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1990-847 -CERTIFICATE OF COMPLIANCE ` TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK - Date December 31. 19 90 - ''- 3(D- e q , ,.... 6-2 ., -0, This is to certify that work requested to be done as shown by Permit No. 90-847 t has been completed. ', This structure may be1occupied as a Sewage alteration \ ,• T Location < f r 1c ? -g ,,,-, Owner Gordon Ostrander ,; s ; \\ `! By Order Town, Board ''t r. � TOWN OF QUEENSBURY ' Director of Bldg. & Code Enforcement - _may BUILDING PERMIT TOWN OF QUEENSBURY No. 90-847 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Gordon Ostrander o • OWNER of property located at 51 Kensington Rd Street, Road or Ave. co 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 0 n. 2. CONTRACTOR or BUILDER'S Name O Sanitary Sewer 'S 3. CONTRACTOR or BUILDER'S Address 0 fD 4. ARCHITECT'S Name 01 t—+ 5. ARCHITECT'S Address CD Cl, • 6. TYPE of Construction—(Please indicate by X) 0 ( )Wood Frame ( ) Masonry ( I Steel ( ) - - 7. PLANS and Specifications No. Sewage alteration as per plot plan specifications and application including a new 1000 gal . tank 8. Proposed Use >y Sewage alteration C) co $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 27 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.) 0 Dated at the Town of Queensbury this Day of�ecembe r 19 90 • SIGNED BY Gill/ for the Town of Queensbury Building and Zoning Q ctor TOWN OF QUEENSBURY � � APPLICATION FOR SEPTIC DISPOSAL PERMI�TDF , QUEENSBUFPRECEIVED r DATE: I2- -2 (, -- J LOCATION OF PROPERTY FOR INSTALLATION S.../ /-?PAJJ`/.-,670,--1 ADM 2 6 1990 Owner' s Name: 014L107-/ O J /:/a-N Q2 BLDG. & C ODE Dew': Address: /19 ,4_, Installer' s Name: ,�7N/>� „ ABC`` Telephone: 75'2- 724-, Number of bedrooms (residential only) //a- Total daily flow (compute @ 150 gal per bedroom) /L/fr- Topography: Circle one: (1110 Rolling Steep Slope % of Slope Soil Nature: Circle one: 411, Loam Clay Other /Depth: Ground Water: At what depth? Feet Bedrock or Impervious Material : At what' depth? Feet Percolation test: Circle one: of require required Rate - Min. Per Inch Domestic water supply: Circle one.406101111210 Well Other If domestic water supply is a we Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank /OD 0 gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used #. /Depth or Thickness feet ***************************** ar- P/40- ORCL,.(). 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 Qu ury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE:/ —a)-(: 20 /�df o . /x�lr ,. s ie rr 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 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 to Any water supply 5.) size and dimensions of all tanks, distribution_boxes, cile 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 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 R.:marks: 1 -N ii '- . . cc�7 \ Jown ot Queensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME CYA- LOCATION 5 ) ) -e,'(}s1'a.c� v l,� DATE /�.. /3/ PERMIT NO. 9© — 8 7 SOIL TYPE\ Sand - Loam - Clay - Percolatioi Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench I Depth of trenches ' • Size of gravel ) SEEPAGE PITS{Nuinber of) , Size- ft. X\ ft. r Gravel size ti? PIPING: Size Type Bldg. to tank ` t r; Tank to dist. box \ „` Dist. box to field pit`' Openings sealed? YES( NO . Partial j LOCATION/SEPARATIONS: ,;, Foundation to tank • f)v ft. Foundation to absorption _ ft. Absorption to lot line -1 ft. Separation of pits !i Itk • ft. LOCATION OF SYSTEM aN PROPERTY(circle one) Front C-11. --i-> Leftside Right side - COMMENTS: / \/ - `n� �- ` tt , - it} ,I , j ,i SYSTEM USE .APPROVE!P NO - B lding nsp for 01/86 and vl , w 0 -o 1-toudg. , CArAfi-c._ a' 0 j000 3/4 60 .,,, 0 , Dar 4.7 6 bt_ 464- ----1 : , • . N • Nt. 4 , p . N '14 EulLnIV‘G (St COD' :a, q 1 C ovviv • 9 'I) OUEep,10,„, D thl ki-3.'cricif:go -ouRv DEC 26 1990 BLDG. & CODE rwPT