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1990-627 _. v � -. „ _ v...,, G7 h....:1i�v �r-fw' ( r:� ,-.. :-r uj . ..r-,�. <. . .. ...vl.,,s;. v.fJ,y�r +.w. r :uy-• .i. , .i. t CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 5 19 90 ? at This is to certify that work requested to be done as shown by Permit No. 90-677 has been completed. This structure may be occupied as a septic system Minnesota Av at Central Location Owner ROBERT NORTHGARD JR. By Order Town Board ' TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 90-627 3- WARREN COUNTY, NEW YORK PERMISSION is hereby granted to ROBERT NORTHGARD JR_ OWNER of property located at Minnesota Av & Central 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. OWNasS Address is 7 z. COWC6rdJpST6II1P1H4 IYy081 i ty Homes 7 c- 3. CONTRACTOR or BUILDER'S Address c. 4. ARCHITECT'S Name 5. ARCHITECT'S Address rD to o sy 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) Q` CD 7. PLANS and Specifications c-t 'S No. Septic alteration to include 1000 gallon septic tank, 200 feet of tile cu field with #2 stone at 12" depth. 8. Proposed Use Septic system CD 25.00 September 17 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 town of Queensbury before the expiration date.) rD -5 iu Dated at the Town of Queensbury this 17th___.Day of September 19 90 / o l /_�C. SIGNED BY < /UI2 for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEEISBURY `4j APPLICATION FOR SEPTIC DISPOSAL PERM DATE: , 1z7 —'6Pj LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: (F - 'Utig12, r J s_E Address: EP 7 990 npr P. rnr�c= n' Installer' s Name: Au7Dy" `Do i �,�j �1f6. (dug-L1c' Telephone: 4.4 pkw-s 71 3—63 Si3 Number of bedrooms (residential only) 3 Total daily flow (compute @ 150 gal per bedroom) 459 Topography: Circle one: Fla Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Ground Water: At what depth? u,A,tp,L,-,, qo'tFeet Bedrock or Impervious Material : At what depth? bin p a Feet Percolation test: Circle one:C not required required Rate - ‘j1__ Min. Per Inch Domestic water supply: Circle one: Municip Well Other If domestic water supply is a. well : Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank 1000 gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench So feet/Total system length ` O o feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used #. o`- /Depth or Thickness /a " feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alanm system and associated electrica rk o 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: awALL DATE: '0, / 90 ptic Syste■ 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 co 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 anal/or drywalls B. Nu system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may rusult .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 rusult in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installa— tion, alteration or rupuir of an approved system, a new proposal must be submitted co the Quuensbury Building Department before further construction. Town of -Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 • kin►arks: Jou!n o/ Quri, BLALDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I O DATE ` / 9� PERMIT NO. U— �oZ 7 SOIL TYPE - Sand - Loam - Clay/ Percolatio Test Required? .YENO Percolation rate - Min/Inch _ TYPE of SYST • ! Absorption fiel , total length Length of each t ench / Depth of trenches \ I Size of gravel / SEEPAGE PITS-fNuinber f) _ / Size- ft. X Gravel size \ Q PIPING: Ssizd Type Bldg. to tank Tank to dist. box Dist. box to field/pit / Openings sealed? YES • Partial LOCATION/SEPARATIONS: Foundation to tank t. Foundation to absorptio kt. Absorption to lot line 45 fi. Separation of pits ft LOCATION OF SYSTEM ON ROPERTY(ci cle one) Front - Rear - Left s' e - Right 'de - COMMENTS: /camL0 go? cie . /1 SYSTEM USE APPROVED i ES NO lding I spector 01/86 and vl . Jotun of Qaeenit ? BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R:D. 1 Box 98 Queensbury, New York 12801 1' • SEPTIC DISPOSAL' YSTEM INSPECTION NAME ;0/}C i(7ir•%� LOCAT I0 /� Oa// f� d 7 yr &/ DATE ��247/ 'O P E I T NO. 9� 6 2 7 a SOIL TYPE, - Sand - Loam Clay - Percolation Test Iequired? YES - NO Percolatin rate j Min/Inch I TYPE of SYSTEM: Absorption field, total length Length of each tench Depth of t,enches Size of gra�y.� eI I SEEPAGE PITS-Nui[t`ber of) Size- ft. Xi • ft. Gravel size 4 PIPING: p Size Type Bldg. to tank Tank to dist lox-. - -- - Dist. box tol field/pit Openings seals YES NO Partial LOCATION/SEPAR(ATIONS: Foundation to .,;tank ft. Foundation to `absorption ft. 14 Absorption to lot line ft. Separation o4 ts ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear .- Left side - Right side - COMMENTS: 5 5--Fr /il . 0©�S Ai CZ nl R gM ►a OP() 20 u G 0 pLor-PtA w, -P -rA P s A C/5,No A/'itit. D r. (fox. ‘ 5c(3M t r/l/��-�i�/�pL l CA4r-DAJ fPLc�L P ,u PO �� Pr p,�Co,vAi / r A-7vIG H-D & SYSTEM USE APPROVED lYES NO;9 . Bui 6ing Ins ec or 01/86 and vl .