF -COMPLIANCE.. -
TOWN OF QUEENSBURY. :
WARREN COUNTY, NEW YORK
, , \......, ci in ri
Date 19636
0
This is to certify that work requested to be done as shown by Permit No.
80-808
has been completed.
This structure may be occupied as a septic system
15 Stonebridge Road
Location •
JOHN QUINN
Owner
• By Order Town Board
TOWN OF QUEENSBURY
01)4 ri -Icr"-T-- id,
. , Director Of Bldg. & Code E f rcement
1-3
BUILDING PERMIT
TOWN OF QUEENSBURY No 9o-sos o
•
WARREN COUNTY, NEW YORK
JOHN QUINN
PERMISSION is hereby granted to
OWNER of property located at 15 Stonebridge Road 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 z
same
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2. CONTRACTOR or BUILDER'S Name
Condon's Septic & Drain Service
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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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. Septic alteration to include 200 feet of tile field with #2 stone at 1 foot depth
CD,.
8. Proposed Use •
aq
CD
Septic system y
25.00 September 12 92 ly
$ 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 12th Day September 19 90
SIGNED BY for the Town of Queensbury
Bui ing and Zoni Inspector
- •• - • ...• 1..„: .4 LJ(.."11. i
APPLICATION FOR
SEPTIC DISPOSAL PERMIT
OWN OF GUEENSBURY
// 3-r�. _ RECEIVED
SEP 121990
DATE
BLDG. & CODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION/ 5 ', A /oGe
Owner's Name: tem ibt al I17) 41 Telephone: '79,3 8s76
Address: i. " 824/ .1 , ti&A`033c/h y .N /�
7 -.
Installer's Name: 9
SUS -���1��}%/1/ s-164 Telephone: we 8-.s'y?_,
Number of bedrooms (residential only) 3
Total daily flow (compute Cd 150.gal per bedroom) Vt(®
Topography: Circle one: Rolling Steep Slope % of Slope -
Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet
Ground Water: At what depth? #// Feet ,
Bedrock or Impervious Material: At what depth? ,/A Feet
Percolation test: Circle one: not required 'required rate min. inch.
Domestic water supply: circle one: Municipal Well Other
If domestic water supply is a wel
Separation: Water supply from septic.absorption feet
PROPOSED SYSTEM: Septic Tank tsili7 g a®(miniimm size: 1.00n gal.)
TILE FIELD: Each Trench �3��+
feet/Total system length 2-0 6 feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # /Depth or Thickness L/. feet
*************************
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: 7/2"
DATE: ?)/// 1
OVER
•
, 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 to 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 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. 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-
cion, alteration or repair of an approved system, a new proposal must
be submitted to- the Queensbury Building Department before further
construction. -
• Town of, Queensbuiy
BUILDING and CODES. DEPARTMENT
Bay and Haviland Roads
• . Queensbury, New,York 12804
Remarks: •., •
Down o/ Queeniur, .
BUILDING and ZONING DEPARTMENT
Bay and Haviland'Road, R.D. 1_Box 98 I��
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME9'11"t '‘'4
LOCATION' /5 •
DATE / q(J PERMIT NO. CID 1pD d .
SOIL TYPE - Sand Loa lay -
Percolatio Test Required YES
Percolatio rate - Min/In h
•
TYPE of SYS .
Absorption field, total length , .m e'
Length of ea trench' 1.-{0
Depth of trenches �-r'
Size of gravel
SEE^AGE PITS{ o ) '
Size _...iik. t. X .i . _�__
G . 'el ..ize
PIPING: Size Type
Bldg. to tank xas TTAV't^n . .
Tank to dist. box t4 p Uer
Dist. box to field p f✓'L
Openings sealed? Y_ES) NO Partial
LOCATION/SEPARAT •N :
Foundation to to k 9 pft.
Foundation to as,sorpt'on (¢aft. ' •
Absorption to Act line ft.
Separation of -.its a �4 ft.
LOCATION OF S /STEM ON POPERTY(circle one)
ron" - Rear / Left side Right side
I" ENTS:
.
SYSTEM SE APPROVED® NI,/
1
. Bu lding ' sp!.ctor
01/86 and vl
TOWN OF QUEENSBURY d
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
ILDING INSPECTOR'. REPORT
REQUEST Fee INSPECTION RECEI ED
NAME I / a40/
LOCATION /c5- / i i ,lGlv1. :4/
DATE 4;D PE' IT # I
qO 'I vD APPROVED
.1 9 .- �S7Ca YES NO
FOOTING/PIERS
MONOLITHI POUR FORMS
FOUNDATION DAMP-PROOFI G
BACKFILL A'PROVAL
ROUGH PLUM: NG
FRAMING
ELECTRICAL 'OUGH-IN .
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIG
ROOFING
SIDING
EXTERNAL PORCH.S/STEPS
STAIRS-CLEARAW & RAILS
PLUMBING FIXTU':S/RELIEF VALVE
INTERIOR TRIM/'• VACY DOORS
FINISHED FLOO'S
GARAGE FIREPR'►.F G
DOOR CLOSER(S)
SMOKE DETECTIRS
FINAL ELECTRICAL INS'ECTION
_FINAL APPROVAL OF CON.TRUCTION
OK TO ISSUE C 0 OR C/t
A SIGNED CERTIFICATE 0' OCCUPANCY MUST BE
OBTAINED FRO ! THE BUILDING DEPARTMENT BEFORE -
THESE PREMIS:S ARE OCCU'IED!
REMARKS:
Art/ J/ 16 /tee,S2ek-
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ARRIVE 47,10
DEPART G° %.ca IF
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