1991-245 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 6 199 L
This is to certify that work requested to be done as shown by Permit No. 91 245
has been completed.
t
Septic Alteration
This structure may be occupied:,as a:
Location 2 Orchard Drive :/
Owner Patrick Eppedh co
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-245
WARREN COUNTY, NEW YORK
N
PERMISSION is hereby granted to Patrick Eppedico
OWNER of property located at 2 Orchard DRIVE Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Septic Alteration o.
at the above location in accordance to application together with plot plans and other information hereto filed and C
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
Condon's Septic & Drain
3. CONTRACTOR or BUILDER'S Address O.
rD
4. ARCHITECT'S Name
fD
rl•
A
5. ARCHITECT'S Address 0
c+
I'D
'S
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6. TYPE of Construction— (Please indicate by X) 0
( 1 Wood Frame ( 1 Masonry ( 1 Steel ( )
7. PLANS and Specifications
No. Septic alteration to include: 2 seepage pits each 8' x 8' with #3
stone, 2' thickness
8. Proposed Use
Septic alteration
$ 25.00 PERMIT.FEE PAID —THIS PERMIT EXPIRES April 26, 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 26th Day of April 19 91
SIGNED BYr for the Town of Queensbury
Bng and Zo ing Inspector
/�► TOWN a QUEENSBURY 1
v
�{� APPLICATION)f;`,• ...ISAL PERMIT
`,�-"� ,�/� --
,)- / fe in t e / orVM 7LIp
13ECE1 /EDGATE:
LOCATION OF PROPERTY FOR INSTALLATION OiCN4A1 DRr APR 2 R 19q
Owners Name: t}-PUCK cJc 4 c1 c p '
Address: 1 O ci,1QQ.b _ 1 , .
Installer' s Name: 00/1609/US.SF -�tCd3)1g/6thL Telephone: 79e 8'5Pi2
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) 1/L3 Ci
Topography: Circle one: Rolling Steep Slope-. % of Slope
Soil Nature: Circle one: Sand ' Loam Clay Other /Depth::
Ground Water: At what depth? iO}- Feet -
Bedrock or Impervious Material : At what depth? V% Feet
Percolation test: Circle one: Eui ) 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.
Ct1a I -
PROPOSED SYSTEM: Septic Tank (O'DO W/ gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length • feet
SEEPAGE PIT(S): Number of /Size each 2 feet
o by feet
Size of stone to be used #. 3 /Depth or Thickness 2 feet
*****************************
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.
- r
SIGNATURE OF RESPONSIBLE PERSON:ag(Dm,G_E _ DATE: �S 7/
•
logic System Inspections,:
tic system installation. alteration or repair,
A. All applications for sop
as required by the Town of Queensbury Sanitary Sewage Ordinance. shall
ba submicted co the Building Department at least 24 hours before start
of construction and shall include a ploc ..plan showing:
1.) the proposed location of cho system
2.) locacion and distance to 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.
cil+ fields and/or drywalls
B. Nu system shall be covered before inspection and approval by the •
uuil4ing Inspector. Failure to comply with this requirrment may
• rusulc in the uncovering of chi system by the installer. and a fine
ui up co $250.00.
C. An approved copy of the plot plan shall be _available on the construction
site. Failure co produce said plot plan at cime of inspection say •
rusulc in an imm.dia ce work stoppage.
D. Should unforeseen problems during construction prevent proper inscalla-
cion, alteration or rup.iir of an approved system, a new proposal must
bu submitted to the Qu.eunsbury Building Department before further
couacruccion.
•
Town of Queensbury
BUILDING and CODES DEPARTMENT .
• Bay and Haviland Roads
Qusansbury, New York 12804
•
•
RumJrks:
I`
aZgXAL
awn of•Queenibur/ /
•
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
' Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME PeraI'h w. ( -M_i-ii r)
LOCATION „g U/2.('ha,/d (nt .
DATE. ,/'�/ 9/ PERMIT NO. 9/'aV/3-
SOIL TYPE Sand - Loam - Clay - •
Percolation est Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length ,y
Length of each. trench f` /
Depth of trenches p . /
Size of gravel
SEEPAGE PITS{Number of) ' 02
Size- 6 ft. X g"ft. f.. 62 ` e-
Gravel size , W 3 f 4' /
PIPING: 4.l Siz Type
Bldg. to tank g,' ( P ,
Tank to dist. box L Li / 1/
Dist. box to field/.i i/
Openings sealed? 4111Wa. NO Partial
LOCATION/SEPARATIONS: t:: 4
Foundation to tank ft.
Foundation to absorption 620 ft.
Absorption to lot line / o ft.
Separation of pits ft.
\l
LOCATION OF SYSTEM ON. PROPERTY(circle one)
Front - Rear - eft s.4id677_=,)Right side -
COMMENTS: 1,14_11\ .
0.,(2.0A-12 , i
S 4a i/
SYSTEM USE APPROVE YE 0
Build ng I pector
01/86 and vl
MT (CA' Eloped lc 0 a/ido to s -C-" t`G 4),M r13 S'F,2
C',P61 i9RV 76/-6, L1® /Li I3leAI r 7g8.--b''$5 eiZ
Qi J$(3ury - Y2�, GlgNs i alfs ��Yf,-'j
, 1 �
TOM,' OF QUEENSSUM
RECEIVED
APR 26 1991
( BLDG. & CODE DEPT.
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