Loading...
1990-615 • , '�,• J.._ `.J`�T.Z'-/^'v' .. _ .L'j.y. `V .. - +. -r v ern.."','�' t3' '. nr. .d lT+s 4::v`:,r. „ .j '- r # k ,k•CERTIFICATE ``OF COMPLIANCE + • TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK n Date September 19 19 90 ,...6 ( P-1- 4 _ ( -7 , _ This is to certify that work requested to be done as shown by Permit No. 90-615 - has been completed. . septic system This structure may be occupied as a Location - 3` Clark Street ROGER WOODRUFF Owner By Order Town Board TOWN OF QUEENSBURY . 7"------.) ' - \--4/a Director of Bldg. do Code Enforcement I / `r 'YR BUILDING PERMIT TOWN OF QUEENSBURY x No. 90-615 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to ROGER WOODRUFF OWNER of property located at 13 Clark Street 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. � o 0 1. OWNER'S Address is same -n 0 2. CONTRACTOR or BUILDER'S Name Queensbury Sewer CD -s 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name I. Sai c-� 5. ARCHITECT'S Address N ct 'S CD CD 6. TYPE of Construction— (Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) Tt= 7. PLANS and Specifications No. Sewage alteration to include two 6'x8' Seepage Pits with #3 stone at two foot thickness. 8. Proposed Use Septic system fD UZI CD $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 18 19 92 —' (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Cp town of Queensbury before the expiration date.) -S 0) ct 18th September 90 0 Dated at the Town of Queensbury this Day of p 19 SIGNED BY (c �i.G for the Town of Queensbury Building and Zoning Inspector `o ft � -2� TOWN OF QUEENSBURY � �# �" APPLICATIOr1 FOR SEPTIC DISPOSAL PERMIT DATE: Seri • /.5 f o c j LOCATION OF PROPERTY FOR INSTALLATION C /lk J .dr- 13 Owner' s Name: k© y' �,,J r -i -� , SEP 1990 . �,,( p• r'(fF fly_. Address: % C (a- frt. 5 Installer' s Name: ( (,c pt' LcT vyr e-,,- Telephone: 7! 2'Y 1 " Number of bedrooms (residential only) . Total daily flow (compute @ 150 gal per bedroom) `7`" Topography: Circle one: Flat Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand 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. well : Separation: Water supply from any septic absorption - feet. -15- 71 PROPOSED SYSTEM: Septic Tank 100 0 ' gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench feet/Total system length feet SEEPAG PIT(S): Number of /Size each 4 feet by feet Size of stone to be used #. _� /Depth or Thickness ( 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: ,u_g.t DATE: 9 1 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. 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— 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: ,. • • Ili • c� 1 / COC- . _Down o ueeni-ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98- Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME r (I j- LOCATION 7 cj , , DATE 4/,}' / Ii PERMIT NO. . 90 '4/s SOIL TYPE Sand - Loam - ClayI- Percolation Tt Required? ICES - NO Percolation rate - Min/Inch/ TYPE of SYSTEM: \ // Absorption field,\total length Length of each trench / Depth of trenches ;/ Size of gravel . \ I _ SEEPAGE PITS{Number\of)J/. DL Size- ft. X C �ft.ry Gravel size _ tom= PIPING: VSize Type Bldg. to tank A Tank to dist. box /' \ Dist. box to field/pit\ Openings sealed?. (ES t NO Partial LOCATION/SEFARATIbNS: ,t Foundation to tank i /0 ft. Foundation to a,}sorption'\ 4 ft. Absorption to lot line /5 ft. Separation of ,pits ft. LOCATION OF SYSTEM ON PROP (circle one) Front - Rear"- Left side -Right side -. COMMENTS: ( / q %h 4 /� • t SYSTEM USE APPROVED ® NO i Y l Y -' _ Bu' ding Insp c or 01/86 and vl \i/ 0/ j /r' In F s f (Ste}.` ` , A/ �` / , t . -) */ ( rAi I 1 '� 1 _.0 3ciU.) .d ,-,j►"`_- ' ,:' .rJ‘:\ ri \II c(A. r \ ri ,