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1992-172 ,..-„-i—.r- -.-..F . ,�_ ..a.�.�...,.n•,-..a...�.,n ,. . _...... . . .;.�: -••- Fxr^:scx�.. a;), xp.. . . . . y c:�a e...r,� .�-yI}�.'.���,_w 1� ► r CERTIFICATE (JF COMPLIANCE TOWN OF QU'EENSBURY WARREN COUNTY, NEW YORK Date April 23 19 .22 This is to Certify that work requested to be clone as shown by Permit No. has been completed. This structure may be occupied as a Se ri C SYSteYEI 7 Harris Street Location Nikki DeCenzo Owncr By Order Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement BUILDING PERiIIIIT LC i TOWN OF QUEENSBURY No. 92- 17 2 WARREN COUNTY, NEW YORK � bDN No'k V PERMISSION is hereby granted to Nikki DeCenzo ° OWNER of property located at 7 Harris Street Street, Road or Ave, in the Town of Oueensbury, To Construct or place a SeRti c Al teralti on 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. h1 O w 1. OWNER'S Address is s Smile J OWN 2, CONTRACTOR or SUI LOERS Name Jack Hail Plumbing Heating 792-7114 s 3. CONTRACTOR or BUILDER 'S Address 30 IN e+ d. ARCHITECT'S Name 2 CD 5_ ARCHITECT'S Address Va rp sp r&h J* 6_ TYPE of Construction — (Please indicate by X) wood Frame ( ) Masonry ; ) steel ( I �f rar 7. PLANS and Specifications J No. Septic Alteration to include: 200 ' of Tile Field using #2 stone � 1 ' thickness as per plot plan specifications and application 8, Proposed Use Septic Alteration $ 25 an PERMIT FEE PAID — THIS PERMIT EXPIRES April 24 .19 94 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ousensbu ry before the expiration date.) Dated at the Town of Queensbury this _ 24th Oay of Apri 7 1992 SIGNED BY r al P� —1;r% _ for the Town tat Queensbury Bull Ong and onpng I nstpe TOWN OF GIUEENSBLIRY TOWN OF QUEENSBURY RECEIVED APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # _qAe - 1T2 APR 2 2 1992 Fee Pa d Date : . jr- r c � _ EILDGa Ada CODE QGa %wed By , h LOCATION OF PROPERTY FOR INSTALLATION : Owner ' s Name : n ikIV ) Qe4,e" 2-c� � ra� Owner ' s Mailing Address : 'r ly� rrrsS�- Installer ' s Name : ��a ��+� ,�- 4ZZ Phone # : Number of bedrooms ( if residential ) : Total daily flow ( residential - compute @ 150 gal . per bedroom ) : h/ Topography-Circle One : Flat Rolling Steep Slope % of Slope Soil Nature- Circle One : and 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 : el�u Well Other If domestic water supply is a we Separation : 'Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank leodo sLqal . ( Minimum size : 1 . 000 gal . ) � 0 Tile Field : Each Trench feet//Total 'System Length .2 C) feet Seepage Pit ( s ) : Number of / Size each : ft . x ft . Size of Stone to be used : # / Depth or Thickness / feet HOLDING TANK SYSTEM IF REQUIRED No . of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified 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 : 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 to produce said plot plan at time of inspection may result in an immediate work stoppage . D . Should unforeseen problems during construction prevent proper installation , 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 & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks : flown 0/ Qmeervj4ury lqr7? BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 (]ueensbury, New York 12801 SEPTIC DISPOSAL. SYSTEM INSPECTION Lam' LOCAT I ON DATE x f PERMIT NO . Z .C� SOIL TYPE - an - Loam - Clay - SOIL TYPE ion Test Required? YESPerc ' Percolation rate - Min/inch TYPE of SYSTEM: Absorption field , total length Length of each tx enc 2 _ rf Depth of trenches Size of gravel_ =,±-' SEEPAGE PITS4N of) - r Size- Grave ize. Size Ype PIPING : .1?,&Y��5 of _0 Bldg , to tank 4 fa � Tank to listo box pac[ Dist_ box to field/ t NO partial openings sealed? LOCATION/SF,pARATIONS gT Alls�'+ ft- Foundation to tank Foundation to abs tion £t.p-- line ft • Abs ro ption to to fto separation of p is LOCATIONQ OF SY TEM ON P'ROPE Y (circle one] Front - ea eft side - Ri ht side - CCtyMENTs : SYSTEM USE APPROVED O 14WO b~i fa C� 06 B ilding I pector 01/86 and VI TOWN OF QUEENSSUR RECEIVED APR 2 2 1992 SLDGo S CODE DEPT. ft�l%4 LG AM I I r r TOWN OF QUEENSBURY BUILDING C0 DEPT. REVIEWED BY /J _ 1 DATE