1991-109 _ -
• _ - -
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY; NEW YORK
• Date ,Z1 19 21
This is to certify that work requested to be done as shown by Permit No. 91-109
• has been completed.
This structure may be occupied as a Sewage Alteration
•Location Cor of Kyle & Sweetbrier
Owner Kenneth Vannier
By Order Town Board
• TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY w
No. 91-109
WARREN COUNTY, NEW YORK
0
ti
PERMISSION is hereby granted to Kenneth Vannier o
I
OWNER of property located at Cor of Kyle & Sweetbrier Street, Road or Ave. '� 1--1
IV
cn
in the Town of Queensbury,To Construct or place a Sewage Alteration N
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
Howards Excavating
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) a
( )Wood Frame ( ) Masonry ( )Steel ( I
7. PLANS and Specifications
No. 1,000 Gal septic tank with 2 seepage pits each 8' x 6' , #3 size
stone, 2' Thickness
8. Proposed Use
Septic Alteration
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 25, 19 93
(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 25th Day of March 19 91
SIGNED BY C� �� --G/Pi( s'l����_� �� for the Town of Queensbury
Buildi g and Zoning Inspector
TOWN OF 7IT
ljj �G�`�- (3 APPLICATIOn FOR SEPTIC DISPOSAL P /(./
`ram ` �
3�2� 1°l\ TOWN OF QUEENSBUR'r
DATE: - f — /f y/ RECEIVED
LOCATION OF PROPERTY FOR INSTALLATION (:/c,,,,61) a �� ` ' ��� 1991
Owner' s Name:
Velv, Eu.gr,. coot •
Address:
Installer' s Name: � , • ,A9 („4_ - , Telephone: 2j2 Number of bedrooms (residential only) _3
Total daily flow (compute @ 150 gal per bedroom) 45e.
Topography: Circle one: 11 ' 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 - c `Sr Min. Per Inch
Domestic water supply: Circle one: u i al% Well Other
If domestic water supply is a wel : —
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank kjc;r ' gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of /Size each ? Y��� feet
by 62, feet
Size of stone to be used .
/Depth or Thickness �. ' feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alas 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: DATE:
•
awn
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. ,.
_ wn ole Queenibury
BUILDING and ZONING DEPARTMENTS1/,'
Bay and Haviland Road, R.D. 1 Box 9/8/ /'{
- Queensbury, New York 12801
SEPPTIC DISPOSAL SYSTEM INSPECTION
NAME ` lif; /i,i -7k/T1Wil-t/
LOCATION en ( ke. / uLe i2e,/, u a�
DATE4/4' / 99/ PERMIT NO. • 9�/_i(?9
SOIL //TYPEa Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each• trench
Depth of trenches '
Size of gravel
SEEPAGE PITS4Number of) ' ;)---
Size- E ft. X f ft.
Gravel size P5
PIPING: Size T e
Bldg. to tank " �
Tank to dist. box _ 1"— ea
Dist. box to field/p .t 0 pee./
Openings sealed? YES NO . Partial
LOCATION/SEPARATIONS:
Foundation to tank \ ID ft.
Foundation to absorptio -Di) ft.
Absorption to lot line gLft.71
Separation of pits ft.
LOCATION OF SYSTEM ON 'ROPERTY(circle one)
Front Rea - - Right side -
COMMENTS: .
_ L 1 f y'
\72140,, •
SYSTEM USE APPROVED 410, NO
'
B is lding r spector •
01/86 and vl
awn o/ Queenihur, iy
• BUILDING and ZONING DEPARTMENT.
e
Bay and Haviland Road, R.D. 1 Box 9
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
N W.-1/ . Al,::6(. )
v
LOCATION(3 /e1.4y \//e/J,%a:./J
DATE.)V /9/ PERMIT NO. /--/() .
SOIL TYPE - Sand - Loam - Clay -
• Percolation Test Required? YES - NO
Percolation rate - Min/Inch _
TYPE of STEM:
Absorption field, total length
• Length of \each trench'
Depth of trenches
Size of gra`1 el_
SEEPAGE PITI{Number of)
Size- ft X ft.
Gravel size ,,
PIPING: Site Type
Bldg. to tank
Tank to dist. 11..,box
Dist. box to fiield/pit
Openings seale ? YES NO Partial
LOCATION/SEpA TIONS:
Foundation to hank ft.
Foundation to absorption ft.
Absorption to It line ft. .
Separation of Ws ft.
LOCATION OF SYSTEM ON. PROPERTY(circle one)
•
Front - Rear - Left side - Right side -
COMMENTS: .
i
;a. _ )L,OLN{ C6iZ 5 \ 1 L.; Clds-Li/ iL
Pd E';. . LA/ki•-1.:A-V CUT-
/ •
14.
SYSTEM USE APPROVED YES NO
--m „,/,) / ,
Buiiding Ix spe'ictor •
01/86 and vl
TOWN OF QUEENSBUPO
PEr•EIVED
MAR 211991
BLDG. & CODE DEPT.,
-$\
?\\e
1
• OWN OF QUEENSBURY
ULDN COD DEPT.
REVIEWED
DATE 5 • C