1990-729 • - '
ti
d'` CERTIF'ICATE OF COMPLIANCE
TOWN OF QUEENSBURY
_ WARREN COUNTY, NEW YORK
Date October 259
This is to certify that work requested to be done as shown by Permit No. 90-729
has been completed.
This structure may be occupied as a sept[Nc system
13 Garner Street
Location
ANTONIO MANDOLARE
Owner
By Order Town Board
l
TOWN OF QUEENSBURY
> y
Director of Bldg. do Code Enforcement
•
BUILDING PERMIT
x
TOWN OF QUEENSBURY No. 90_729
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ANTONIO MANDOLARE
OWNER of property located at 13 Garner St Street, Road or Ave. i"
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
Burgoyne Av
Hudson Falls NY 12839
2. CONTRACTOR or BUILDER'S Name r
r—
n
Sanders Excavating
3. CONTRACTOR or BUILDER'S Address
0
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
N
W
SJ7
w
CD
6. TYPE of Construction— (Please indicate by X)
"S
to
( I Wood Frame ( ) Masonry ( )Steel ( ) c-I-
7. PLANS and Specifications ;
No. Sewage alteration to include 1000 gallon septic tank with 260 feet
of tile field with #2 stone at 1 ft.
8. Proposed Use
Septic system
CD
0)
25.00 October 22 92co
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 pu
(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
c-t-
Dated at the Town of Queensbury this D f October 19 90 0
SIGNED BY for the Town of Queensbury
Building and o ing Inspector
/. /- 5-- TOWN OF QUEENSBURY O�
41,W APPLICATIOIl FOR SEPTIC DISPOSAL PE T 4
DATE: OG/- (IF QU. EIS URY
LOCATION OF PROPERTY FOR INSTALLATION / 3 /-cic' 'r S '/4-
Owner' s Name: a n10 AA) NO4 la' OCT 1990
Address: gu l'5D)K., P� �e 1✓� 6 a l-/ BLDG. & CODE i EPT,
Installer' s Name: e5 wt 5C4 v? Telephone: 7 3--2,115-"
Number of bedrooms (residential only) t
Total daily flow (compute @ 150 gal per bedroom) . z 7c (7
Topography: Circle one: 67 Rolling Steep Slope % of Slope
Soil Nature: Circle one: a Loam Clay Other /Depth:
Ground Water: At what depth? - Feet
Bedrock or Impervious Material : At what de th? Feet
Percolation test: Circle one: of required.,-) required
Rate - Min. Per Inch
Domestic water supply: Circle one:(i icipa l Well Other
If domestic water supply is a wel1: T
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank ,/2'U gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench 3 feet/Total system length feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #. /Depth or Thickness. J 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.
� DA
SIGNATURE OF RESPONSIBLE PERSON: TE d/
•
• 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 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 to the Queunsbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
•
Remarks: •
•
_own of Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
1
SEPTIC DI(POSAL SYSTEM INSPECTION •
NAME '' • A di'4i_
LOCATION )\.? bC )..)UYL L-
DATE /0 /1 'PERMIT NO. 90t 7,79
SOIL TYPE = Sand - Loam - Clay -
Percolation Test Required? YES/ NO
Percolation rate - in/Inch _
TYPE of SYSTEM: /
Absorption field, total length 2 ; O
Length of each trench\ 5 ` ' L,,,Y' G i _c
Depth of trenches 2-C� tr
Size of gravel -z- _/
SEEPAGE P ITS�Ntu�be-of) 2.0
j
Size- __ -f L.. XX ft. �'
Grue�I7ize . _ f \
PIPING: •► -1-JJ Size \ Type
Bldg. to I 1 .\\ pv c._
Tank to dist. box I Li ',P(/' ,-,--
Dist.
boy: to field/pit 3 y Ill/ __
Openings sealed? at NO ° Partial
li
LOCATION/SEPARATIONS:
Foundation to tank i ft.
Foundation to abscrption ft.
Absorption to lot line ft. Qp.a
Separation of pits ,'{ ft.
LOCATION OF SYSTEM ,ON PROPERTY(dircle one)
Front -(eq.- Left/ side - Right side -
COMMENTS: V
/f
194--f4 Pkr PIA A,
• 1
i
SYSTEM USE APPROVED ES NO 7)
c / ;
2;; .l
Building ns•-ctor \
01/86 and vl
/Do
N
I�
v) r____________----
r-— (0 ___ ---- ,1"-- ' (
)) 2. -----------\ °C
c)
1® Jb