1990-832 Jw ifs -Hk.Ci ,.N •r/— vAr s� 'N
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 17 19903:)[ e ic)-- a — G5
This is to certify that work requested to be done as shown b Y Permit No. 90-832
has been completed.
This structure may be occupied as a Sewage alteration
Location 26 Heinrick Circle
Owner Robert Stewart
By Order Town Board
TOWN OF QUEENSBURY
V
Director of Bldg. & Code Enforcement
z N
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-832
WARREN COUNTY, NEW YORK
A.
PERMISSION is hereby granted to Robert Stewart
OWNER of property located at 26 Hei nri ck Circle 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 Condons Septic & Drain
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Sewage alteration as per plot plan specification and application
including: 2 seepage pits, 10' x 8' , Stone Size #3,
8. Proposed Use
Sewage alteration
$ 25.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 14, 1992
(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 14th Day of December 19 90
SIGNED BY//Gj yll zi � for the Town of Queensbury
L Building and Zoning Inspector
APPLICATION FOR
.=v u OWN OF OUEENSBURY
SEPTIC DISPOSAL P IT RECEIVED
Q
DEC 12 1990
DATE f (L _ 9 0 BLDG. & CODE DEPT.
LOCATION OF PROPERTY FOR INSTALLATION• -Z% /4 �f?l C C �C/
� 1
Owner's Name: Polet°f - S /.eCua-1z-i Telephone: e793 -3 7 .5 2—
Address: te' Yet<?/(d ( C ti C r,'QC/ , s i3u i-y
Installer's Name: CON`1 dire S Sp(-ri 4-fP02,4/Ji) Telephone:
Number of bedrooms (residential only) 11
Total daily flow (compute O. 150 gal per bedroom) 6 0�/
Topography: Circle one: op Rolling Steep Slope % of Slope
Soil Nature: Circle one OP Loam Clay Other /Depth: Feet
Ground Water: At what depth? ��,4 Feet
Bedrock or Impervious Material: At what depth? yiV� Feet
Percolation test: Circle one: of required 'required rate min. inch.
Domestic water supply: circle one: . lunicipal • Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank Cy( 54( gal. (minimum size: 1.000 gal.)
TILE FIELD: Each Trench feet/Total system length • feet
SEEPAGE PIT(S): Number of - / Size each /0 feet by R feet
Size of stone to be used # 3 /Depth or Thickness 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: (1/ lI (,„„day„,
DATE: / `'/
OVER
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 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 co 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
Bay and Haviland Roads
Queensbury, New. York 12804
Remarks: •
cc 1 `
Jouin ol ç#)ueenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME eadevcA,..„4:,_.a_72/2/
•
LOCATION ,‘ 74L -Gr'�., 4 �e—
DATE/,, .�A90 PERMIT NO. 90 a o
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SOIL TYPE `Sand Loam - Clay(-
Percolation Test Required? YES - NO
Percolation rite - Min/Inch 1 '
TYPE of SYSTEM: 1,
Absorption field;�,�',total len�'th
Length of each trench'
Depth of trenches '\ F •
Size of gravel ;;}, ti
SEEPAGE PITS4Number '"Of) e2
Size- ' ft. X ft. ,r-a'•S;',,i.{
Gravel size .. 7 . f 'A rt
PIPING: S rze Type
Bldg. to tank 44 V-
ghceTank to dist. box I,'. c!' ,�4 c2
Dist. box to field/.1. ��
Openings sealed? figrO Nap Partial
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LOCATION/SEPARATIONSi� ``
Foundation to tank ; ZKC5j ', t.
Foundation to absorption 'Tt.
Absorption to lot line l' f`+;t.
N'l
Separation of pits ;( • 02.E ft, .
LOCATION OF SYSTENON PROPER cle one)
Front - Rear - Left side - side -
COMMENTS:
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SYSTEM USE APPROVEDIll
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