1990-812 !y ...a-t it�rry.-R.-y�..^Y'V� �( • — P. p. 7...
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CERTIFICATE OF COMPLIANCE .
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date npreamhPr 11 19 90
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C3CS 3— <4„',
This is to certify that work requested to be done as shown by Permit No. 1:10 R12
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has been completed.
This structure may be occupied as a Sewage alteration
Locat`o? Pitcher Road
Owner Guy Saorrano
By Order Town Board
{
" - TOWN OF QUEENSBURY •
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- Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 90-812
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Guy Sgorrano
OWNER of property located at Pitcher Road 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.
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o 1. OWNER'S Address is Same
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2. CONTRACTOR or BUILDER'S Name
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Sanitary Sewer
3. CONTRACTOR or BUILDER'S Address
cc cc 4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( )
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co 7. PLANS and Specifications
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No. Sewage alteration as per plot plan specification and application
including:1000 Gal existing septic tank, 2 seepage pits, 6' each #3 Stone, 2'
8. Proposed Use
Sewage alteration
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$ 25.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 4, 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
in town of Queensbury before the expiration date.)
CAI
Dated at the Town of Queensbury this 4th Day of D.rPmher 4 19 90
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SIGNED BY �'*� � for the Town of Queensbury
Building and Zoning In4cctor
/a--5, -" a — `3 TOWN OF QUEENSBURY
42; ' APPLICATIONFOR SEPTIC OithOW PERMIT , ,gia-
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DATE: I 1— �� 1 L iV r . i�� ,' i:�;
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LOCATION OF PROPERTY FOR INSTALLATION ��'� !' 3 0 151996 ��` a��° �
Owner' s Name: l 1U ca. 1.--� �C�i •i, /
Address: go rz,Q P -rcAeQ c
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Installer' s Name: ti// - 1 t1 F,I" / eL Telephone: r I2 7Zg
Number of bedrooms (residential only) J
Total daily flow (compute @ 150 gal per bedroom) OD
Topography: Circle one: Rolling Steep Slope % of Slope
Soil Nature: Circle one: San Loam Clay Other /Depth:
Ground Water: At what depth? Feet
Bedrock or Impervious Material : At what depth? Feet
Percolation test: Circle one: cga requir required •
Rate - Min. Per Inch
Domestic water supply: Circle one: OMun.icipaJ Well Other
If domestic water supply is a. well :
Separation: Water supply from any septic absorption feet.
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PROPOSED SYSTEM: Septic Tank boo gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of /Size each feet
by g- feet
Size of stone to be used #.. , 1 /Depth or Thickness 2,- feet
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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 everse side of this sheet and agree to abide
by these and all requirement of the Town of Que ury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERS : E: /A-2 / l/
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Septic System Inspections:
A. All applicacioni 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 co any water supply
5.) size and dimensions of all tanks, distribution boxes, .
tile fields and/or drywalls
B. Nu 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 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
Bay and Haviland Roads
Queensbury, New York 12804
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koi-1- ,--cL- \ow.
Jown of Queen ur j
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 • .
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME j a .°
LOCATION �r c
DATE /c9,- / PERMIT NO. Q O
SOIL TYPE Sand A Loam - Clay9"-
Percolation Test Required? Y S - NO
Percolation rate - \Min/Inch
TYPE of SYSTEM:
Absorption field, total ngth
Length of each trencl /
Depth of trenches ' I
Size of gravel
SEEPAGE PITS4Number EE)
,
Size- ft. X Vft\.
Gravel size , --,, .'C
PIPING: ,i izP� pe
Bldg. to tank /' . riG
Tank to dist. box J/(',
Dist. box to field/pit 4h
Openings sealed? YES l ; NO Partial
LOCATION/SEPARATIONS:
Foundation to tank I ft.
Foundation to absorption 30 ft.
Absorption to lot line Xfi ft.
Separation of pits -d ft.
LOCATION OF SYSTEM ON PROPERTY(j;rcle one)
rori )- Rear - Left side - Right sid J
COMMENTS: •
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SYSTEM USE APPROVED YES NO
B ' ding Ins ector
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