1990-813 ..• „- ....
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CERTIFICATE OF COMPLIANCE • ,
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK ..
Date December 11, 19 90
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This is to certify that work requested to be done as shown by Permit No. 90-813 ,
has been completed.
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This
structure may be occupied as a Sewaue Alteration
34.x.1.nration b Bronk Drive
Owner Allen Bryant
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By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement A •
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BUILDING PERMIT
TOWN OF QUEENSBURY x
No. 90-813
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Allen Bryant
OWNER of property located at 200 Bronk Drive Street, Road or Ave. cn
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
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2. CONTRACTOR or BUILDER'S Name c+
Steven Sanders
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address -5
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6. TYPE of Construction—(Please indicate by X)
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( 1 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications N
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No. Sewage alterations as per plot plan specifications and application
including: 1000ga1 septic tank, Tile field 65' , lenght 260' , #2 Stone 1' Thickness m
8. Proposed Use
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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
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 4th Day of, December 4, 19 90
SIGNED BY for the Town of Queensbury
Building and Zorn Inspector
/ �„ /, — I —5 TOWN • . QUEENS'BIY�RY !t,�'�ERTSBURY
041 APPLI( , : I : S; 1 ISPOSAL PERMIT
�,4 NOV 30 1990
DATE: // 3-D- �b
LOCATION OF PROPERTY FOR INSTALLATION ,2DC) / 'rof rapp. 84 cope DEPT.
Owner' s Name: /I/4y/ '6Y,y i7
Address: . O v 0 too I1 D r, 0 c.>ErYL3-.1)vix
Installer' s Name: 5'7' or v ;q ',A7' s Telephone: , 7g5-2//S
Number of bedrooms (residential only) h/
Total daily flow (compute @ 150 gal per bedroom) 666)
Topography: Circle one: 4011 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: not required required
Rate - Min. Per Inch
Domestic water supply: Circle one: Municipal Well Other
If domestic water supply is a well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank /6e>a gal . (minimum size: 1,000 gal )
5 mil'iti N?"
TILE FIELD: Each Trench G 3" feet/Total system length 6 feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone. to be used #. /Depth or Thickness / 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 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: 1X-- /��it---j
DATE: '7�
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• Septic System Inspections:
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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 co lot lines
3.) location and distance co structures
4.) location and distance co 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 Inspuctor. Failure to comply with this requirement may
result in the uncovering of the system by the installer and a fins
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 an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper inscalla—
cion, alteration or repair of an approved system, a new proposal must
bg submitted co 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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_town of QueenturPJT
BUILDING and ZONING-DEPARTMENT-
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Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Yu.. tS. :Jr
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LOCATION 30 0 1 r k
DATE i /5 PRMIT NO. D
SOIL TYPE - - Loam - , ay -
Percolation Test R quired YES - NO
Percolation rate - M in/ ch
TYPE of SYSTEM:
Absorption field, , tal length o O
Length of each tr n,h G fil
Depth-of trench s-- , ( ' '
Size of grave +d2-
SEEPAGE PIT Numberj�of) -
Size- 't. X . jlft.
Gravel s:ze -
PIPING• - • Siz'e1 Type
Bldg - to tank _4 )________
Ta ' to dist. ,box ' 4/1/ ye,
D"st. box to field/pit 42411 - ii)r( -
•i•enings sealed? YES NO Partial
OCATION/SERARATIO S: .
Foundation to tan id ft.
Foundation to abso ption (J ft.
Absorption to lot ine ;d ft.
Separation of pits 6 ft. -
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front E Ream- Left side - Right side -
COMMENTS: .
SYSTEM USE APPROVED •
•NO
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B ding In ector -
01/86 and vl
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NOV 3 0 1990
BLDG. & CoDIE OEPL.
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