1990-797 44.
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY -
WARREN COUNTY; NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No. _ t1f1m7t17
has been completed.
This structure may be occupied as a Septic Alteration
Location 18 Sylvan Avenue, Queensbury
Owner Richard Sullivan -
By Order Town Board
TOWN OF QUEENSBURY
/
Director of Bldg. do Code Enforcement
BUILDING PERMIT
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TOWN OF QUEENSBURY x
No. 90-797
WARREN COUNTY, NEW YOR K
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PERMISSION is hereby granted to Richard Sullivan
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OWNER of property located at 18 Syl van Ave Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Septic 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 Condon' s Septic And Drain Service
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address Y'
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6. TYPE of Construction—(Please indicate by X) S7
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( )Wood Frame ( ) Masonry ( ) Steel (
7. PLANS and Specifications
No. Septic alterations as per plot plan specification and application.
Including : 200' of Tile Field, #2 stone 1' thickness U)
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8. Proposed Use "CI
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Septic alteration
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$ 25 on PERMIT FEE PAID—THIS PERMIT EXPIRES November 21 19 q2
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
Dated at the Town of Queensbur Day of November 19 90
SIGNED BY for/. /( � for the Town of Queensbury
Building andi±oning Inspector
• .. • . � v� ►�u1.Liv�t��. iiI
APPLICATION FOR
SEPTIC . DISPOSAL PERMIT
t OWN OF QUEEN RY
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NOV 20 1990
DATE / 1 � �0
Q BLDG. & CODE DEPT.
LOCATION OF PROPERTY v FOR INSTALLATION 1 g `/ J Vc� A (f E
Owner's Name: fi t Ch Q lr ��u II*Ai Telephone: 773
Address: / yivaiii AO .JP . us'aci7 't. Y
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Installer's Name: CNCLfuS ��pp-sCc, :-D R 1c 1U SE f Telephone:
Number of bedrooms (residential only) 3
Total daily flow (compute (a 150 gal per bedroom) if spa
Topography: Circle one: Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet
Ground Water: At what depth? V1 Feet
Bedrock or Impervious Material: At what depth? AU fA Feet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one: ,Municipal •' :~' Other
If domestic water supply is a wel .
Separation: Water supply from septic absorption MO feet
PROPOSED SYSTEM: Septic Tank 7\/L$11 gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench L� Q feet/Total system length `D-0 a feet
SEEPAGE PIT(S): Number of / Size each feet by feet 2-6
Size of stone to be used # /Depth or Thickness 1 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:
DATE: / 90
OVER
i
•
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 tothe 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 drywells
•
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 Queensbury Building Department before further
construction. •
Town of Queensbury
BUILDING and-CODES DEPARTMENT
c.--Bay and Haviland Roads
Queensbury, New York 12804
•
•
•
Remarks: •
„// ll;.bo •
Jorun o� Queen3�iurcy .
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
•
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME SU l 1 1 ,f a M ,C.kC YCJ
LOCATION 1.1 t i\ l-4'\T {e_
DATE ) / V PERMIT NO. 96 ^ 79 7
SOIL TYPE -and Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length oC7
Length of each trench 4/O
Depth of trenches 3
Size of gravel”
SEEPAGE PITS4Numb r of)
Size- ft. X ft.
Gravel size
PIPING: Size , Type
Bldg. to tank Fib
Tank to dist. box o4 p VC
•
Dist. box to field/. '-_ 1/
Openings sealed? NO !,', Partial
LOCATION/SEPARATIONS:
Foundation to tank E`'ft.
Foundation to absorption ;2,00 ft.
'f Absorption to lot line / ft.
Separation of pits ,•,?'� ftT?
LOCATION •• YSTEM ON PROPERTY(c'ircle one)
Front - - Left side' - Right side -
COMMENTS: -/
4/L2 // )41//241-A
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SYSTEM USE APPROVED YES N
Bui i n ector
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PF.nEivr=1--.
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NOV 2 0 1990
BLDG. & CODE DEPT.
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