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1990-680 CERTIFICATE. OF COMPLIANCE - ,,. TOWN OF "QUEENSBURY g .„_-/ WARREN COUNTY, NEW YORK: . ' Daie October 17 19 90 i (-4 , . : . ,,,,,-. This is to certify that work requested be done as shown by Permit No. 90-o80 a has been completed. This structure may be occupied as a Septa C system - 24 Linden Avenue. Location ALEXANDER WARDEN Owner - : By Order Town: Board TOWN OF QUEENSBURY ____±.-_ ,:_. :' ' Director of Bldg. & Code'Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 90-680 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to ALEXANDER WARDEN OWNER of property located at 24 Linden Avenue 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 same 2. CONTRACTOR or BUILDER'S Name m Sanders Excavating co 3. CONTRACTOR or BUILDER'S Address w Q rD 4. ARCHITECT'S Name Ni 5. ARCHITECT'S Address r— Q CD 6. TYPE of Construction—(Please indicate by X) re ( )Wood Frame ( ) Masonry ( I Steel ( ) re 7. PLANS and Specifications No. Sewage alteration as per plot plan, specifications and application to include 200 feet of tile field with #2 stoen at 1 ft. depth 8. Proposed Use N rD Septic system CD cu 25.00 October 4 92 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 `t re (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Cu town of Queensbury before the expiration date.) ct' 0 Dated at the Town of Queensbury this 4th Day of October 19 90 i SIGNED BY for the Town of Queensbury Building and Zoning Inspector .1 /o/� g, (f TOWN OF Q EENSBURY . � � APPLICATION FOR SEP I I OSAL PERMIT DATE: 90 LOCATION OF PROPERTY FOR INSTALLATION -4/ ,� f In e!'l Q Owner' s Name: A /e, liG)ca.r-h'Y? Address: 91`7 ji`nc/eq ave. 1=cp. // OWN OF QUEENSBURY fit;.. .e e:.e` Tr Installer' s Name: 571-ever4 Sc v dc,15 Telephone: UC I - 2 1990 Number of bedrooms (residential only) 7 Total daily flow (compute @ 150 gal per bedroom) /�O 8-449t. ° CODE T" Topography: Circle one: 41, 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: OiLl!gyirgI) required Rate - Min. Per Inch Domestic water supply: Circle one: 4211111,11 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 ,1 D feet SEEPAGE PIT(S): Number of /Size each 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. n /7�-�--�� ��d DATE: �0- - 9 SIGNATURE OF RESPONSIBLE PERSON: ,�.I� .� E � • • 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 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 S 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 .canks, distribution boxes, tile fields anal/or drywalls B. Nu system shall be covered before inspection and approval by the • Building Inspuccor. 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 tiros 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 muse be submitted to the Queensbury Building Department before further construction. • Town of Queensbury BUILDING and CODES DEPARTMENT Bay and 'Haviland Roads Queensbury, New York 12804 Remarks: Down of Queeniar1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 /el/ Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME Lie 74(aitCL2A/L.,1 LOCATION o?i (/7d . /4V DATE ,14 5/96 PERMIT NO. qD -6 to SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench ' Depth of trenches Size of gravel SEEPAGE PITS*Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption _ ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: SYSTEM USE APPROVED YES NO Building Inspector 01/86 and vl Own of Queenur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 1... 6((e'') LOCATION :.f, �,' c.,c- DATE/0) /90 PERMIT NO. c7.4 -Gi pi SOIL TYPE - Sand - Loam - Clay - f Percolation Test Required? /YES 7 O/�_ . Percolation rate - Min/Incl' - I/ ¢,: TYPE of SYSTEM: ^ Absorption field, total/tlength ib002P Length of each trench I , Z}' Depth of trenches , ' Size of gravel t `"L- SEEPAGE PITS4Number 01 Size- ft. X Gravel size `, . 7 PIPING: •Size Type Bldg. to tank Tank to dist. box' fy' Dist. box to field/pit Openings sealed?' YES ',NO Partial d¢ ;� LOCATION/SEPA4TIONS: �', Foundation to 'tank ‘ ft. Foundation to/absorption _ ; ft. Absorption to lot line Vt. Separation o , pits f,t. LOCATION '-,'SYSTEM ON PROPERTY(circle one) Front CCRe Left side - Right side - COMMENTS: \ (-7 / , , ef i6.4 2/4_, _ , c_f .. , SYSTEM USE APPROVED Y S NO <-3) ...*___..-- Building Inspector 01/86 and vl otiEENFRupv _ , ,•, OCT - 2 1990 BLDG. & CODE DEPT. -.. 0 ,12.11 0 c-j,( 0\t \ \7\ A/ 1140/64